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Furthermore, the report captures information regarding police notification, including the date of the report, officer details, and relevant control numbers. It also inquires about damage to city public property and, if a vehicle was involved, its license plate number. The form specifically asks about injuries to others and any transportations to a hospital, along with the number of individuals affected. Witness information, including names and telephone numbers, is also collected. Descriptions of any property damage are to be provided. The report concludes by asking who the incident was reported to and what preventive measures have been taken or will be taken to prevent recurrence. Signatures of both the employee and the person completing the form, along with their respective dates, are required for official submission.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/city-of-philadelphia-incident-report-form/253763/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/city-of-philadelphia-incident-report-form/253763.png","ImageObject",442,249,{"name":42,"@type":43},"Fez","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information is required on the City of Philadelphia Incident Report Form?","Question",{"text":63,"@type":64},"The form requires details such as employer, date and time of incident, employee information, location, description of the incident, police report information if applicable, witness details, property damage description, and preventive measures.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What sections pertain to police involvement?",{"text":68,"@type":64},"The form has a section for Police Report Information, where you can indicate if police were notified, provide the date of the police report, officer's badge number and name, and the police report district control number.",{"name":70,"@type":61,"acceptedAnswer":71},"What details should be provided regarding property damage and vehicles?",{"text":72,"@type":64},"The form asks for a description of any property damaged and, if a vehicle was involved, its license plate number, along with any city public property number.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},253763,1790639584,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},2336478940794,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","CITY OF PHILADELPHIA  \nINCIDENT REPORT FORM  \nFILE \\#:  \n\n| EMPLOYER/DEPARTMENT: |  | DATE OF REPORT: |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| DIVISION/UNIT: |  | DATE & TIME OF INCIDENT: |  |  | - |\n| EMPLOYEE NAME: |  | TELEPHONE\\#: |  |  |  |\n| EMPLOYEE JOB TITLE: |  | SUPERVISOR: |  |  |  |\n| EMPLOYER’S ADDRESS: |  |  |  |  |  |\n| CITY CONTRACT CONTACT: REPORT COMPLETED BY: |  |  |  |  |  |\n| EXACT LOCATION OF INCIDENT: |  |  |  |  |  |\n|  |  |  |  |  |  |\n| DESCRIPTION OF INCIDENT: |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n| POLICE REPORT INFORMATION WERE POLICE NOTIFIED: YES | NO |  | DATE OF POLICE REPORT: |  |  |\n| OFFICER’S BADGE NUMBER: |  |  | OFFICERS NAME: |  |  |\n| POLICE REPORT DISTRICT CONTROL \\#: |  |  |  |  |  |\n| CITY PUBLIC PROPERTY \\#: |  |  |  | IF VEHICLE, LICENSE PLATE \\#: |  |\n| DID THERE APPEAR TO BE INJURIES TO OTHERS?: YES |  |  |  | NO HOW MANY OTHERS?: |  |\n| WAS ANYONE TRANSPORTED TO HOSPITAL?: YES |  |  |  | NO HOW MANY OTHERS?: |  |\n| WITNESS: |  |  |  | TELEPHONE NUMBER: |  |\n| WITNESS: |  |  |  | TELEPHONE NUMBER: |  |\n| WITNESS: |  |  |  | TELEPHONE NUMBER: |  |\n| DESCRIPTION OF PROPERTY DAMAGED: |  |  |  |  |  |\n|  |  |  |  |  |  |\n| WHO WAS INCIDENT REPORTED TO?: |  |  |  |  |  |\n| WHAT PREVENTIVE MEASURES WERE TAKEN TO PREVENT REOCURRENCE?: |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n\nSIGNATURE of EMPLOYEE: DATE:   \nSIGNATURE of PERSON  \nCOMPLETING FORM:  DATE:","cbCaigJ7UPC6SHfT","https://ap.wps.com/l/cbCaigJ7UPC6SHfT","pdf",868950,"English","# City of Philadelphia Incident Report Form","[{\"question\":\"What information is required on the City of Philadelphia Incident Report Form?\",\"answer\":\"The form requires details such as employer, date and time of incident, employee information, location, description of the incident, police report information if applicable, witness details, property damage description, and preventive measures.\"},{\"question\":\"What sections pertain to police involvement?\",\"answer\":\"The form has a section for Police Report Information, where you can indicate if police were notified, provide the date of the police report, officer's badge number and name, and the police report district control number.\"},{\"question\":\"What details should be provided regarding property damage and vehicles?\",\"answer\":\"The form asks for a description of any property damaged and, if a vehicle was involved, its license plate number, along with any city public property number.\"}]","City of Philadelphia Incident Report Form | PDF",1789269826]