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Patron Code of Conduct Incident Report (Library)

Patron Code of Conduct Incident Report (Library)

Documents a patron behavior incident in a library, staff response, witnesses, and any suspension or restriction of privileges.

Submission Notice

  • What happens after I submit?
  • Submission type
  • Submit anonymously
    Select this if you do not want your name included in the report. Anonymous submission may limit follow-up.

Incident Details

  • Date of incident
  • Time of incident
  • Library location
  • Incident category
  • Incident summary
    Describe only what was seen or heard. Include specific actions, words, and sequence of events.

Patron Information

  • Is the patron known to staff?
  • Patron identifier
    Use a library card number, internal account ID, or brief identifying note if needed. Do not enter sensitive personal data unless required for follow-up.
  • Patron description
    Optional physical description or other non-sensitive identifying details to support staff recognition.
  • Additional patron details
    Only complete if needed for the incident record or follow-up.

Witnesses and Evidence

  • Were there witnesses?
  • Witness details
    List witness names only if needed and permitted by policy. Otherwise note role or location.
  • Supporting evidence
    Upload relevant photos, video, or written statements if available.

Staff Response

  • Actions taken by staff
  • Was de-escalation attempted?
  • Immediate safety concerns
    Describe any threats, injuries, weapons, or urgent hazards. Include only necessary details.
  • Property damage or loss
  • Property damage details

Privilege Restriction and Follow-Up

  • Were patron privileges restricted or suspended?
  • Restriction type
  • Restriction duration
    Enter the duration or end date if applicable.
  • Follow-up required
  • Follow-up notes
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