Free Incident Report Template 08
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Employee Incident Report
Date
Employee

Manager

Name
Title/position

Name
Title/position

Incident
Date
Time
Location
Description of incident

Employee explanation

Witnesses

Action to be taken
 Verbal warning
 Written warning

 Probation
 Suspension

 Dismissal
 Other

Explain

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information contained herein

Employee

Manager

Date

Date
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