Incident Report Policy and Form

Incident Report Policy

All accidents or incidents involving patrons or staff during working hours or while on Coburn Free Library premises, and all other accidents in which the Library or its property are involved directly or indirectly, are to be reported immediately to the Director or person-in-charge.

Incident Report Procedure

When an incident occurs at the Coburn Free Library, staff will fill out the Incident Report Form and bring it to the attention of the Library Director.
The Library Director shall place the Incident Report Form in the Incident Report Binder.
All incidents shall be brought to the attention of the Coburn Free Library Board President.
Sample of incidents:
- Anything of a sexual nature
- Theft of anyone’s belongings
- Assault, if anyone hits someone else
- Unreasonable, irrational or argumentative behavior
- Destruction of Library property
- Anything else that you feel is of a criminal nature
- Display of any weapon such as a gun or knife
- Fainting
- Excessive bleeding
- Appearance of heart attack or stroke
- Choking
- Falls/slips or severe injuries
Unsafe conditions are to be reported immediately to the Director or person-in-charge.
A First Aid Kit is available at the Circulation Desk.
Using their discretion, the Library Director or person-in-charge may call 911.
Call 911 even if the patron does not want you to. Request a police report from the reporting officer.

Adopted: 8/20/26

Revised:

Reviewed:

Incident Report Form

Date: ________________________________ Time: ___________________________________

Person(s) Involved in Incident & Contact Info: ___________________________________________

Witness(es) & Contact Info (if Applicable):_______________________________________________

Report Incident Type:

Theft
Maintenance
Illness/Injury
Assault

Alarm Problem
Vandalism
Problem Patron
Other:_______________________

Brief Description of Incident: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Follow-up Action: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Library Notes: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Officer Name & Number (if Called):________________________ Police Report #:________________

Staff Reporting Incident: ______________________________ Date Director Notified: ____________