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Run: Patron Code of Conduct Incident Report (Library)

Log a library patron conduct incident, staff response, witnesses, and any privilege restriction in one record. Use it to create a clear audit trail and suppo...

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Submission Notice

What happens after I submit?

Submission type (required)

Submit anonymously

Select this if you do not want your name included in the report. Anonymous submission may limit follow-up.

Yes No N/A

Incident Details

Date of incident (required)

Time of incident (required)

Library location (required)

Incident category (required)

Incident summary (required)

Describe only what was seen or heard. Include specific actions, words, and sequence of events.

Patron Information

Is the patron known to staff? (required)

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? (required)

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 (required)

Was de-escalation attempted? (required)

Immediate safety concerns

Describe any threats, injuries, weapons, or urgent hazards. Include only necessary details.

Property damage or loss (required)

Property damage details

Privilege Restriction and Follow-Up

Were patron privileges restricted or suspended? (required)

Restriction type

Restriction duration

Enter the duration or end date if applicable.

Follow-up required (required)

Follow-up notes

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