Guidelines for Completing an Incident Report Form

General Guidelines

An Incident Report is completed to ensure any incident that occurs on college premises, or at college sanctioned events held off site, is reported in a timely and accurate manner so that college leadership can appropriately respond to the affected person.

Typical situations in which an Incident Report is to be completed:

• Personal conduct in violation of College Policy such as harassment, discrimination, bullying, abuse of company property or theft
• Injury or illness sustained by a client or student of Bryan College
• Building security violations, including unknown visitors accessing the campus
• Client complaints of a serious nature that require follow-up or further investigation by College administration

It is impossible to anticipate all potential situations that may occur on College premises. With this in mind, it is always advisable to complete an Incident Report for any situation that relates to the health, safety, or personal well-being of student, or client so that the situation may be investigated.

An Incident Report is not to be completed for policy exceptions or appeals. Please see your academic coordinator for direction with regard to Policy Exceptions or Appeals.

Instructions

1. Please print legibly in either blue or black ink on the Incident Report Form.
2. Fill in all required/requested information. No section should be left blank.
3. Ensure complete names are documented for:
4. All persons directly involved
5. All witnesses to an incident, including people who were in the vicinity when immediately prior to, during, or immediately after the incident occurred
6. Provide factual information to the description of the incident
7. Attach any supporting documentation, such as copies of emails or written witness statements, which help to further explain or provide information regarding the incident
8. Provide factual information regarding any actions you took as a result of the incident (i.e. Paramedics were called and arrived at 6:30 PM, etc.)
9. Describe any additional action that is required/desired from college administration. Examples may include things such as investigation, repairing faulty equipment, or following up with a client.
10. If there's not enough space on any one section of the form, attach additional pages containing complete information to the Incident Report Form
11. Sign and date the Incident Report. Include personal contact information so the college may follow up with the individual reporting the incident if necessary
12. Submit the completed Incident Report Form and associated documentation to a member of college faculty or staff