Incident Report Form

Your Full Name

Today's Date

When did the incident occur?

Day

Month

Year

Time

HoursMinutes

What happened?

Injury

Damage to Property

Interpersonal Incident

Other

At which location did the incident occur?

Waterfront Hub

Rosewood Bermuda

Grotto Bay Beach Resort & Spa

Other

Please provide specific details of where the incident occurred.

Describe what happened.

What did you do immediately following the incident?

Name / Role / Contact Details of parties involved

What did the other parties involve do immediately following the incident?

Name / Role / Contact Details of Witnesses

Was the hotel / resort advised?

If yes, provide the Name & Role of the person and describe what was discussed.

What, if anything, requires immediate follow up by Management of Explore In?

What measures do you believe could be implemented to reduce the likelihood of this happening again?

How are you? Do you need any emotional or practical support as a result of this incident? If yes, please provide details.

Additional Comments

Upload your photos/videos/documents here. (Up to 5 files. Email any additional files to hello@explorein.net)