Suspicious Package Threat Assessment Form
Report and assess a suspicious package so the situation can be reviewed and appropriate next steps can be taken.
Incident Details
Date of Discovery
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Discovery
*
Hour Minutes
AM
PM
AM/PM Option
Location of Package
*
Discovered By
*
Package Description
Package Type / Format
*
Box
Envelope
Bag
Tube
Parcel
Other
Approximate Size
Please Select
Small (fits in hand)
Medium (shoebox-sized)
Large (larger than a shoebox)
Extra Large
Other
Color / Appearance
Visible Markings or Labels
Threat Assessment and Response
Observed Threat Indicators
*
Unusual odor
Stains
Wires
Ticking
Excessive tape
No return address
Misspelled label
Damaged packaging
Other
Threat Severity
*
1
2
3
4
5
Immediate Actions Taken
*
Authorities or Security Contacted
*
Yes
No
Current Status of the Area
*
Isolated
Evacuated
Monitored
Unknown
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