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DEPARTMENT OF HUMAN SERVICES DIVISION OF JUVENILE JUSTICE SERVICES POLICY AND PROCEDURES Policy No.: 0512 Effective Date: 030215 Revision Date: 030215 Subject: Critical Incident After Action Process
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How to fill out 05-12 critical incident after

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How to fill out 05-12 critical incident after:

01
Start by gathering all relevant information: Before filling out the form, make sure you have all the necessary details regarding the critical incident. This may include the date, time, location, individuals involved, and any other relevant information.
02
Provide a detailed description: Begin by describing the incident in as much detail as possible. Be concise yet thorough, ensuring that all key information is included. This section should outline what occurred during the incident.
03
Document any injuries or damages: If there were any injuries or damages resulting from the incident, make sure to document them accurately. Include information such as the type of injury, severity level, and any immediate medical attention provided.
04
Include any witness statements: If there were any witnesses to the incident, it is important to include their statements. This can help provide additional perspectives and evidence regarding the incident.
05
Describe any actions taken: In this section, outline any actions that were taken immediately following the incident. This may include notifying authorities, providing medical assistance, or securing the area.
06
Provide recommendations for future prevention: This part is crucial for identifying potential improvements in safety measures or procedures. Offer suggestions on how similar incidents can be prevented in the future. This demonstrates your proactive approach to enhancing safety.

Who needs 05-12 critical incident after:

01
Organizations and employers: Employers are responsible for ensuring the safety and well-being of their employees. Therefore, they need to fill out the 05-12 critical incident after form to report any critical incidents that occur within their organization.
02
Law enforcement agencies: Police departments and other law enforcement agencies may require the 05-12 critical incident after form to document and investigate serious incidents that fall under their jurisdiction.
03
Insurance companies: Insurance companies often require a thorough report of critical incidents to assess liability, determine coverage, and process claims. Therefore, they may request the 05-12 critical incident after form to initiate their investigations.
04
Government agencies: Certain government agencies, such as occupational health and safety departments or regulatory bodies, may require organizations to submit the 05-12 critical incident after form for compliance purposes.
Remember, accurately and promptly filling out the 05-12 critical incident after form is essential for record-keeping, learning from incidents, and maintaining safety standards.
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