Cinema Screening Equipment Incident Report
Report incidents or malfunctions involving cinema screening equipment to ensure timely maintenance and safety.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location / Screen Number
*
Type of Equipment Involved
*
Please Select
Projector
Sound System
Lighting
Screen
Seating Mechanism
Other
Brief Description of the Incident
*
Severity of the Incident
*
Minor (no disruption)
Moderate (temporary disruption)
Major (show interrupted or stopped)
Was anyone injured or was there a safety risk?
*
No
Yes (please describe below)
Actions Taken Immediately After the Incident
*
Current Status of the Equipment
*
Please Select
Operational
Requires Repair
Out of Service
Upload Photos or Supporting Documents (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Supervisor Notified?
*
Yes
No
Submit Incident Report
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