Security Special Services Incident Report DoubleTree Hotel v2.1

• Conducted by:

  Select Jeffrey Grant William Potts Daniel Garza Alex Castro Rich Paco Jorge Moran Harmandeep Singh Jonny Philiips Lee Jackson Michael Harris Chris Peoples

  • Jeffrey Grant
  • William Potts
  • Daniel Garza
  • Alex Castro
  • Rich Paco
  • Jorge Moran
  • Harmandeep Singh
  • Jonny Philiips
  • Lee Jackson
  • Michael Harris
  • Chris Peoples

• Security Special Services @ Double Tree Hotel

• Address: 39900 Balentine Drive, Newark, Ca 94560

• Date:

  Date

• Day / Shift Hours:

  Select Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1900 - 0300 2200 - 0600

  • Sunday
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • 1900 - 0300
  • 2200 - 0600

• When an incident occurs, guards must complete an Incident Report. Attach any documents, photographs, and other pertinent evidence to this IR as necessary. Additionally, make sure all required notifications are made. This is not to be given out to anyone outside the organization. This report is ONLY for internal Security Special Services Management and the client management if requested.

WERE THERE ANY?

• Nature Of The Incident

  Select Guest Assault/Battery Guest injury Guest Sexual Assault Fight/Altercation Fire Robbery Theft of Guest {Property) Vehicle Collision Vehicle Theft Vehicle Vandalism Theft of Hotel Property Damage to Hotel Property Other (Describe in Narrative)

  • Guest Assault/Battery
  • Guest injury
  • Guest Sexual Assault
  • Fight/Altercation
  • Fire
  • Robbery
  • Theft of Guest {Property)
  • Vehicle Collision
  • Vehicle Theft
  • Vehicle Vandalism
  • Theft of Hotel Property
  • Damage to Hotel Property
  • Other (Describe in Narrative)

• Location of Incident

  Select Bar / Lounge Hotel Room Hallway (specify) Restaurant Lobby Parking Lot Pool / Spa Garden Conference/ Meeting Room Elevator Gift Shop Other (Describe)

  • Bar / Lounge
  • Hotel Room
  • Hallway (specify)
  • Restaurant
  • Lobby
  • Parking Lot
  • Pool / Spa
  • Garden
  • Conference/ Meeting Room
  • Elevator
  • Gift Shop
  • Other (Describe)

• Approximate Date / Time of incident

  Date

• Day of Week

  Select Sunday Monday Tuesday Wednesday Thursday Friday Saturday

  • Sunday
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday

• Date / Time Incident was reported / Discovered

  Date

• Day of Week

  Select Sunday Monday Tuesday Wednesday Thursday Friday Saturday

  • Sunday
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday

• Was Police / Sheriff / 911 called?

  Yes

  No

  N/A

• Officer's Department, Name and Badge #

• Case or Incident Report #

• Weather Conditions

• Were photographs taken?

  Yes

  No

  N/A

• Name: Last, First MI

• Address (Include City, State and Zip)

• Phone / email

• DOB / Sex

• Is Complainant a registered guest? If so, hotel room #

Witnesses

• Witness#1 Name, address, phone number

• Witness #2 Name, address, phone number

• Witness #3 Name, address, phone number

Property involved

• Style, Size, Color, Condition, Approx value, Serial number if available

• Description of Vehicle if applicable (Color, year, make/model, license plate, state)

• Vehicle Registered owner name, address and phone number

• Vehicle owned by:

  Select Guest Hotel Security Company Vendor doing business with hotel (specify in narrative)

  • Guest
  • Hotel
  • Security Company
  • Vendor doing business with hotel (specify in narrative)

Damages (If applicable)

• undefined

NARRATIVE (Brief synopsis of incident)

• undefined

Sign Off: This report is true and accurate to the best of my knowledge. Email report to Lee Jackson, Pamela Hammill and Hotel Management. This report is required for record in anticipation of possible litigation.

• Officer Name:

  Sign

• Supervisor: