Healthcare Facility Active Shooter Incident Report

Healthcare Facility Active Shooter Incident Report Template

When a critical incident like an active shooter event occurs in a healthcare facility, having a structured reporting system is essential for coordinating emergency response, documenting casualties, and deploying vital support resources.

This Healthcare Facility Active Shooter Incident Report template is specifically designed for hospital administrators, security directors, emergency response coordinators, and healthcare facility managers who need to quickly capture critical information during and immediately after an active threat situation.

Why healthcare facilities need specialized incident reporting

Healthcare environments present unique challenges during active shooter events: patients who cannot be evacuated, staff distributed across multiple floors and departments, visitors in public areas, and the critical need to maintain life-saving services even during a crisis. A standardized incident report ensures that all essential information is captured systematically, enabling faster response from law enforcement, more effective resource deployment, and comprehensive documentation for post-incident review.

What this template includes

This form captures essential details across multiple categories: facility and incident information, shooter description and location tracking, casualty documentation with triage details, law enforcement coordination and response status, lockdown procedures and evacuation routes, trauma counseling deployment for staff and witnesses, and immediate next steps for facility recovery.

The structured format ensures nothing is overlooked during high-stress situations, while conditional logic reveals only relevant sections based on the incident status and severity.

Streamline crisis response with Paperform

Built on Paperform, this template offers immediate accessibility from any device, secure data capture with SOC 2 Type II compliance, and the ability to integrate with your existing emergency management systems. Forms can be pre-loaded on emergency response tablets, submitted from mobile devices in the field, and automatically routed to security, administration, and law enforcement contacts.

Use Stepper to automate your crisis response workflow: automatically notify emergency contacts, create incident tickets in your security management system, generate preliminary reports for law enforcement, and trigger trauma counseling team deployment based on casualty counts.

Whether you're a hospital security director, healthcare administrator, or emergency preparedness coordinator, this template provides the structure needed to respond effectively when every second counts. Customize fields to match your facility's specific protocols, lockdown procedures, and escalation chains.