Hotel Incident Report

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Hotel Incident Report

Location of EOC: ABC Hotel Date of report: Nov. 9, 2020

Location contact details: Section:

Incident Details ( one box)


 1. Injury / medical condition #  7. Lost person  12. Complaint
 2. Accident  8. Lost/found property  13. Aggression / bullying
 3. Near miss incident 9. Property/plant/ equipment  14. Security / theft
 4. Policy/procedure/legislation maintenance  15. Emergency eg fire
non-compliance 10. Property/plant/ equipment  16. Threats
 5. Evacuation damage  17. Other ________________
 6. Hazard identification  11. Product/service failure

Location of incident: Room 101 &102/ABC Hotel Date of incident: Time of incident:
November 9, 2020
Describe how the incident occurred?
 Faulty and improper placement of linens in Room 101 and Room 102 due to failure to fix or
put things in the right storage.

 Poor house keeping


What were the consequences of the incident?
 Linen cause stain and damage during the said renovation which cost to 15,OOO.OO and
other furniture like cabinet and chairs was been damage as well.

What action has been taken to prevent reoccurrence?

 16 Days suspension from November 10-25, 2020

 If action is repeated, there will be an automatic termination.

Who has been notified of this incident?

Persons Involved in Incident (Include contact details eg address for non-response persons)
Name: Mr G Role: Supervisor
Contact number:
Name: Role:
Contact number:
Witnesses names (if any)
Name: Owner Role:
Contact number:
Name:Representatives Role:
Contact number:
Reporting Officer: (print name) Role:

Signature: Date:
Supervisor - OIC/Manager/Controller: (print name) Role:

Signature: Date:

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