UOF - Planned Use of Force Worksheet

DATE:
LOCATION:
SUBJECT NAME
IDOC #:
PLANNED UOF SUPERVISOR NARRATIVE
I am (name and title), the supervisor for this planned use of force action.
The date is , the time is.
The location of the planned use of force is (facility and exact location).
The resident involved is (Name and IDOC#) .
The shiftcommander that authorized the use of force is .
The camera operator is .The circumstances and reasons for this use of force are:The staff members participating in the planned use of force are:Name: Assignment: Name: Assignment: Name:
Assignment:
(Add additional rows if necessary by selecting the last row and clicking the [+])
The equipment to be used includes:
Helmets
Protective Masks
Body Armor
Knee Pads
Elbow Pads
Shin Guards
Gloves
Shields
Handcuffs
Leg Restraints
Waist Restraints
Disposable Restraints
OC Spray
Other:
Impact Weapons:
Chemical Munitions:
Less-Lethal Munitions:
Electronic Control Weapon (ECW):
Firearms:
The plan of action is:
Do all members of this team understand the plan of action and their assignments? (Team members are to state rank, first and last name, assignment, and acknowledge their understanding
of the assignment or verbally request clarification while being videoed.)
The date is , the time is.
The camera will be turned off while we proceed to the planned use of force location.
Record the entire planned use of force
After the planned use of force, address the resident:, do you wish to make a verbal or written statement concerning this incident?
(When the resident has completed his statement continue reading)
This concludes this planned use of force action.
The date is , the time is.
This video will be placed in a secure area by:
(End of Narration)
CHECKLIST
Planned Use of Force Supervisor
Assembled and prepared a use of force team.
Ensured video camera was ready for use.
Completed this worksheet.
Reviewed this worksheet with the shift commander.
Rehearsed the plan with the team if time permits.
Consulted with the shift commander for additional and/or final instructions.
Ensured the use of force team has proper equipment.
Ensured the use of force team received proper instruction.
Read narrative with camera running.
Instructed team to remove their helmets or masks and introduce themselves and describe their roles and duties.
Stated that the camera will be off while the team relocates to the situation area.
Restarted the video camera and introduced self, stated the date, time, and offender’s name and IDOC number.
Ensured that the video camera remained on while the team moved into position.

Issued the resident a direct order to comply before team proceeded with the planned use of force action.
The resident(s) complied with verbal instructions and no force was used because he continued to comply and allowed restraints to be applied.
The resident(s) refused to comply, and the minimum amount of force needed to gain control was used. (If at anytime during the event the resident(s) stops resisting and complies with
the verbal instructions, the application of force will cease with the exception of completing the application of restraints).
Issued verbal commands to staff members and residents and narrated the proceedings for the video camera.
After the goal was accomplished, provided verbal notification to the shift commander.
Once it was safe to do so, had medical staff examine the resident for injuries, and, if necessary, medical provided treatment while the video camera remained running.
DE-ESCALATION ATTEMPTS OR ALTERNATIVES CONSIDERED:
SUPERVISOR NAME AND ASSOCIATE #:
DATE:
SHIFT COMMANDER COMMENTS AND NOTES
SHIFT COMMANDER NAME AND ASSOCIATE #:
DATE: