Emergency Dispatch Quality Report
Report and evaluate the quality of an emergency dispatch interaction, including incident details, quality ratings, observed issues, and follow-up notes.
Incident and Call Details
Incident Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Call Time
*
Hour Minutes
AM
PM
AM/PM Option
Incident or Event Number
*
Dispatch Location or Jurisdiction
*
Call Type / Category
*
Please Select
Medical
Fire
Police
Traffic
Hazardous Materials
Public Assistance
Other
Quality Evaluation
Overall Quality Rating
*
1
2
3
4
5
Dispatcher Performance Assessment
*
Rows
Poor
Fair
Good
Very Good
Excellent
Professionalism
1
2
3
4
5
Communication Clarity
6
7
8
9
10
Protocol Adherence
11
12
13
14
15
Response Timeliness
16
17
18
19
20
Caller Handling
21
22
23
24
25
Quality Issues Observed
No issues observed
Unclear instructions
Delayed response
Failed to follow protocol
Unprofessional tone
Incomplete information gathered
Poor caller management
Escalation needed
Other
Report Summary and Follow-up
Summary of Findings
*
Recommended Corrective Action / Follow-up
Reviewer Name
*
First Name
Last Name
Reviewer Role
Department
Please Select
Dispatch
Quality Assurance
Training
Supervision
Operations
Other
Priority / Follow-up Status
Please Select
Low
Medium
High
Urgent
Closed
Open
In Progress
Pending Review
Submit Report
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