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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.