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Coastline K9 Pets — Internal Management Record
Incident Summary Report
Condensed · Management & HR Use Only · Confidential
● Confidential
Summary IDGenerating…
v2.0 — 2025
Summary ID
Internal Management Record Not for Client Distribution · Retain 3 Years Minimum
● Primary 24/7
C.A.R.E.
1713 SW Health Pkwy, North Naples
Nights/Wknds
Emergency Pet Hospital
6530 Dudley Dr, Naples FL 34105
Regular Vet
Town & Country Animal Hospital — Dr. Carver
1828 Santa Barbara Blvd, Naples, FL
🔗 Linked Vet Report ID
Copy from Vet Emergency Report header
Incident Level
1
Incident Snapshot
Required
Date*
Time*
Staff Involved*
Dog Name*
Owner Name
Incident Type*
Location
Incident Summary — 3–5 Sentences*
2
Key Findings
Management Review
Injury Sustained (Dog)
Injury Sustained (Human)
Vet Clinic (if applicable)
Vet Diagnosis / Outcome
Root Cause Assessment
Findings & Contributing Factors
3
Protocols Followed
Check All Completed
Dog / Scene Assessed Immediately
Responder checked dog vitals, consciousness, and scene safety before proceeding.
First Aid Administered (if applicable)
Appropriate first aid applied per training before or during transport.
Vet Called — Availability Confirmed Before Departure
C.A.R.E. or Emergency Pet Hospital confirmed open and expecting the dog.
Dog Transported to Vet Without Unnecessary Delay
Dog loaded and departed within reasonable time of decision to seek care.
Erick Notified En Route — (757) 620-6010
Management informed of situation, destination, and dog status before arrival at clinic.
Owner Notified by Management
Client informed of incident, actions taken, and current dog status. Facts only.
Full Vet Emergency Report Completed
CK9P-VET report filed and linked to this summary via Incident ID.
FL §767 Reporting Completed (if bite — human)
Mandatory Florida bite reporting submitted if human was bitten with skin broken.
Protocol Deviations / Notes
4
Corrective Action
Immediate Action Taken
Follow-Up Required By
Corrective Action Details
Employee Outcome — Management Decision
Decision Made By
Decision Date
Outcome Rationale
6
Signatures & Review
Report Filed By
Date Filed
Trainer Acknowledgment — Sign above · Print name + date below
Management Sign-Off — Erick Innis · Sign + date
Management Notes
Coastline K9 Pets · coastlinek9.com · (239) 203-3141
Confidential HR Record · Retain 3 Years · Management Use Only
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