HomeMy WebLinkAboutOIS2020-0001 OIS WC Checklist_RedactedOFFICER INVOLVED SHOOTING/ In-Custo dy Death CHECKLIST
The following notifications, information and actions must be made in the event on an officer involved shooting. This form
is to be c mp ted and the original submitted to Professional Standards. Refer to Watch Commander's Po licy Book A, #29
Date: \ )-~ 7.. 0 T ime: ~3 ~ I Loc_~~~o
Officer(s) In volved : ,Jo.H\LAA ~?4-01:S I C:,A.✓ir.J (?_Qe:Lcf",S C .1.#: ______ _
PERSONS/AGENCIES TO B E CONTACTED -W/C Use only!
#1) Senior Management Team Notification s -(e-mail)
#2) CAP-SA PD S hooting Team -Called/contacted: ~C~,. R~bAl(v:t1lQ_ T ime: ¢3d t
Se rgea nt J. Rodriguez -
#3) Professional Standards -Call ed/contacted: ctf>IJ., htba. I &,,<A c2,... ~ ~ Time: d:) d:7 .
Commander J. G onza lez - PSU Sgt. e...f\-U-~ J..33~
#4) District Attorney's Office -Called/co nta cted: bv,:Pt/. Ql)JfD :r.A/\JAll;;#., Time: _____ _
S upervis ing Inv. Sta n Berry -
S u p,f,i;y is i ng In v. Ant h o n y Sos nowski -
))l<{"\D ,Ar-IN~
#5) OCSD W/C -Request Crime Lab Investigators -Called/contacted: ____ Time: _____ _
Watch Com m a nder: Crim e Lab:
#6) C hi ef of Police (Call) -Called/contact: CfuEf ,Y..L\-1.k'..-JTI fl
C hi ef Va lentin -
Time: ;;i.33 I
})C
#7) "Affected" Bureau Commander Acknowledged e-mail/co ntacte d: P/l-u;0,0"1 Time: a--3 lf~
Oeputy C hie f Gomi nsky -
Deputy C hi ef E s parza -
Deputy C hi ef Paulson - -
Jail Ad mini strat or C hri stin a Holland -
C,""'l)A
#8) "Affected" Division Command e r -Ca ll ed/contacted: -1\:L-\J IV?:§: -,;a:-Time: _____ _
#9) Press Inform atio n Officer -Ca I led/co ntacted : G-1? L, <3 £ f?.-,4 Gi:"14
Corpora l Bertagna -
#10) Lega l Advisor -Ca ll ed/contacted: TAC:'.Y~~ 3t(-.o SI A:d
Tamara Bogosian - -
Sa ndra Schw a rzmann -
Kyle Nelles e n -
Time: ?3 .S-D
Time: ':2.3 >d.-
#11) E mpl oyee Associati on -Ca lled /co ntacted: &ST. E.'§'f2 .. /J..,4r{O T ime: ~ 3 5-s-
POA -Se r gea nt Serra n o -Com m a nder Brown -
#12) POA Attorney-Called/contacted:
#13) H uma n R esources S upervisor (e-mail Lo urdes Ferrer)
T im e: 'v\ "1 ~
Time: 00 0 (e
#14) Psychologist -Ca ll ed/contacted: ,J/vt {,.,G:Ft Tim e: €J D lu
Th e Counselin g Team Int e rnati o n a l -( (Advise ifa n immediate response is necessary)
#15) SAPD Peer Support Team -Cal led/co ntacted :---'----------Tim e: _____ _
Co mmand e r Gatt - (Call only if requ ested/as needed)
Nam e of person co111pleti11g this form: c.,v ,/11\/11\ 4 "' l::, e)2.. A-tv},4.i;;;-v--1 J1.--v ,4./<_,b--Z.. i;)g'5 1
Rev 12/18 RW