Incident

Please use this report form to either: - Report on an external incident or crime - Report on ejections - Witness reporting All incidents will be reported to your line manager and Ground Operations.

Please provide the following details

What is your name?^*

What is your position?^*

Who is your supervisor or line manager?^*

Is this a first hand account?^*

Yes No

Event^*

What date and time did this occur?^*

Area^*

Summary^*

Who was involved?^*

Were there any witnesses?^*

Yes No

If yes, please provide witness name and contact details

Was a member involved?^*

Yes No

If yes, please provide the Member's name, Membership number and date of birth

Was the Control Room informed?^*

Yes No

If yes, please provide incident number

Was Event Support Required?^*

Yes No

Was a person ejected?^*

Yes No

If yes, please explain the rationale behind this ejection

What gate was this person ejected from?

How many persons were ejected?

If possible, please provide details of the person/s ejected

Was this footage captured on a body worn camera?^*

Yes No

Was physical intervention (use of force) required?^*

Yes No

Were you concerned?^*

Yes No

Did they threaten you?^*

Yes No

If yes, how did they threaten you?

Did the person/s exhibit any of the following?

Were are other options considered?

How were they restrained?^*

Did the subject's behaviour change once restrained?

How many staff were required?^*

Were any staff injured during the incident?^*

Yes No

If yes, please provide injury details

Did the subject get injured?^*

Yes No

If so, please provide injury details

Please provide any supporting or relevant documentation

By submitting details, you declare that all information you have given is true and accurate.^*

Yes

Data Protection Agreement^*

I agree