Shift Supervisor'S Daily Report Page 2
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1
2Attachment B
OP-040102
Page 2 of 2
Section II. Shift Information Sheet
Date:
Shift Supervisor:
Overall
Count:
Count:
SHU
Unit
Unit
Unit
Unit
Unit
Count:
Unit
Medical
Shift Briefing Notes:
Passed on from Last Shift:
Passed on to Next Shift:
Summary of Incidents:
Security Equipment Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Surveillance Cameras Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Fire Panel Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Out Count/Reason:
(Name/DOC#/Location)
DUTY OFFICERS
Next Shift Call-Ins
(Name/Reason)
Name
Contact #
Name
Reason
Facility:
Mental Health:
Medical:
Maintenance:
SIGNATURES
Shift Supervisor:
Date/Time:
Chief of Security:
Date/Time:
Deputy Warden:
Date/Time:
Warden:
Date/Time:
(R 4/14)
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