Occurrence to note/Incident Report Form

Occurrence to note- A record of a non-emergency interaction or observation with a library patron that does not require campus safety notification but is documented for potential future reference in case it happens multiple times. These occurrences might include, but are not limited to, disruptive (but not threatening) behavior, repeated policy infractions, or unusual or concerning patron interactions.
Incident Report-An interaction or observation involving a library patron that presents an immediate threat to the safety or well-being of any individual (including yourself), disrupts library operations beyond the scope of normal circulation duties, or makes you feel unsafe or uncomfortable. Such incidents necessitate an immediate call to Campus Safety. Following the arrival of Campus Safety and the resolution of the immediate concern, a formal incident report must be completed.

Occurrence to Note Form

Form for reporting library incidents

Type of Incident:(Required)

Occurrence to note

Incident Report

Staff person submitting this form:(Required)

Date Incident happened:(Required)

Time Incident happened:(Required)

Patron's Physical Description: ie Height, Build/Weight, Sex, Hair, Age, Glasses, Clothing, Identifying Marks, etc(Required)

Patron's name involved in the incident:(Required)

Patron's ID (Drivers License, CWID, etc.):

Location of Incident:(Required)

Description of Incident:(Required)

Witnesses (if any):

Action Taken:(Required)

CC: (this form automatically goes to University Librarian and Circulation)

Research/Reference Head

Collection Management

Gov. Publications

Map Room

Interlibrary Loan/Resource Sharing

Digital Lab Preservation/Archives

Library Systems