Incident Report Slip
Incident Report Slip
Incident Details
Date of Incident: |
[December 10, 2050] |
Time of Incident: |
[2:15 PM] |
Location of Incident: |
Main Office Building, Conference Room 3 |
Type of Incident: |
Fire Emergency |
Description of Incident: |
A small fire erupted due to an electrical short circuit in the projector. The fire was contained within 10 minutes with minimal damage. |
Affected Parties
Number of Injured Persons: |
0 |
Number of Affected Employees: |
5 |
Names of Affected Employees: |
|
Response and Actions Taken
Immediate Actions Taken: |
|
Emergency Services Contacted: |
Local Fire Department |
Time of Response by Emergency Services: |
[2:25 PM] |
Further Actions Taken: |
|
Approval and Sign-Off
Prepared By: [Your Name]
Reviewed By: [Your Supervisor Name]
Date: December 11, 2050