Incident ReportPolicy & Procedure Whenever an emergency or unusual situation occurs involving a program participant, Hamdard employee, relief staff, intern or volunteer, an incident report must be completed along with a service form. This form must be completed on the day of the incident and reported to the immediate supervisor. The incident report must be typed or printed. Death: immediate notificationto the immediate supervisor, the executive director and the chairman when a client or employee is faced with a life/death issue. Altercation: This would include a physical or verbal altercation among program participants or with a participant becoming verbally or physically violent towards an employee or volunteer. Confidentiality Violation: This would include a participant disclosing the address, residential phone number, or information about other participants to anyone outside of the residential programs. It may be grounds for termination from residential programs. Emotional Disturbance: This would include an incident in which either a suicide contract is written up or the ambulance or police were called due to the participant’s emotional state. Substance Abuse Disturbance: This would be an incident in which a program participant comes to the residential programs or office intoxicated, brings drugs or alcohol into the residential programs or office, or any other issues concerning substance abuse. Lost/Stolen Item:This would include an incident in which a participant or staff reported that an item valuing $10 or more is lost or stolen. Physical Illness: This would include a client reporting that she or her child(ren) are not feeling well and requesting an ambulance. Physical Injury: This would include any major or minor physical injury that occurred on or off Hamdard Center property that may require an ambulance be called. Property Damage: This would include Hamdard property being damaged by a participant, staff, or volunteer, either intentionally or accidentally. This includes fire and destruction. Property Failure: This would include Hamdard property failing. For example, power outages, clogged toilets, and appliances failing, etc. would be considered property failure. Natural Disasters: This includes any incident that occurs because of natural reasons, such as flooding, storms, tornadoes, etc. Media: when a client contacts media to make a report on Hamdard either of a positive or negative nature. Other: This would include another incident that isn’t described in other categories but important enough to require an incident report. Incidents can take place on or off Hamdard Center property. The incident report form is to be completed by all staff and volunteers for corrective action. It is then signed and forwarded to the Program and Executive Directors at the administrative office within 48 hours of the incident. After the staff person has signed it, if the incident involves a resident, a copy is to be placed in their file. All reports are to be kept in chronological order in the Director’s office.