Arthur Gorrie Correctional Centre

OFFICER’S REPORT Co Form: Version: Issue Date: Pages: OP 1053 08 17.11.2014 1 of 1

ARTHUR GORRIE CORRECTIONAL CENTRE OFFICER TO NOTE 1. This report should be prepared as soon as possible after an occurrence. The report is to be e-mailed to the Correctional Manager and Correctional Supervisor e-mail groups (ARG Correctional Manager and ARG Correctional Supervisor). 2. If any force has been used upon the prisoner the Officer using that force is to report the same to the Correctional Manager as soon as practicable after the event. 3. When reporting the facts in the space provided, you are to state clearly what you observed. If the space provided is insufficient to record the facts, attach another sheet to the report. Where any conversation took place, or where any words were used, the actual conversation or words used, are to be quoted in the first person (i.e. I said, “…..” The prisoner stated “…..”.) 4. Leave a line between each paragraph.

REPORT On Monday, 20 March 2017 I was rostered on duty from hours until hours.

As: in At approximately:

Signature: Title: Name: Date of report: Monday, 20 March 2017