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

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