Reportable Incidents
- Injuries and hospitalizations of guests
- Accidents and falls
- Equipment failures (elevators, room keys, amenities)
- Altercations and illegal activity
- Stolen and lost items
- Complaints and staff issues
Sample
Full Name: [FULL NAME] Title/Role: [TITLE/ROLE]
Signature: Date: [MM/DD/YYYY]
Was an employee involved in the incident?☐ Yes ☐ No
If yes, enter their name: [EMPLOYEE NAME]
Was any hotel equipment involved in the incident?☐ Yes ☐ No
If yes, describe: [EQUIPMENT]
Was the supervisor notified? ☐ Yes ☐ No
Location: [LOCATION]
Describe the Incident: [DESCRIBE THE INCIDENT]
Date of Booking: [MM/DD/YYYY] Room Number: [ROOM NUMBER]
Guest Name: [GUEST NAME] Phone: [PHONE] E-Mail: [EMAIL] Address: [ADDRESS]
Date of Booking: [MM/DD/YYYY] Room Number: [ROOM NUMBER]
If yes, enter the witnesses’ names and contact info:
- Full Name: [FULL NAME] Phone: [PHONE] E-Mail: [EMAIL]
- Full Name: [FULL NAME] Phone: [PHONE] E-Mail: [EMAIL]
If yes, was a report filed? ☐ Yes ☐ No
Was medical treatment provided? ☐ Yes ☐ No ☐ Refused
If yes, where was medical treatment provided? ☐ On site ☐ Hospital ☐ Other: [OTHER]