Title Page

  • SEC / ICF

  • Client / Site

  • CIT Company

  • Conducted on

  • Prepared by

  • Location
  • Site Photos

  • G4S Branch

  • SEC / ICF

  • Date and Time of Incident

  • SAPS Station and CAS Number

  • SAPS Investigator name and contact number

1. Customer Site

  • 1.1 Customer representative details

  • 1.2 Customer contact details

  • 1.3 Site address
  • 1.4 Description of the site.

  • 1.5 Description of services.

  • 1.6 Current process and routes. (Including escape routes)

2. G4S PERSONNEL DETAILS

  • 2.1 Driver

  • 2.2 Crewman

  • 2.3 Thirdman / Vehicle Security Guard / Custodian

3. Injuries and Losses

  • 3.1 Injuries to personnel

  • 3.2 Injuries to bystanders

  • 3.3 Firearm Loss - Details

  • 3.4 Cash Loss

4. Vehicle Details

  • 4.1 AV Make and Model

  • 4.2 Fleet Number

  • 4.3 Registration Number

  • 4.4 Schedule

5. Suspects / Perpetrators

  • 5.1 Number of Suspects / Perpetrators

  • 5.2 Description of Suspects

  • 4.3 Getaway vehicle details

5. CCTV

  • 5.1 Is there a CCTV system installed?

  • 5.2 Is the CCTV system in a working condition?

  • 5.3 Are cameras able to record all actions at the cash device?

  • 5.4 Is CCTV screened at the Security Company?

  • 5.5 Time period that CCTV is available.

6. Alarm system.

  • 6.1 Is there an alarm system installed?

  • 6.2 Is the Alarm in a working condition?

  • 6.3 Is the alarm linked to a control room?

  • 6.4 Is an alarm panic button available (used?)

  • 6.5 Are panic buttons easily accessible? (Name company to respond)

  • 6.6 Was the alarm system installed by a PSIRA accredited Armed Response Company?

  • 6.7 Alarm monitoring company name, if installed.

  • 6.8 Last date of alarm test.

  • 6.9 Description of the alarm system.

7. Guard

  • 7.1 Is there a guard on site during the incident?

  • 7.2 How many guards were on the site during the incident?

8. ABM / ATM / Drop Safe / Customer Safe ( Cash Holding Device )

  • 8.1 Device Type / Name

  • 8.2 Number of devices on site.

  • 8.3 Is device installed in a secured cash office?

9. Incident Description

  • 9.1 Summary of Incident

10. Additional Security Measures By G4S

  • 10.1 Cross pavement device used during the incident?

  • 10.2 Make and Serial

  • 10.3 Did device activate?

  • 10.4 device recovered?

  • 10.5 Third man present?

  • 10.6 Description of any Additional Security Measures

  • 11.1 Any additional info.

  • 11.2 Any additional photos.

  • 12. Site Risk Rating

  • 12.1 Site Risk Rating Standard

  • 13. Recommendations

  • Survey done by

  • Date Survey finalised

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