SOP 209.08-att-11: Administrative Segregation: Tier II Program Performance Recording Sheet

Division:
Facilities
Effective Date:
April 11, 2016
Reference Code:
IIB09-0003
Topic Area:
209 Policy-Facilities Control/Discipline/Segregation
PowerDMS:
View on PowerDMS
Length:
39 words

Summary

This is a recording form used to document an offender's performance and progress while in the Tier II Administrative Segregation program. Staff members record daily observations and behavioral information for each segregated offender, with entries dated and signed by supervising staff. The completed form is filed in the offender's case history file for record-keeping and review purposes.

Key Topics

  • administrative segregation
  • tier II program
  • performance recording
  • offender behavior
  • disciplinary segregation
  • case file documentation
  • segregation monitoring
  • offender progress tracking

Full Text

Attachment 11
SOP 209.08 (IIB09-0003)
(04/11/16)
# ADMINISTRATIVE SEGREGATION: TIER II PROGRAM Performance Recording Sheet

Offender Name: _________________________________ GDC #:______________________

|Date|Information|Staff Signature|
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RETENTION SCHEDULE: Upon completion of this form, it shall be placed in the offender case history file.

Attachments (10)

  1. Tier II Program Assignment Recommendation and 1Initial Segregation Review (496 words)
  2. Administrative Segregation: Tier II Program Assignment Memo (124 words)
  3. Administrative Segregation: Tier II Program Assignment Appeal Form (160 words)
  4. Administration Segregation: Tier II Program Handout (1,207 words)
  5. Administrative Segregation: Tier II Program 90-Day Review (187 words)
  6. Administrative Segregation: Tier II Program 90 Day Review Assignment Appeal Form (149 words)
  7. Administrative Segregation: Tier II Program - Cell Check Sheet (110 words)
  8. Administrative Segregation: Tier II Program Checklist (212 words)
  9. Administrative Segregation: Tier II Program Checklist - 30-Minute and 15-Minute Watch Form/Observation Record (108 words)
  10. Administrative Segregation: Tier II Program Performance Recording Sheet (39 words)
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