Hotel Guest Injury Incident Form
Guest Information
Name
Room Number
Contact Number
Email
Incident Details
Date of Incident
Time of Incident
Location
Description of Incident
Injury Information
Type of Injury
Part of Body Injured
Description of Injury
Immediate Action Taken
First Aid/Administered Treatment
Staff/Personnel Involved
Witness Information
Witness Names & Contacts
Management Use Only
Follow-up Action / Notes
Manager Name
Date Reviewed