Pleasant Days Resort - Incident Report Form

Pleasant Days Resort policy is to require all hotels to report all injuries, accidents, losses, damage, fires, any other
incident that could result in a claim against the Company.

This form must be used to report all incidents and must be completed and emailed to concerned department
head and copied to resident manager.

Resort Pleasant Days Hotel telephone

Full address of
Chennai- Bangalore High Way , Palanjur,Sembarambakkam,Chennai-600 123
hotel

Person dealing with Direct contact tel. Today’s

Room Guest , Room No-404 9940192562 02/7/2023
this incident no. date
PERSON INVOLVED

Age / date of
Full name Kathic Murugan 30
birth

Private address / (ROOM # ) 404, 403

Job title (for employee only)

For others, give status Guest Visitor Staff Contractor

THE INCIDENT

Serious? Minor? Minor

Date / time of
Name of person reporting Satyam- Security Guard 02/07/2023
incident

Specific location of incident Incident Book

Room No 404
entry no.
TYPE OF INCIDENT

Slip, trip or fall Behaviours Vehicle damage

Fall from height Contact with fixed/stationary object Security incident

Lifting or carrying Struck by vehicle or moving object Theft
Burn or scald Drowning or near drowning Sexual assault/rape

Cut or laceration Food injury, illness or complaint Enforcement activity

Contact with electricity Medical condition Press/media report
Contact with hazardous
Property damage Other
substances
Outside people staying in room against the company policy

DETAILS OF THE INCIDENT

(Include a clear description of what took place, where the incident happened, the materials, equipment and people involved, and
list of any witnesses. Continue on a separate page if necessary)
 I got call from Maharaj front office department at 00.50 AM in room no 404 & 408 extra people are staying in the
room. My self and maharaja and other staff went to Room No 404 and rang the bell. Guest came out we found
one lady and 3 other person extra apparat from Staying guest. We informed the guest as per our policy only two
guest should stay but 4 people are staying extra in the room with a single lady. We ask them to check out of
hotel. 3 of them fully drunk and speak without manace. Lady was shouting at us why so much people waiting out
side of the room. We asked other staff to leave the place myself and Maharaja handling the issue. One guest hit
Maharaja lightly in face and we ask them to kindly leave the resort in 15 Minutes. After that at 01.40 Am guest
left the hotel premises. Morning Guest checked out at 9.30Am and settled all the bills.

Enquiry

Myself checked with security how the guest came inside the hotel and went to room. Satyam enquired the guest
where they are going inside the hotel. The guest told going to Restaurant. After that I checked the information in
front office about guest in the record. I requested the housekeeping supervisor to check the floor then and there
to confirm Guest is not checked out. Because they have due amount to pay from room server order. Morning at
9.30am guest checked out and all the bill has been settled

NAME OF WITNESSES

1. Thilip Chand

2. Maharaj

3. Satyan

ACTION TAKEN BY RESORT

Provide additional instruction /

Develop / revise written procedures Improve job training / retraining
supervision

Provide inspections /
Complete / review Risk Assessment Increase maintenance schedule
observations

Install / replace / adjust machine Provide / monitor use of

Initiate / revise / enforce rules
guards protective equipment

Improve emergency procedures Modify / replace tools / equipment Rearrange equipment / area

Improve housekeeping in area Provide additional employees Other (describe below

Informed to Guest visitor not allowed and they left at 1.40 AM

REPORTING:

Who has been notified of the incident? (e.g. Emergency services, Resident Manager, Executive Housekeeper, Department Head,
etc.

MOD

Is the incident reportable to the Authorities YES No

If yes, has the incident been reported to the relevant Authority? YES No

Report completed by Thilip Chand Date 01/07/2023