Create Incident Report

Select Month Pick the month to determine the cut-off dates.

Select Cutoff Choose which cut-off period within the month.

Branch Please choose the branch where the incident occurred.

Employee Name Select the main employee associated with this IR.

Incident Type Pick a category that best describes the incident.

Additional Staff Involved Select all **other** employees relevant to this incident.

Patient Details (if applicable)

Upload Evidence Optional: Upload any supporting documents or images.

Incident Details

E-Signature