Code of Massachusetts Regulations
115 CMR - DEPARTMENT OF DEVELOPMENTAL SERVICES
Title 115 CMR 13.00 - Incident Reporting
Section 13.05 - Content of Incident Report
Universal Citation: 115 MA Code of Regs 115.13
Current through Register 1531, September 27, 2024
(1) The Initial Incident Report shall include, but not be limited to, the following:
(a) the individual involved;
(b) provider(s) involved;
(c) date, time, and location of the incident,
if known;
(d) the incident
category;
(e) description of the
incident;
(f) immediate action
taken to protect health, safety and welfare;
(g) people involved in the incident including
any eyewitnesses to the incident.
(2) The Final Incident Report shall include at least the following:
(a) additional
action(s) to be taken;
(b) the
responsible party(ies) and the target completion date(s) for action(s);
and,
(c) the Initial Incident
Report and any additional information gathered after filing of the Initial
Incident Report.
(3) The Department may modify the contents required for inclusion in incident reports at its discretion, and shall identify the required contents in incident management guidelines periodically issued by the Department.
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