Incident Report-Employee

Employee
Incident Report

Incident report

* Indicates required field

Employee Involved *

Manager *

Date and Time Incident Occurred *

Was anyone injured? *

Yes No

Describe the Incident and/or Injury *

Where there any witnesses? *

Yes No

Names of Witnesses if applicable *

Location of Incident *

ClickIt RV Store ClickIt Auto & RV Off site or Other - Describe location below

Comments or Specifics of Location *

What Actions were Taken? *

Submit