Incident Reports | Lantern Forms

Report Prepared By(Required)

First and Last Name

Site Location(Required)

Tenant/Client Name(Required)

Room Number

Incident Location(Required)

If Known, Specify Where Onsite/Offsite

Incidents(Required)

Choose Incident Type

Staff Participants(Required)

Please list all Staff.

Visitor Participants(Required)

Please list all visitors involved.

Additional Tenant Participants(Required)

Please list all Tenants and room/apartment numbers.

Please list Name(s) & Badge Number(s):(Required)

Please list Name(s) & Engine/Ladder Number(s):(Required)

Please list Name(s) & Bus Number(s):(Required)

Please Specify Responders:(Required)

Incident Description

(Indicate the facts of how the incident unfolded, who was involved, what happened, where it happened, and why it happened)

Priority1Flag

SendToAreteFlag

Priority2Flag

Priority3Flag

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Incident Reports Form