Museum Exhibit Damage Incident Report Form
Use this form to report damage to a museum exhibit, document what happened, identify the affected item, and record any immediate response and follow-up details.
Incident Basics
Incident date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Incident time
*
Hour Minutes
AM
PM
AM/PM Option
Discovery date and time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Museum name / location
*
Exhibit name or item affected
*
Type of damage observed
*
Scratches
Breakage
Tear
Missing part
Stain
Water damage
Other
Damage Description and Circumstances
Detailed Description of What Happened
*
How the Damage Was Discovered
*
Exhibit Condition Before the Incident (if known)
Was the Exhibit Open to the Public at the Time?
*
Yes
No
Was the Damage First Noticed by a Staff Member?
*
Yes
No
Contributing Circumstances or Suspected Cause
Visitor Contact
Accidental Bump
Maintenance Work
Cleaning Activity
Transport/Move
Unknown
Other
People Involved and Witnesses
Reporter Name
*
First Name
Middle Name
Last Name
Reporter Role / Title
*
Department / Team
Immediate Supervisor / Manager Name
Staff Involved / Witnesses
Witness Contact Information
Response, Follow-Up, and Attachments
Actions Already Taken
Isolated exhibit
Notified supervisor
Secured area
Removed item from display
Documented with photos
Notified security
Closed public access to area
Other
Photos or Video Attached
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Incident Urgency / Status
*
Please Select
Low
Moderate
High
Urgent
Recommended Next Steps / Repair Notes
Internal Reference Number / Incident Tracking ID
Submit Incident Report
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