EXAMINATION INCIDENT REPORT FORM

To be completed and returned to the Examinations Office at the end of the

examination session.

EXAMINATION LOCATION/ ROOM:

DATE: Day Month Year

TIME:

EXAM PAPER CODE: Eg PHIL-12000

CANDIDATE NAME:

UNIVERSITY ID NUMBER:
(from student card on desk)
DESK NUMBER:

REASON/S FOR USE OF INCIDENT REPORT FORM:

(Please tick as appropriate)

Any disruptions: including electrical power cuts, failure of lights, clocks, noise, fire,
mobile phones, etc

Errors or omissions on the examination paper

Query on the examination paper (no error found)

Any candidate illness and/or extended absence from the room

Suspicion of cheating by a candidate (Chief Invigilator MUST ring the Exams

Office and follow the cheating procedure in the Red Folder)
(notes found in a candidate’s possession, writing on hands and other body parts,
unauthorised scrap paper, mobile phone not in bag or with invigilators, annotated
books, calculators when not permitted etc.)

Any possible breach of security; i.e. missing scripts/ seen exam papers

Addendum or correction provided on exam day before exam start (noticed by Exams Office)
Addendum or correction provided on exam day before exam start (noticed by School)
Replacement paper provided on exam day before exam start (noticed by Exams Office)
Replacement paper provided on exam day before exam start (noticed by School)
Other

Please turn over the page and write a detailed report of the incident

1
Please provide a detailed report below and include the names and department
details of any other invigilators who were involved in witnessing the incident.

Please write clearly below:

INVIGILATOR’S NAME:
(Please Print)
SIGNED: DATE: