Security Incident Report Form for County Employees
This file contains guidelines and templates for reporting security incidents within County premises. It includes procedures for documentation and classification of various incidents. Users can find detailed information on how to properly fill out and submit the security incident report.
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How do I fill this out?
To fill out this report, begin by providing the date and time of the incident. Next, document the address and details of the incident, ensuring that all relevant fields are completed. Finally, make sure to submit the report to the appropriate authorities before the end of the business day.

How to fill out the Security Incident Report Form for County Employees?
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1. Enter the date and time of the incident.
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2. Fill out the address where the incident occurred.
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3. Provide details regarding the nature of the incident.
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4. Include personal and contact information of the reporter.
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5. Submit the completed report to the Office of Security Management.
Who needs the Security Incident Report Form for County Employees?
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1. Building managers need to report any incidents occurring on their property.
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2. Security personnel require this form to document incidents that happen on duty.
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3. County employees need to report any suspicious activities they observe.
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4. Law enforcement may need this information for follow-up investigations.
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5. Human resources departments need to maintain records of incidents affecting staff.
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What are the instructions for submitting this form?
Submit this form to the Office of Security Management at 785 Kenneth Hahn Hall of Administration, 500 West Temple Street, Los Angeles, California, 90012. Alternatively, you can send it via fax at (213) 613-0848. Ensure that the report is delivered no later than the end of the business day following the incident for timely processing.
What are the important dates for this form in 2024 and 2025?
Important dates for using this form in 2024 and 2025 include ongoing training sessions and submissions for incident reports every quarter. Ensure compliance by staying updated with County regulations. Mark your calendars for these essential deadlines.

What is the purpose of this form?
The purpose of this Security Incident Report form is to provide a structured method for documenting incidents that jeopardize safety. It is crucial for maintaining workplace security and accountability within County properties. Proper completion of this form ensures that all relevant information is recorded for investigation and review.

Tell me about this form and its components and fields line-by-line.

- 1. Date Occurred: The specific date when the incident happened.
- 2. Time: The exact time at which the incident took place.
- 3. County Dept. Reporting Incident: Department responsible for reporting.
- 4. Address of Incident: Location where the incident occurred.
- 5. Is the suspect a County Employee?: Indicates if the suspect is part of County staff.
- 6. Is this incident gang related?: Determines if the incident involves gang activity.
- 7. Was an arrest made?: Documents whether an arrest was carried out.
- 8. Charge: Specifies the charge related to the incident.
What happens if I fail to submit this form?
Failing to submit this form may lead to inadequate documentation of incidents, resulting in unaddressed safety issues. Additionally, it may impede law enforcement investigations or follow-ups, further compromising security. It is essential to ensure timely submission of all required reports.
- Inadequate Documentation: Lack of proper records may hinder safety measures and responses.
- Impacted Investigations: Not submitting can derail follow-up actions by law enforcement.
- Accountability Issues: Failure to document incidents may lead to accountability gaps.
How do I know when to use this form?

- 1. Security Breaches: To report unauthorized access to County property.
- 2. Criminal Activities: Use this form to document crimes such as theft or vandalism.
- 3. Violent Incidents: When threats or assaults occur on County premises.
- 4. Suspicious Activities: To report any suspicious behavior noticed by staff.
- 5. Safety Hazards: Use when incidents pose a risk to employee safety.
Frequently Asked Questions
How do I access the Security Incident Report?
You can access the report through the provided link on our website.
Can I edit the form before submitting?
Yes, you have the option to edit the form in PrintFriendly.
What if I need to include additional information?
You can add notes or comments in the designated sections of the report.
Is it necessary to submit the report by the end of the day?
Yes, all reports should be submitted before the end of the business day.
Who reviews the submitted reports?
The Office of Security Management reviews all submitted reports.
Can I save my changes to the PDF?
Yes, you can save your changes to the edited PDF document.
What happens after I submit the report?
The report will be investigated by the appropriate personnel.
How do I share the report with others?
You can share the report via email or other digital platforms from PrintFriendly.
What information do I need to provide?
You need to provide details such as date, time, location, and description of the incident.
Can this report be used for criminal activities?
No, this report is strictly for documenting security incidents within County facilities.
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