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Sensitive
Incident Detail Report
As at 06/08/2013
Incident Summary
Incident Number: 1-72STZG
DIAC Notified:
10/05/2011 03:35:00 AM
Type:
Self Harm - Actual
DIAC Notified By:
ALBERTO LOPEZ
Level:
Critical
DIAC Contact:
GREGORY LAKE
Version:
1
Initial Release On:
10/05/2011 08:51:19 AM
Status:
Closed
Version Released On:
10/05/2011 08:51:19 AM
Location:
Scherger IDC
Transport ID:
Occurred On:
10/05/2011 03:30:00 AM
Sensitive:
N
Informed By:
Service Provider Staff
Code Black and Blue called due
Summary:
to client
attempted
s.
hanging.
Informed On:
10/05/2011 03:30:00 AM
Organisation:
Serco
47F
Location Details:
s. 47F(1)
CCTV Recording Number:
(1)
Participants
Client
Participation Type:
Involved
Client was armed:
N
Service Number:
Interpreter:
Not Required
s. 47F(1)
Family Name:
Interpreter Id:
Given Name(s):
TIS Job No:
Date of Birth:
Client attempted
Comments:
hanging
Minor:
N
Staff
Family Name:
TAIT
Participation Type:
Witness
Given Name(s):
ELLEN
Job Title:
Login:
LOAD025
Organisation:
Default Organization
Incident Details
Version:
2
10/05/2011 11:48:19
Created On:
Created By: ALBERTO LOPEZ
AM
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 8
Sensitive
Incident Detail Report
As at 06/08/2013
Description:
s. 47F(1)
Agencies Alerted
Version:
2
Contacted:
10/05/2011 03:35:00 AM
Agency Type:
Ambulance
Contacted By:
ALBERTO LOPEZ
Attending Officer:
Arrived On Site:
10/05/2011 03:55:00 AM
Reference No:
Departed Site:
10/05/2011 04:15:00 AM
Description:
Page 2 of 3
s. 22(1)(a)(ii)
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 8
Sensitive
Incident Detail Report
As at 06/08/2013
Attachments
File Name:
Post_incident_review_1-
File Date:
17/05/2011 02:36:56 PM
72STZG
Comments:
Further review conducted by
SIDC Centre Manager
File Name:
s.
Selfharm actual File Date:
11/05/2011 03:43:28 PM
(Critical)
Comments:
Please find attached post
47F(1)
incident review
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.
Page 4 of 8
Post Incident Review
Post Incident (Critical) Self harm – actual
10-5-11.
This incident occurred during the morning of 10/5/2011.
One client was involved in the incident.
Client Background:
s. 47F(1)
Details of Incident:
s. 47F(1)
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s. 47F(1)
Conduct of Staff
• Staff handled the situation in a professional and appropriate
manner
• Emergency services notified
• SMT, DIAC and IHMS were all notified in the appropriate time
span
Concerns/Issue for further Investigation
•
s. 47F(1)
•
Action Items
•
s. 47F(1)
•
•
A. Lopez
Operation Manager
SIDC
11-5-11
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Preliminary Post Incident Review
Post incident review of the “Self harm actual.”
Client
s. 47F(1)
Incident no. 1-72STZG
Details of the Incident:
Details of the incidents referred to in this post incident review are recorded under
details of incidents in the reports.
Additional Information:
s. 47F(1)
Conduct of staff:
All staff who were on duty at the Centre, Serco and IHMS staff, conducted
themselves in a professional and exemplary manner in response to and
management of the incident.
Concerns
1. The staff telephone listing available to Serco may not be up to date and
appropriately comprehensive.
2. IHMS staff may not be in possession of sufficient oxygen at all times.
3. Clients at the scene unintentionally obstructing officers.
4. One IHMS medic on duty for night shift.
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5. On duty Serco manager not immediately available on the telephone.
6. Height of tent and ease of completion of hanging
Recommendations
1.
IHMS to ensure appropriate level of oxygen on site at all times.
2.
IHMS/DIAC to consider two paramedic staff on night shift due to
Increase in client population.
3.
Operations Manager Security & Operations to ensure all staff and
emergency contact telephone numbers are up to date.
4.
On-call Serco Duty Manager to ensure contactability with IDC at all
times whilst on call.
5.
At least one side of multi-purpose tent in “C” unit (scene of incident) to
be rolled up (to ensure line of sight into the tent) when not in use and
particularly during the night.
Alan Mills
Centre Manager
Scherger IDC
16th May 2011
Document Outline
