Hotel Incident Report Form
A Hotel incident report form is used to make a detail report of a specific incident happened in a hotel. The report form consist necessary information about the incident, its impact and why it happened. Such reports not only help to keep a record but it could also work as future references.
Sample Hotel Incident Report Form
General Information
Name of Hotel______________ Hotel Owner____________
Address______________ Phone______________ Email_________ Fax_________
Hotel Manager: Name_________ Phone___________
Report Prepared by: Name__________ Designation____________ Phone__________
Report Submitted to: Name__________ Designation_______________
Incident Report Information
Date of Incident__/___/___ Time/Hours________ Location/Place of Incident__________
Nature of Incident_____________
Causes of Incident____________
Brief Description of Incident_______________
Any staff, vehicle, equipment, hotel assets affected or involved in incident___________________
Person Involved in Incident: Name___________ Address_________ Phone__________
Prime Witneses: 1:Name_____________ Address__________ Phone____________
Witness: 2: Name___________ Address____________ Phone____________
Witness: 3: Name____________ Address____________ Phone____________
Impact of Incident_________________
Damages it caused, if any______________
Any Graphical Prove, Pictures Taken__________________
Legal Action taken, if any____________________
Medical Assistance provided to anyone_______________
Signature_____________ Date of Report Submission___/____/____
Category: Report Forms

