Incident Report

This form shall be used by staff of the East Central Regional Library to report incidents to the Director or Assistant Director involving any activities or incidents which have necessitated contact with law enforcement authorities, the suspension of library use, the eviction from library premises or any other violation of library policies by either staff or the public. The report should also be used to report any incident involving the harm or injury to a user or volunteer. Injuries to staff should also be reported on the “First report of injury” form.

Please include names whenever possible, but do not include library card numbers.

Date of Incident

Time of Incident

Full Name of Staff Member Reporting

Please Report the activity. Provide sufficient detail to enable a reasonable determination as to the legality of the activity or extent of the injury

Other East Central Regional Library employees or library users witness to the incident. Please provide both names and telephone numbers if possible.

Location

Staff members are reminded that any illegal activity, including the viewing of child pornography should be immediately reported to the appropriate law enforcement authorities.