Title Page
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SEC / ICF
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Client / Site
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CIT Company
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Conducted on
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Prepared by
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Location
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Site Photos
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G4S Branch
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SEC / ICF
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Date and Time of Incident
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SAPS Station and CAS Number
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SAPS Investigator name and contact number
1. Customer Site
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1.1 Customer representative details
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1.2 Customer contact details
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1.3 Site address
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1.4 Description of the site.
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1.5 Description of services.
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1.6 Current process and routes. (Including escape routes)
2. G4S PERSONNEL DETAILS
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2.1 Driver
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2.2 Crewman
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2.3 Thirdman / Vehicle Security Guard / Custodian
3. Injuries and Losses
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3.1 Injuries to personnel
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3.2 Injuries to bystanders
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3.3 Firearm Loss - Details
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3.4 Cash Loss
4. Vehicle Details
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4.1 AV Make and Model
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4.2 Fleet Number
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4.3 Registration Number
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4.4 Schedule
5. Suspects / Perpetrators
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5.1 Number of Suspects / Perpetrators
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5.2 Description of Suspects
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4.3 Getaway vehicle details
5. CCTV
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5.1 Is there a CCTV system installed?
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5.2 Is the CCTV system in a working condition?
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5.3 Are cameras able to record all actions at the cash device?
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5.4 Is CCTV screened at the Security Company?
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5.5 Time period that CCTV is available.
6. Alarm system.
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6.1 Is there an alarm system installed?
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6.2 Is the Alarm in a working condition?
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6.3 Is the alarm linked to a control room?
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6.4 Is an alarm panic button available (used?)
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6.5 Are panic buttons easily accessible? (Name company to respond)
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6.6 Was the alarm system installed by a PSIRA accredited Armed Response Company?
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6.7 Alarm monitoring company name, if installed.
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6.8 Last date of alarm test.
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6.9 Description of the alarm system.
7. Guard
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7.1 Is there a guard on site during the incident?
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7.2 How many guards were on the site during the incident?
8. ABM / ATM / Drop Safe / Customer Safe ( Cash Holding Device )
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8.1 Device Type / Name
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8.2 Number of devices on site.
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8.3 Is device installed in a secured cash office?
9. Incident Description
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9.1 Summary of Incident
10. Additional Security Measures By G4S
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10.1 Cross pavement device used during the incident?
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10.2 Make and Serial
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10.3 Did device activate?
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10.4 device recovered?
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10.5 Third man present?
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10.6 Description of any Additional Security Measures
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11.1 Any additional info.
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11.2 Any additional photos.
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12. Site Risk Rating
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12.1 Site Risk Rating Standard
- LOW - RISK: Optimal Lighting, Armed Guard, CCTV, Restricted Access, Secure Cash Office/Loading Bay, Panic/Alarm, Safe, Split Key Service, Armed Reaction, Multiple Collections
- MEDIUM RISK: Minimal Lighting, Armed Guard, CCTV, Access, Cash Office/Loading Bay, Alarm, Safe, Split Key Service, Armed Reaction, Single Collection
- HIGH RISK: Poor Lighting, Guard, Alarm, Safe, Customer Control Key, Single Collection
- EXTREME RISK: No Lighting, No Guard, No Alarm, No Safe, No Key, Single Collection
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13. Recommendations
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Survey done by
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Date Survey finalised