Hotel Security Incident Report
Please complete this form to report any security-related incidents at the hotel property. Provide as much detail as possible for accurate documentation.
Incident Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Incident Time
*
Hour Minutes
AM
PM
AM/PM Option
Hotel Property/Location
*
Please Select
Main Lobby
Guest Room
Parking Lot
Restaurant/Bar
Pool Area
Fitness Center
Conference Room
Other (please specify)
Incident Type
*
Theft
Assault/Physical Altercation
Disturbance/Disorderly Conduct
Vandalism
Suspicious Activity
Fire/Smoke
Medical Emergency
Other
Reporter Full Name
*
First Name
Last Name
Reporter Role
*
Hotel Staff
Guest
Contractor/Vendor
Visitor
Other
Reporter Contact Information (Phone or Email)
*
Were any other persons involved?
*
Yes
No
Name(s) and Role(s) of Involved Person(s) (if any)
Factual Description of the Incident
*
Were there any witnesses?
*
Yes
No
Unknown
Witness Name(s) and Contact Information (if any)
Was anyone injured or did anyone require medical assistance?
*
No injuries
Minor injury (no medical attention needed)
Injury requiring first aid
Injury requiring emergency services
Unknown
Was there any property damage?
*
Yes
No
Unknown
Describe property damage (if any)
Immediate actions taken
*
Were police or hotel security contacted?
*
Police contacted
Hotel security contacted
Both police and hotel security contacted
Neither contacted
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