Policies and procedures

Incident-Complaint Form

Date Time
Name
Site Location

Gurdwara site details
Incident Deatils

Incident details: Please provide as much information as possible about this incident
Injuries incurred

Please provide details of the injuries incurred as a result of this incident
External Services - Blue lights
Police

Ambulance

Fire

Details of any external services involved
Outcome

How was the incident resolved (if applicable)
Follow-up

Follow up actions required (if applicable)
Witness(es)
Name of Person reporting (and relation)
Contact details of the person reporting