Suidi Reporting Form - Sudden Unexplained Infant Death Investigation Page 7

INVESTIGATION SUMMARY

Are there any factors, circumstances, or environmental concerns about the incident scene investigation that may have

impacted the infant that have not yet been identiﬁ ed?

Arrival times:

Law enforcement at scene:

DSI at scene:

Infant at hospital:

Military Time

Investigator’s Notes

Indicate the task(s) performed.

Additional scene(s)? (forms attached)

Doll reenactment/scene re-creation

Photos or video taken and noted

Materials collected/evidence logged

Referral for counseling

EMS run sheet/report

Notify next of kin or verify notiﬁcation

911 tape

If more than one person was interviewed, does the information differ?

Yes

Detail any differences, inconsistencies of relevant information: (ex. placed on sofa, last known alive on chair.)

INVESTIGATION DIAGRAMS

Scene Diagram:

Body Diagram:

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Parent category: Business