Example of an Incident Sheet in a Conflict Situation
INCIDENT SHEET FOR MONITORING PUBLIC EVENTS AND CONFLICT SITUATIONS
Date: ……………………………………
Monitor’s name: ……………………………………
Monitor’s address: ……………………………………
Monitor’s telephone no: ……………………………………
Date of incident:………………………………………………………….
Place of incident (town, district): ……………………………………………..
Time incident started: ……………………………………………………..
Time incident finished:……………………………………………………..
People or parties involved: ………………………………………………….
Numbers of people involved: ………………………………………………..
Number of houses affected: …………………………………………………
List of witnesses:………………………………………………………….
Number of people injured: ………………………………………………….
List of injured:……………………………………………………………
Number of people arrested: …………………………………………………
List of arrested:…………………………………………………………..
Name of the attorney and/or legal firm that has been helping: ………………………
SAPS or other security services information:
Names or Numbers
Rank
Wearing ID
Uniform
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Vehicles used:
Type of vehicle
Number of such vehicles
Registration numbers
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Weapons used: (if used by anyone other than security services, state who)
………………………………………………………………………………………………………………………………………………
Circumstances before incident: (for example, public meeting, march and so on)
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Description of incident:
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Developments after the incident: (medical treatment, appearances in court, and so on)
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Map of the incident
Draw a map of the area where it happened, clearly showing the street names and where people were. Attach the map to the incident sheet.
Statements given by: ………………………………………………………
Contact addresses: ………………………………………………………..
Telephone numbers: ……………………………………………………….
