Incident Register

Liquor & Gaming

LQ4763_101017
 Liquor & Gaming

CONTACT NUMBERS

Local police Fire brigade

Security Local council

Accord coordinator

LIQUOR & GAMING NSW

Switchboard - 1300 024 720

Publications and signage - 1300 024 720

Complaints about licensed venues - 1300 024 720 (please also see our online complaints form at www.liquorandgaming.nsw.gov.au)

Website: www.liquorandgaming.nsw.gov.au

Email: contact.us@liquorandgaming.nsw.gov.au

HOW TO USE THIS REGISTER

As a matter of best practice, all licensed venues should maintain an incident register.

The law requires the following premises to maintain an incident register:

1. Any premises situated within the CBD Entertainment Precinct or the Kings Cross Precinct.
2. Any premises that is authorised to trade past midnight at least once a week on a regular basis.
3. Any premises that is listed as a Level 1 or Level 2 Declared Premises under schedule 4 of the Act.
The incident register now comes in 2 parts: Part A - Incident Log and Part B - Incident Report

All incidents must be recorded in Part A, and a more detailed account filled out in Part B for serious incidents - descibed below.

PART A – INCIDENT LOG PART B - INCIDENT REPORT

All incidents must be recorded within this log as In addition to the Incident Log, the Incident
soon as practicable (within 1 hour) after the event Report must be filled out as soon as practicable
This should include such things as: (within 6 hours), for any incident:

• refusal/removal for intoxication • involving violence or anti-social behaviour

occurring on the licensed premises
• insufficient ID
• that involves violence or anti-social behaviour
• injury to staff or patron occurring in the immediate vicinity of the
• assaults/fights licensed premises and involves a person
• malicious damage who has recently left, or has been refused
admission to, the premises
• requests for self exclusion
• that results in a person being turned out of the
• complaints licensed premises
• injuries/first aid • that results in a patron of the licensed premises
• compliance issues e.g. missing RSA certificate, requiring medical assistance
faulty gaming machine • deemed serious. If in doubt, the Incident
• disturbance complaints. Report should be filled out.
LQ4763_101017
 PART A - INCIDENT LOG

Date Time Location Reported by

Incident details (please tick appropriate boxes)

Violence/aggression Intoxication Injury Theft Complaint

Fail to quit Refuse entry Illicit drugs Minors Inappropriate conduct

Self exclusion Refuse service Gaming Other ___________________________________

Person desciption

Incident summary

Full report? No Yes If yes, incident report # (Part B) Signature Date

PART A - INCIDENT LOG

Date Time Location Reported by

Incident details (please tick appropriate boxes)

Violence/aggression Intoxication Injury Theft Complaint

Fail to quit Refuse entry Illicit drugs Minors Inappropriate conduct

Self exclusion Refuse service Gaming Other ___________________________________

Person desciption

Incident summary

Full report? No Yes If yes, incident report # (Part B) Signature Date

PART A - INCIDENT LOG

Date Time Location Reported by

Incident details (please tick appropriate boxes)

Violence/aggression Intoxication Injury Theft Complaint

Fail to quit Refuse entry Illicit drugs Minors Inappropriate conduct

Self exclusion Refuse service Gaming Other ___________________________________

Person desciption

Incident summary
LQ4763_101017

Full report? No Yes If yes, incident report # (Part B) Signature Date

 PART B - INCIDENT REPORT

Incident log # (from Part A) Date of incident Time of incident

Location of incident Reported by

Witnesses Phone

Incident details (please tick appropriate boxes)

Violence/aggression Intoxication Injury Theft Complaint

Fail to quit Refuse entry Illicit drugs Minors Inappropriate conduct

Self exclusion Refuse service Gaming Other ___________________________________

Details (if known) Person 1 (P1) Person 2 (P2) Person 3 (P3) Person 4 (P4)
Name
Phone
Age & sex
Build/height
Hair
Clothing - top
Clothing - bottom
Shoes
Other eg tattoos,
piercings
Weapon
Injury
Additional persons should be described in incident report below

Incident report

Action taken

THIS SECTION MUST BE COMPLETED FOR ALL REPORTS

Police notified? No Yes Date Time Event #

LQ4763_101017

Staff signature Date

Licensee/approved manager signature Date