Information
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Venue Number and Name
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Conducted on
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Prepared by: (Full Name)
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Location
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Key holder Name: (If present)
Incident
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Type of Incident
- Internal theft
- Robbery
- Armed Robbery
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Date and time incident occurred
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To whom was incident reported?
- Area Manager
- Venue Manager
- Operations Director
- Police
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Names of staff
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Date and time incident was reported:
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Were there staff on Duty
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Was there any witness(es)? If yes, provide name(s).
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Witness
Witness #
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Name:
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Add signature
Details of Entry
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Was entry gained
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Photo/s of entry point
Entry point#
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Photo/s
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Was the Staff Guard or Panic Button activated?
Details of Damage
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Any Damage To The Venue?
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Photos of damage
Cash Loss
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Was there any cash loss?
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Total cash Loss
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Where were the keys being stored?
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Were the keys to GeWete, ATMs, Safes locked in a timelock safe?
Offender Information
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Were offenders apprehended
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Details of offender
Offenders
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Offender #1: Name & other information.
After Incident Actions Taken
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Was Police called?
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Police Officers Name:
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From what police station:
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Event Number:
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Will officer require copy of report?
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Did the Police request or take a copy of the CCTV evidence
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Was the Area Manager called?
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Area Manager Name
Analysis
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Was site secure?
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What action was taken:
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Was Locksmith Required
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Was a static guard required
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Name of static guard placed on site
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Time guard arrived on site
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Security License#
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Expiry Date
Auditor Findings
Incident Notes
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Any Further Notes
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Note/s
Note #
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Notes by (Persons Name)
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Note:
Recommendations
Follow Up Action - If required
Signature's
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Auditors Signature
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Area Manager Signature