ELECTRICAL INCIDENT
REPORT
P.O Box 222
Scholars Way, Blue Hills,
Providenciales, Turks and
Caicos Islands
1. Reporting person ad business details
School Name : Clement Howell High School
Title :
First name:
2. Incident Address, Date and Time
Address:
Incident date:
Reported date:
Incident time:
Reported time:
3. Incident Location Type (Please tick all relevant boxes)
Public space
4. Description of the Incident
5. Cause of incident
6. Action taken to resolve the incident
7. School related incident
Did the incident occur during the course of work “box” yes
Techers name
Phone no: