MARRIOTT CONFIDENTIAL AND PROPRIETARY INFORMATION FSQM-P2-01 Physical Contamination Investigation Log | 物理污染调查表 Date: 事件发生日期： Time: 事件发生时间： 1st Guest Contact Person meeting guests/ taking call 第一接到客人投诉/或接到电话的员工 Name: 名字： Designation: 职位： Department: 部门： Guest & Incident Information 客人数据 Name: 名字： Contact Number: 联系电话： Address: 地址： Date of Incident: 日期： Time of Incident: 时间： Where was food eaten? 进食地点： Foods / Beverages Consumed: 食用的食物/饮料： Any injury reported? 是否附有相关的伤害报告? Status of Others in group who ate food: 其它随行人员/家人状况: Was physical evidence kept for investigation? 是否保留证据，以备调查？ Investigation Details (FOR HYGIENE AND SANITATION MANAGER ONLY) 调查细节（只限卫生经理） Types of Object Found: 发现物类型 Found in what food/ beverage item? 从何种食物/饮料中发现？ Chef on Duty: 当班厨师长 : Service Manager on Duty: 当班服务经理: Food Prepared by: 食品置备者： Beverage Prepared by: 饮料准备者： Where contaminant is kept: 污染物的储存地点： Were there any other guest complaints: 是否有其他客人投诉: MARRIOTT CONFIDENTIAL AND PROPRIETARY INFORMATION. The contents of this material are confidential and proprietary to Marriott International, Inc. and may not be reproduced, disclosed, distributed, or used without the express permission of an authorized representative of Marriott. Any other use is expressly prohibited. 1/2 MARRIOTT CONFIDENTIAL AND PROPRIETARY INFORMATION Findings (to take pictures of the evidence where possible) 发现物（尽可能保留物证照片） Root cause/ Conclusion: 原因/ 结论： Case Follow up by Relevant Departments 相关部门对事件的跟进 Immediate Actions (Corrections): 实时措施 (纠正) Action By 执行人 Department 部门 Corrective Actions: 纠正措施 Action By 执行人 Department 部门 Preventive Actions: 预防措施 Action By 执行人 Department 部门 Case closed on: 结案 Close by: 结案人 (Name and designation) (姓名和职务） MARRIOTT CONFIDENTIAL AND PROPRIETARY INFORMATION. The contents of this material are confidential and proprietary to Marriott International, Inc. and may not be reproduced, disclosed, distributed, or used without the express permission of an authorized representative of Marriott. Any other use is expressly prohibited. 2/2