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Valley Library Incident Report Form
Faye Chadwell (7-7300) | Security (7-3010)
your supervisor and unit head of this incident.
Use this form
to report any security-related incident that occurs in your Library unit (e.g. verbal abuse, destruction of library materials, disruptive and/or disturbed patrons, theft, obscene phone calls, sexual offenses, etc.).
If security is called
, ask the officer to file a report; ask for the
, and report it on this form.
Please be as detailed and specific as possible.
If this is a case of bias
, utilize the bias incident report form
to the library incident report form.
The bias incident report form can be found here: http://leadership.oregonstate.edu/diversity/bias-response/bias-incident-report-form
Type of incident
Vandalism / Graffiti
Bio-safety Hazard or Hazardous Material
Assault / Violence
Disruptive or Inappropriate Behavior
Injury / Illness
Law Enforcement Visit / Request for Information
Enter a date:
Time of incident (ex. 12:30pm)
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