Restaurants

Restaurant Customer Incident Report Template

A customer fall, an allergic reaction, or a foreign object in a dish: this template lets you document the incident immediately, with the customer's and witnesses' contact details for your liability claim.

What this template includes

Every field below is part of the free template and the mobile version — nothing is locked behind a paywall for filling out a single report.

  • Report number and date/time of the incident
  • Location or site
  • Reporter's name and role
  • Severity (minor, moderate, or critical)
  • Person(s) involved — name, role, contact
  • Witness(es) — name, phone
  • Description of events
  • Immediate action taken and root cause (if known)
  • Up to 3 timestamped photographs
  • Reporter signature
  • Witness or supervisor signature

Common use cases

  • Customer fall on a wet floor
  • Allergic reaction
  • Foreign object in food
  • Suspected food poisoning

Frequently asked questions

Why document even a minor incident?

An undocumented incident can turn into a claim months later with no evidence on your side. A timestamped, signed report protects your business in case of a dispute.

For the federal recordkeeping rules referenced above, see OSHA's recordkeeping requirements.

Go digital: signature, photos, and archiving included

The Pro plan at $49/mo includes OSHA 301 export, 5-year legal archiving, and unlimited users on 1 site.

See pricing

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