Security Incident and Use of Force Report

Documents security incidents, any use of force, witness accounts, evidence, and immediate response actions for internal review and audit trail purposes.

Submission Notice

• What are you reporting?
• I understand this report may be reviewed by authorized security, HR, legal, or compliance personnel as needed.
• Your name
  Optional unless your organization requires identification for follow-up. Collect only if needed.
• Your contact email or phone
  Optional contact information for follow-up. Do not include more than one method unless necessary.

Incident Overview

• Date of incident
• Time of incident
• Location
• Incident type
• Brief summary of what happened
  Describe the event factually and in chronological order. Avoid opinions or speculation.
• Is there an ongoing safety or security risk?

People Involved

• How many people were directly involved?
• Primary subject role
• Description of the primary subject
  Include only observable details such as approximate age range, clothing, and distinguishing features. Do not include unnecessary PII.
• Did anyone appear injured or require medical attention?

Use of Force Details

• Was any physical force or restraint used?
• Type of force used
• Reason force was used
  Describe the immediate threat or behavior that led to the intervention.
• Approximate duration of force or restraint (minutes)
• Were de-escalation steps attempted before force?

Witnesses and Evidence

• Were there witnesses?
• Witness statements
• Evidence collected
• Evidence details
  Describe what was collected, where it is stored, and who has custody.

Response and Follow-up

• Immediate actions taken
• Was law enforcement notified?
• Police or case number
  If available, provide the external reference number only. Do not include sensitive personal data.
• Is follow-up required?
• Follow-up notes

Reporter Attestation

• I certify that this report is accurate and complete to the best of my knowledge.
• Signature
• Report date