Combat Patrol - Dynamic Data Site

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Name	Environment Factors * * *
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ImportFromQuestion	[Not Set] Type of Law Enforcement Agency: What was the most critical decision that needed to be made during this event? Where did you get the info? Anonymous name to use for you: How many subjects were injured? How many responding officers initially on scene? *Select the appropriate tags for this report Explain: Additional lessons learned (if any): Years of experience in law enforcement: Describe the lessons learned: Type of incident: Race: Type of pursuit: How many total fatalities? Describe Was this information critical to containing the incident? What was the incident? If a critical decision was made, explain: Other type of pursuit: Did the subject(s)'s mental or cognitive state contribute to the incident? Describe Please upload any related documentation, photos, etc. What were the environmental conditions at this location? Incident Initiated by: Quality assurance conducted by (Reviewer 2): Was the involved person aware of any risks or history with this location? Did the involved person encounter a subject(s)? Select the which Division from the Midwest: Known from: How did the person involved in this incident arrive on scene? Year: Explain: Were other officers involved in the pursuit? Other race: Title this case: Other type of Police Department: Type of handgun: Role: Did the subject(s) have a weapon(s)? Describe what happened: Who was injured/killed? Did this information limit access to the scene? Were other agencies involved? Select which Division from the West: Explain: Age of the person that was involved in the incident (at the time of the event): Explain: Select which Division from the Northeast: Other risks to the involved person's or other's safety: Other type of initiated: Did this incident include a pursuit? Check all risks involved in this incident: What type of location was this? Other type of vehicle: Select which Division from the South: Other type of sworn officer: Month: What was your level of involvement? Explain: Was this information critical to the involved person's safety, another officer's safety, or a victim? Additional key information and indicators to consider or emphasize (if any): Did the subject(s) appear to be under the influence of alcohol or drugs? List approximate number of officers on scene: Agency Size - Sworn Staff: Overall Report Quality: Reviewer's analysis conducted by: Describe the damage Approximate Population Served: Describe Did the pursuit result in any damage? Did the subject(s)'s medical or physical condition contribute to the incident? Was this information critical to the involved person's safety, another officer's safety, or a victim? Did the subject(s) have a mental or cognitive condition? What was the reason for the pursuit? Enter a summary of the incident or send an incident report Was this pursuit in compliance with policy? Did this information limit access to the scene? Date of incident or averted incident Explain: Would you like to leave your contact information, in case we have clarification/follow-up questions? Did the involved person encounter any traffic risks in getting to the scene? Explain: Where did you get the information for this event? Did the subject(s) resist use of force? Quality assurance conducted by (Reviewer 1): Describe the contributing factor: Timeline Did the subject(s) appear to be cognitively impaired? Sex: Explain: Type of Special Unit: Describe the on-site surveillance: Other weapon: Other type of Sheriffs Office: Describe: What were the contributing factors that almost led to or did lead to serious injury or death? Had the involved person been to this specific location for a previous call? How many officers were on the scene at the time of the near miss or incident? Phone: Did the subject(s) have a medical or physical condition? Other type of civilian: Describe: Explain: Describe: How many subjects were encountered? Describe the special operation: Email: Describe: Please describe what type of accident or incident was averted: Explain: Was it pointed? Was the location under law enforcement surveillance? List approximate number of officers on scene at time of event: Did dispatch inform the involved person of any criminal/warrant/other information about the subject(s)? Describe the Special Operations Vehicle: Other type of incident: Describe: Type of call / Reason for response How many other agencies were involved? Describe: Was this information critical to containing the incident? Additional Comment: How did the involved person know? Was the information provided by dispatch accurate? Region of Country Explain: Describe how the incident escalated/risk increased Describe your initial assessment or impression of the call or scene: Describe: How many innocent civilians were injured? How many other officers were involved? How many? Briefly explain the contributing factors: What information, if any, did dispatch give about any risks or history with this location? Ethnicity: List any recommended follow on actions: Describe your injuries: Changes as a result of that experience (what would you do differently?): Describe: Other type of location: How many other officers were injured? Please classify this incident (Check all that apply): Did the pursuit result in any injuries? Type of weapon: Explain: * *
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ImportFromSection	[Not Set] Timeline Incident Information Basic Information Analysis Involved Person Info Quality Assurance Reviewer's Analysis Subject Information Reviewer's Section Employer Information Assess Incident Information Environment Factors * *
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ParentSection	[Not Set] Timeline Incident Information Basic Information Analysis Involved Person Info Quality Assurance Reviewer's Analysis Subject Information Reviewer's Section Employer Information Assess Incident Information Environment Factors * *
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