Page 59 - 2021_JA_Complete2
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Example: After Action Report/Root Cause Analysis 2.24.21
Name of Inmate or Booking Number
Date of Incident
Location of Incident
Type of Event
Date Report Completed
Event Details
Describe the event to include a short background on what happened and what was known from
the beginning of the incident/event to the end and describe any harm that resulted.
What happened?
• Get multiple perspectives: There is no single best story about what happened.
• Focus on the events that occurred. No blaming during the discussion as this is a fact-finding
mission to improve operations.
• Discuss what events preceded and followed the event.
What was supposed to happen? What did you intend to happen?
• What were your objectives?
• Why did you take this action?
• What were you trying to achieve?
• What were the key assignments?
What was done well? What can we learn about it?
• What are some plausible explanations for the why, when, and where the events happened?
• Look for what went well and lessons about the event.
What was not done well? How can we improve?
(Review Risk-Reduction Questions on Page 58.)
• What are some plausible explanations for the why, when, and where the events happened?
• What did we miss?
• Look for what went wrong and how to improve for the future.
What should we do next time?
• What worked that you want to keep doing?
• What did not work that needs to be changed?
• What do you want to do differently in the future?
• Do we need to change our policies, procedures, and/or protocols?
• Do we need to change how we communicate about our population?
• Do we need to enhance our training?
• Document a plan of action in the Risk-Reduction Action Section.
AMERICANJails JULY | AUGUST 2021 | 57
