Hospitality Guest Injury Report
Guest Information
Full Name
Room/Reservation Number
Phone Number
Email Address
Incident Details
Date of Incident
Time of Incident
Location of Incident
Description of Incident
Injury Details
Describe the Injury
Treatment Given (if any)
Witness Information
Names of Any Witnesses
Witness Contact Information
Staff Reported To
Staff Name
Position/Title
Date Reported
Time Reported
Additional Comments