Common use of Special Incident Report Clause in Contracts

Special Incident Report. 8.10.1 CONTRACTOR shall complete a Special Incident Report in 26 the event of any incidents of unusual, aggressive, and/or high-risk behavior 27 exhibited by a Participant and/or a Participant’s family member(s); any 28 serious injuries or death suffered by any party during any Participant’s WCB0418 Page 38 of 00 00-00-00 1 and/or Participant’s family’s participation in Wrap OC; breach in Participant 2 and/or Participant’s family member’s confidentiality; and/or a Participant 3 and/or a Participant’s family member(s) exhibit inappropriate behavior. In 4 such event(s), CONTRACTOR shall: 5 8.10.1.1 Use the Special Incident Report form provided 6 by ADMINISTRATOR and state all details of the incident clearly and completely, 7 including actions taken; 8 8.10.1.2 Notify ADMINISTRATOR, or designee, by 9 telephone, immediately after learning of the occurrence; 10 8.10.1.3 Submit Special Incident Report to 11 ADMINISTRATOR, or designee, within twenty-four (24) hours of the special 12 incident; and 13 8.10.1.4 Report any and all threats of violence by the 14 Participant and/or Participant’s family member(s) to ADMINISTRATOR, or 15 assigned designee, including the assigned DPO and/or SSW and/or MH clinician, 16 immediately after learning of the occurrence.

Appears in 1 contract

Samples: Service Agreement

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Special Incident Report. 8.10.1 CONTRACTOR shall complete a Special Incident Report in 26 3 the event of any incidents of unusual, aggressive, and/or high-risk behavior 27 4 exhibited by a Participant and/or a Participant’s family member(s); any 28 5 serious injuries or death suffered by any party during any Participant’s WCB0418 Page 38 of 00 00-00-00 1 6 and/or Participant’s family’s participation in Wrap OC; breach in Participant 2 7 and/or Participant’s family member’s confidentiality; and/or a Participant 3 8 and/or a Participant’s family member(s) exhibit inappropriate behavior. In 4 9 such event(s), CONTRACTOR shall: 5 10 8.10.1.1 Use the Special Incident Report form provided 6 11 by ADMINISTRATOR and state all details of the incident clearly and completely, 7 12 including actions taken; 8 13 8.10.1.2 Notify Immediately nNotify ADMINISTRATOR, or 14 designee, by 9 telephone, immediately after learning of the occurrence; 10 15 8.10.1.3 Submit Special Incident Report to 11 16 ADMINISTRATOR, or designee, within twenty-four (24) hours of the special 12 17 incident; and 13 18 8.10.1.4 Report Immediately rReport any and all threats of 19 violence by the 14 Participant and/or Participant’s family member(s) to 20 ADMINISTRATOR, or 15 assigned designee, including the assigned DPO and/or SSW 21 and/or MH clinician, 16 immediately after learning of the occurrence.

Appears in 1 contract

Samples: Service Agreement

Special Incident Report. 8.10.1 CONTRACTOR shall complete a Special Incident Report in 26 the event of any incidents of unusual, aggressive, and/or high-risk behavior 27 exhibited by a Participant and/or a Participant’s family member(s); any 28 serious injuries or death suffered by any party during any Participant’s WCB0418 Page 38 41 of 00 0075 4-0017-00 18 1 and/or Participant’s family’s participation in Wrap OC; breach in Participant 2 and/or Participant’s family member’s confidentiality; and/or a Participant 3 and/or a Participant’s family member(s) exhibit inappropriate behavior. In 4 such event(s), CONTRACTOR shall: 5 8.10.1.1 Use the Special Incident Report form provided 6 by ADMINISTRATOR and state all details of the incident clearly and completely, 7 including actions taken; 8 8.10.1.2 Notify Immediately nNotify ADMINISTRATOR, or 9 designee, by 9 telephone, immediately after learning of the occurrence; 10 8.10.1.3 Submit Special Incident Report to 11 ADMINISTRATOR, or designee, within twenty-four (24) hours of the special 12 incident; and 13 8.10.1.4 Report Immediately rReport any and all threats of 14 violence by the 14 Participant and/or Participant’s family member(s) to 15 ADMINISTRATOR, or 15 assigned designee, including the assigned DPO and/or SSW 16 and/or MH clinician, 16 immediately after learning of the occurrence.

Appears in 1 contract

Samples: Service Agreement

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Special Incident Report. 9 8.10.1 CONTRACTOR shall complete a Special Incident Report in 26 the 10 event of any incidents of unusual, aggressive, and/or high-risk behavior 27 11 exhibited by a Participant and/or a Participant’s family member(s); any 28 serious 12 injuries or death suffered by any party during any Participant’s WCB0418 Page 38 of 00 00-00-00 1 and/or 13 Participant’s family’s participation in Wrap OC; breach in Participant 2 and/or 14 Participant’s family member’s confidentiality; and/or a Participant 3 and/or a 15 Participant’s family member(s) exhibit inappropriate behavior. In 4 such 16 event(s), CONTRACTOR shall: 5 17 8.10.1.1 Use the Special Incident Report form provided 6 18 by ADMINISTRATOR and state all details of the incident clearly and completely, 7 19 including actions taken; 8 20 8.10.1.2 Notify ADMINISTRATOR, or designee, by 9 21 telephone, immediately after learning of the occurrence; 10 22 8.10.1.3 Submit Special Incident Report to 11 23 ADMINISTRATOR, or designee, within twenty-four (24) hours of the special 12 24 incident; and 13 25 8.10.1.4 Report any and all threats of violence by the 14 26 Participant and/or Participant’s family member(s) to ADMINISTRATOR, or 15 assigned 27 designee, including the assigned DPO and/or SSW and/or MH clinician, 16 immediately 28 after learning of the occurrence.. WCB0618 Page 38 of 00 00-00-00

Appears in 1 contract

Samples: Service Agreement

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