Columbus Metropolitan Library


SECURITY INCIDENT REPORT FORM

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.]