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Run: Guest Incident and Injury Report Form

Use this Guest Incident and Injury Report Form to document what happened, who was involved, what the scene looked like, and what follow-up is needed after a ...

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Submission Notice

Your name (required)

Your role (required)

Date and time submitted (required)

I understand this form collects incident details and may include limited PII needed for safety follow-up and audit trail. (required)

Yes No N/A

Incident Details

Date of incident (required)

Time of incident (required)

Location on property (required)

Type of incident (required)

Brief description of what happened (required)

Guest or Affected Person

Affected person type (required)

Name of affected person

Contact information

Optional. Use only if needed for follow-up.

Did an injury occur? (required)

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? (required)

Witness details

Immediate response taken (required)

Was medical transport required? (required)

Medical response details

Follow-up and Review

Who was notified? (required)

Corrective actions taken or recommended

Is follow-up required? (required)

Follow-up owner

Follow-up due date

Get your results

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Email (required)

Your name (optional)

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