Incident report Academic Management Service

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Academic Management Service

Incident report

FACILITY USAGE REPORT

 

FACILITY: 

ACTIVITY: 

CONTACT PERSON: 

TELEPHONE NUMBER: 

FAX NUMBER: 

EMAIL: 

DATE OR PERIOD: 

START AND END TIME: 

THERE WERE INCIDENTS REGARDING... (please check the appropriate box):

 Time (the activity took longer than the time allocated)
 Damage within the facility
 Damage outside the facility
 Cleaning
 Other

Other remarks (please specify the incident)