SOP 209.01-att-2: Disciplinary Investigation Summary
Summary
Key Topics
- disciplinary investigation
- incident investigation
- offender misconduct
- disciplinary report
- investigator summary
- witness testimony
- physical evidence
- disciplinary hearing
- investigation documentation
- institutional file
- MH/MR evaluation
Full Text
SOP 209.01
Attachment 2
11/6/17
DISCIPLINARY INVESTIGATION SUMMARY
Facility: __________________________________ Disciplinary Report #: ______________________________
Offender’s Name: _____________________________ Offender I. D. #: _______________________________
a.m.
Date/Time Initiated Investigation: ___________________________________________ ______________ p.m.
Date Time
1. Offender Statement: _________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. Other Facts about the Incident (Summarize):____________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3. Staff/Offender Witness Testimony (summarize/attach any additional summaries/statements):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
4. Physical Evidence: _________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. Investigator's Comments and Conclusions: (Based Upon What)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
MH/MR Evaluation: ___Yes ___No MH/MR Level: __________ Supporting Living Unit Yes No
Recommend Dismissal: __________________ Recommend for Disciplinary Hearing: ______________________
Investigation Completed: ___________________________________________Date _______________am / pm
Investigator's Signature: ________________________________________________
(Reproduce locally)
Retention Schedule: Upon completion, this form shall be placed in the offender's institutional file, except for those overturned or dismissed,
and shall be kept according to the official records retention schedule for institutional files.