| □ Assault On Inmate | Modified Operations: No |
| □ Assault On Staff | Cause Of Incident Known? No |
| □ Assault, Attempted On Inmate | Cause Of Incident |
| □ Assault, Attempted On Staff | □ Alcohol |
| □ Disruptive Behavior | □ Commissary |
| □ Escape From Non-secure Facility | □ Debts |
| □ Escape From Secure Facility | □ Disrespect Issue |
| □ Escape, Attempted From Non-secure Facility | □ Drugs |
| □ Escape, Attempted From Secure Facility | □ Ethnic Conflict |
| □ Fight | □ Food Issue |
| □ Inmate Death | □ Geographical Conflict |
| □ Institution Disturbance | □ Interfering with Staff duties |
| □ Introduction Of Contraband | □ Property Issue |
| □ Lethal Weapons Discharge | □ Racial Conflict |
| □ Self Mutlation | □ Recreation Equipment |
| □ Setting A Fire | □ Religious Issue |
| □ Sexual Act, Non-consensual On Inmate | □ Security Threat Group Conflict |
| □ Sexual Assault On Staff | □ Sexual Pressure |
| □ Sexual Contact, Abusive On Inmate | □ Sporting Events |
| □ Sexual Harassment, Repetitive | □ Telephone |
| □ Staff Homicide | □ Theft |
| □ Strike, Food | □ Visiting |
| □ Strike, Work | □ Work Issue |
| ✓ Suicide Attempt | Method: Hanging/Asphyxiation |
| □ Use Of Force | |
| □ Use Of Force/Applications Of Restraints | |
| □ Use of Restraints, Pregnant/Postpartum | |