SOP 209.06-att-1: Offender Assignment to Segregation - Administrative Segregation Assignment Memo

Division:
Facilities
Effective Date:
February 19, 2021
Reference Code:
IIB09-0001
Topic Area:
Facilities Control/Discipline/Segregation
PowerDMS:
View on PowerDMS
Length:
191 words

Summary

This form documents the placement of an offender into administrative segregation, whether voluntary or involuntary. It requires staff to document the reasons for placement, assess whether the offender poses a direct threat to safety or facility operations, and includes a 24-hour review decision point where supervisors determine whether to return the offender to regular housing or maintain segregation pending a formal hearing. The form also documents that the offender received orientation to segregation unit rules.

Key Topics

  • administrative segregation
  • segregation assignment
  • offender placement
  • involuntary segregation
  • voluntary segregation
  • threat assessment
  • facility safety
  • segregation memo
  • 24-hour review
  • segregation hearing
  • segregation unit orientation
  • disciplinary housing

Full Text

SOP 209.06
Attachment 1

2/19/21

Administrative Segregation
Assignment Memo

FACILITY/CENTER: ___________________________________________

TO: Deputy Warden/Assistant Superintendent/Unit Manager/Duty Officer Date: _____________

RE: Administrative Segregation Time: _____________

Offender: ______________________________________________________________Number: ________________________

Present Assignment: _____________________________________________________________________________________

The offender named above was placed in Administrative Segregation on the above date for the reasons indicated:

Voluntary: _____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Involuntary: ____________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

This offender poses a direct threat to the safety of others or himself/herself or poses a clear threat to the secure
operations of the facility. (please circle) yes/no

Date: ______________ Signature of Officer authorizing action: ____________________________________________

Deputy Warden/Assistant Superintendent/Unit Manager/Duty Officer 24-Hour Review Decision:

|Col1|Return Offender to appropriate housing assignment.|
|---|---|
||Remain
in
Administrative
Segregation
(96-hour
Formal
Hearing
for
Initial
Voluntary/Involuntary Assignment to Administrative Segregation to follow).|

Deputy Warden/Assistant Superintendent/Unit Manager/Duty Officer Signature:
________________________________________

Date: ________________________

The offender named above was given orientation to the Administrative Segregation unit.

I understand the orientation and that I will be held accountable for any violations of Administrative Segregation Unit rules.

Offender's Signature: _____________________________________________ Date: _____________________

CC. Warden
Offender

Retention Schedule: Upon completion, this form shall be placed in the offender's institutional file and maintained according to the official records
retention schedule for that file.

Attachments (6)

  1. Offender Assignment to Segregation - Administrative Segregation Assignment Memo (191 words)
  2. 96-Hour Segregation Hearing Report (94 words)
  3. A, Segregation_Isolation Checklist-12 Hour Shift (277 words)
  4. Administrative Segregation Assignment Appeal Form (150 words)
  5. 7-Day Segregation Status Review Form (290 words)
  6. Administrative Segregation Orientation Handout (787 words)
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