Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

SECTION I INFORMATION

  • Date and time of incident

  • Date and time incident was reported.

  • Additional Information on Time of Theft

  • To whom was the incident reported?

  • Location of incident.

  • Security Managers Name

  • Contact Phone Number

  • Was there any witness(es)? If yes, provide name(s).

PERSON(S) INVOLOVED

  • Name

  • Address

  • Phone:

  • Email address

NATURE OF THEFT

  • Describe of items stolen

  • Detail of location and additional information

  • Detailed description of theft (Include environmental conditions at time of incident)

  • Property Damage:

  • Photo of damage.

  • Estimated cost of damage:

Police Call

  • Time Police Called

  • Additional Information

CONFIRMATION OF DETAILS

  • Select date

  • Customers Signature

  • Select date

  • Security Managers Signature

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. You should independently determine whether the template is suitable for your circumstances.