Professional Documents
Culture Documents
H-1
20 Mar 02
2.
3.
4.
a.
b.
c.
d.
Page 1 of 4
H-1
20 Mar 02
6.
7.
Fire Hazards
Hotel/Motel OMC/OHC
violation(s)
COMPLETION INSTRUCTIONS
Page 2 of 4
H-1
20 Mar 02
Routing
Line 1
Person/Organization Involved
Line 2
Enter the full name (last name first, then first name and
middle name or initial) of the person or organization
involved. For military personnel, include rank, social
security number and branch of service. For Departmental
personnel, enter first initial, last name and serial number.
Enter the sex, race and date of birth of the person involved.
Line 3
Line 4
Page 3 of 4
H-1
20 Mar 02
Reporting Person
Lines 5-7
Witness
Lines 8-10 Complete in the same manner as Lines 2-4. Enter additional
persons in the narrative section using the same format.
Line 11
Line 12
Enter the location of incident. Enter the date and time the
reporting officer arrived at the scene. Use a military format.
Line 13
Line 14
Page 4 of 4
H-1
20 Mar 02
Enter your first initial, last name, and serial number. Enter
your watch, area, and CP beat number.
If photographs were taken, enter the name and serial
number of the officer or technician taking the photographs.
Enter the total number of pages in the report.
Line 16
Page 5 of 4