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
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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
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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?
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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.
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Patron description
Optional physical description or other non-sensitive identifying details to support staff recognition.
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Additional patron details
Only complete if needed for the incident record or follow-up.
Witnesses and Evidence
- Were there witnesses?
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Witness details
List witness names only if needed and permitted by policy. Otherwise note role or location.
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Supporting evidence
Upload relevant photos, video, or written statements if available.
Staff Response
- Actions taken by staff
- Was de-escalation attempted?
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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
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Restriction duration
Enter the duration or end date if applicable.
- Follow-up required
- Follow-up notes
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