G-06 — Incident and conduct report
Purpose: Record a concern fairly and without prejudgment.

Reporter and contact preference:

Date and location:

Specific conduct:

People involved:

Evidence preserved:

Immediate safety action:

Conflict check:

Response opportunity:

Findings:

Outcome and review:

COMPLETION CHECKS
[ ] Need-to-know handling
[ ] No retaliation for good-faith reports
[ ] Use an uninvolved reviewer

Prepared by:
Date:
Version:
Reviewer / approval:

Blank template. Keep completed records in the approved channel. This template does not grant authority.