Incident Report IV Involved,Witnesses (full names and contact –People information): V Action Taken Once Incident Identified: – VI Photos/Video Taken of Injury/Location: – VII Follow Up (if needed): – Member/Volunteer Signature: __________________________________________ Clergy/Senior Warden Signature: ___________________________________________
Incident Report IV –People Involved,Witnesses (full names and contact information): V – Action Taken Once Incident Identified: VI – Photos/Video Taken of Injury/Location: VII – Follow Up (if needed): Member/Volunteer Signature: __________________________________________ Clergy/Senior Warden Signature: ___________________________________________
Emergency-Preparedness-Template-081718.docx