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Incident Report Form
Your Full Name
*
Today's Date
*
When did the incident occur?
*
Day
Month
Month
Year
Time
:
Hours
Minutes
AM
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)
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