This is an HTML version of an attachment to the Freedom of Information request 'FOI Request for Detail Incident Report 1-2YRVZ1'.




Page 1 of 3
Sensitive
Incident Detail Report
As at 06/08/2013
Incident Summary
Incident Number: 1-2YRVZ1
DIAC Notified:
25/12/2009 03:50:00 PM
Type:
Voluntary starvation (>24 hrs)
DIAC Notified By:
ELIZABETH ANNAND
Level:
Major
DIAC Contact:
CHRISTINA SANTOS
Version:
5
Initial Release On:
27/12/2009 05:55:13 PM
Status:
Closed
Version Released On:
08/01/2010 04:51:08 PM
Location:
Maribyrnong IDC
Transport ID:
Occurred On:
25/12/2009 03:45:00 PM
Sensitive:
N
Informed By:
Service Provider Staff 
Client
has 
s. 47F(1)
been on voluntary starvation for 
over 24 hours. Seen by IHMS 
Summary:
staff, client is taking fluids. IHMS
staff informed SERCO to 
monitor the client until review 
26/12/09.
Informed On:
25/12/2009 03:45:00 PM
Organisation:
Serco
Location Details:
CCTV Recording Number:
s. 47F(1)
Participants
Client
Participation Type:
Involved
Client was armed:
N
Service Number:
Interpreter:
s. 
Family Name:
Interpreter Id:
Given Name(s):
TIS Job No:
47F(1)
Date of Birth:
Comments:
Minor:
N
Incident Details
Version:
5
08/01/2010 03:20:52 
Created On:
Created By: GERRARD JACOBSEN
Description:
s. 47F(1)
Version:
5
08/01/2010 04:47:01 
Created On:
Created By: GERRARD JACOBSEN
PM
s. 22(1)(a)(ii)
Page 1 of 3
               Sensitive
This document may contain `personal identifiers` and `personal information` as defined under the Migration 
Act 1958 or Australian Citizenship Act 2007, and can only be used for purposes under these Acts.




Page 2 of 3
Sensitive
Incident Detail Report
As at 06/08/2013
Description:
s. 47F(1)
Version:
5
04/01/2010 10:40:20 
Created On:
Created By: TIMOTHY BYRNE
Description:
s. 47F(1)
Version:
5
06/01/2010 05:40:17 
Created On:
Created By: GERRARD JACOBSEN
PM
Description:
s. 47F(1)
Version:
5
07/01/2010 10:21:52 
Created On:
Created By: GERRARD JACOBSEN
Description:
s. 47F(1)
Version:
5
01/01/2010 04:55:01 
Created On:
Created By: TIMOTHY BYRNE
Description:
s. 47F(1)
Version:
4
31/12/2009 04:25:22 
Created On:
Created By: TIMOTHY BYRNE
Description:
s. 47F(1)
s. 22(1)(a)(ii)
Page 2 of 3
               Sensitive
This document may contain `personal identifiers` and `personal information` as defined under the Migration 
Act 1958 or Australian Citizenship Act 2007, and can only be used for purposes under these Acts.




Page 3 of 3
Sensitive
Incident Detail Report
As at 06/08/2013
Version:
3
30/12/2009 05:34:59 
Created On:
Created By: TIMOTHY BYRNE
Description:
s. 47F(1)
Version:
1
30/12/2009 04:50:32 
Created On:
Created By: TIMOTHY BYRNE
Description:
s. 47F(1)
s. 22(1)(a)(ii)
Page 3 of 3
               Sensitive
This document may contain `personal identifiers` and `personal information` as defined under the Migration 
Act 1958 or Australian Citizenship Act 2007, and can only be used for purposes under these Acts.