Incident Report Incident Reported by:* First Last Email* Date of Incident* Date Format: MM slash DD slash YYYY Approximate Time of Incident* : HH MM AMPM Campus*CalhounChatsworthDaltonHixsonRinggoldDepartment*Children's MinistryDiscipleshipHost TeamOperations/AdminStudent MinistryWeekend ServicesDescribe the Incident*Describe any first aid or medical treatment provided.Was anyone admitted as a patient or kept overnight at the hospital?* No Yes What follow-up has been done or will be done by staff?*Was there any property damage? No Yes Describe the property damage.What might be done to prevent or prepare for incidents of this nature in the future?
