Incident Report | Customer Accident | Staff Accident |
Information only X | Property damage / loss |
Date Reported: 2/20/99 | Time Reported: 11:40 a.m. |
Nature of Incident: customer collapsed | |
Location: Northside | |
Date Occurred: 2/20/99 | Time Occurred: 11:30 a.m. |
Person Involved: JK | Telephone: |
Address: xxxxxxx | |
Details of Incident: (Who, What, When, Where, Why) | |
Customer collapsed in children's area. Called 911. While waiting for 911, JK vomitted. He was sweating profusely. He told medics he was on heart medication. | |
Person Reporting: S Mackey | Same as above: |
Security Notified X | report number: | date: 10-11-98 |
[Note: names and personal info abbreviated to protect privacy.]