Guest Incident and Injury Report Form

Documents guest incidents and injuries on property, including scene details, witness accounts, immediate response, and follow-up actions.

Submission Notice

• Your name
• Your role
• Date and time submitted
• I understand this form collects incident details and may include limited PII needed for safety follow-up and audit trail.

Incident Details

• Date of incident
• Time of incident
• Location on property
• Type of incident
• Brief description of what happened

Guest or Affected Person

• Affected person type
• Name of affected person
• Contact information
  Optional. Use only if needed for follow-up.
• Did an injury occur?
• Describe the injury

Scene Conditions

• Surface or floor condition
• Weather conditions
• Scene description
  Include visible hazards, lighting, signage, barriers, or cleanup status.
• Photos of the scene

Witnesses and Immediate Response

• Were there witnesses?
• Witness details
• Immediate response taken
• Was medical transport required?
• Medical response details

Follow-up and Review

• Who was notified?
• Corrective actions taken or recommended
• Is follow-up required?
• Follow-up owner
• Follow-up due date