Sensitive
Incident Detail Report
As at 05/03/2014
Incident Summary
Incident Number: 1-43YY99
DIAC Notified:
29/06/2010 11:30:00 AM
Type:
Self Harm - Actual
DIAC Notified By:
GAGAN KALSI
Level:
Critical
DIAC Contact:
ZDENKA ZRNO
Version:
2
Initial Release On:
29/06/2010 06:24:59 PM
Status:
Closed
Version Released On:
29/06/2010 07:29:14 PM
Location:
North West Point Immigration 
Transport ID:
Facility
Occurred On:
29/06/2010 08:25:00 AM
Sensitive:
N
Informed By:
Service Provider Staff 
s. 47F(1)  cut himself in a self 
Summary:
harm incident.
Informed On:
29/06/2010 11:30:00 AM
Organisation:
Serco
Location Details: s. 47F(1)  Compound.  Client's 
CCTV Recording Number:
room
Participants
Client
Participation Type:
Client was armed:
s. 47F(1)
s. 47F(1)
Service Number:
Interpreter:
Family Name:
Interpreter Id:
Given Name(s):
TIS Job No:
Date of Birth:
Comments:
Minor:
Staff
Family Name:
CHAMPAGNE
Participation Type:
Involved
Given Name(s):
NORZAHAN
Job Title:
Login:
X31890
Organisation:
Default Organization
Staff
Family Name:
HEALY
Participation Type:
Involved
Given Name(s):
MICHELLE
Job Title:
Login:
X32691
Organisation:
Default Organization
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.

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Sensitive
Incident Detail Report
As at 05/03/2014
Staff
Family Name:
ABEDIN
Participation Type:
Involved
Given Name(s):
ASMIDAH
Job Title:
Login:
X36620
Organisation:
Default Organization
Incident Details
Version:
3
05/07/2010 04:10:09 
Created On:
Created By: FUATAI WILLIAMS
AM
Description: On the 2nd of July2010 in the evening was sighted by Serco staff in his room resting and watching 
TV.  Client was noted as sleeping a lot that night by the staff.  Client appears to always have a lot 
of friends around him at other times.  To be updated.
Attachments
File Name:
Officer Report Asmidah Abedin
File Date:
29/06/2010 07:26:05 PM
Comments:
Was on Panadol run - 
Responded with medical 
personnel
File Name:
Officer Report Michele Healy
File Date:
29/06/2010 07:23:56 PM
Comments:
s. 47F(1)  Driver - brought the 
emergency vehicle and 
contained clients from the 
scene.
File Name:
Officer Report Norzahan 
File Date:
29/06/2010 07:19:54 PM
Champagne
Comments:
Officer Report - First on Scene
File Name:
Client Report
File Date:
29/06/2010 07:16:07 PM
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.

---

Sensitive
Incident Detail Report
As at 05/03/2014
Comments:
Client Information from s. 47F(1)  
 and s. 47F(1) .  s. 47F(1)  
was the first client on scene.
File Name:
Officer Report Ivana Hopkins
File Date:
29/06/2010 07:14:58 PM
Comments:
Officer Report - First on Scene
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.

---