Department of Corrections and Rehabilitation - Operations Manual

Chapter 5 – Adult Custody and Security Operations

Article 3 – Incident Report

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51030.6 Format and Content

Revised February 26, 1993
  • The facility watch commander or program lieutenant in charge of the specific area where the incident occurred shall be responsible for the preparation of the incident report. Departmental incident reports shall be prepared in accordance with the following outline and format:

    • Subject.

    • Synopsis.

    • Persons involved.

    • Summary.

    • Action taken.

  • The outlined sections shall contain the following information when applicable:

    • Subject. This section shall provide a brief one-or-two sentence description of the incident.

    • Synopsis. This section shall contain a brief, concise description of the incident and involvement of the principal person(s). It shall also contain a description of the injuries, a prognosis for each injured person, the location of the incident, and the extent of property damage if any.

    • Persons Involved.

      • The following information shall be included on principal inmates involved:

        • Name(s) and prison number(s).

        • Custody classification and classification score.

        • Date received by the Department.

        • Date received by the facility.

        • Commitment offense and county of commitment.

        • Parole/discharge date/Board of Prison Term status.

        • List name(s) and job classification(s) of principal staff involved.

      • Summary. This section shall contain a detailed report of the entire incident including, when applicable, the following information:

        • Type of incident, date, and approximate time of occurrence.

        • Location of incident.

        • All facts, details, and conclusions.

        • Any criminal acts committed and by whom.

        • Any property damage incurred and value estimate of loss.

        • Number and description of weapon(s) used by perpetrator(s) or recovered following the incident.

        • Types of weapons used by staff, i.e., firearms, chemical agents, tasers, or other lethal/nonlethal weapons. Number of shots fired and/or amount of chemical agents expended shall be included in this section. (See DOMDepartment Operations Manual 32010, 54060, and 55050 for additional information on the taser.)

        • Compliance with procedures requiring review of medical/ psychiatric records before taser is used and their findings.

        • Detailed and specific description of any physical force used by staff during the incident.

        • Types and amounts of controlled substances seized. Controlled substances shall be reported in grams or dosages.

        • Describe circumstances surrounding any staff, inmate, or visitor death and details of care provided. Any last messages wished transmitted by the deceased shall be quoted.

        • Describe any injuries to staff/inmates/visitors, medical aid provided, and prognosis. An (F) or (M) shall be placed after the names of injured staff members to designate whether male or female.

      • Action Taken:

        • Describe any disciplinary or classification committee actions taken and outcome if known.

        • State if case was/was not referred for criminal prosecution. If referred, describe status or outcome if known.

        • State whether or not information officer and/or news media was notified.

        • State if case was referred to the BPT and actions taken if known.

        • State if Chief of Labor Relations was notified in cases of employee injury or death.

        • Describe actions to notify next of kin in cases of serious injury or death.

        • Describe measures taken to prevent recurrence.