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Discuss these questions to help identify all contributing factors that may have impacted this event.

Risk Identification Questions
Questions Yes No
Was there any deviation from the expected work If yes, describe the deviation.
process or procedures?
If deviation occurred from the expected work process If yes, describe the contribution.
or procedures, was it likely to have contributed to the
adverse event?

Was the expected work process described in policy, If yes, describe the source.
procedure, and written guidelines or included in
staff training?

Was there a human action or inaction that contributed If yes, describe how the actions
to the adverse event? contributed.

Was there a defect, malfunction, misuse of, or absence If yes, describe the equipment and
of equipment that contributed to the event? how it appeared to contribute.

Was the procedure/activity carried out by regular staff If no, describe who carried out
familiar with policies and procedures? the activity and why the regular
staff were not involved.
Did the involved staff have the correct skills and If no, discuss the perceived
training to carry out the tasks expected of them? training opportunity or perceived
inadequacy.
Were the staffing levels considered adequate at the If no, describe why/what
time of the incident? happened.
Were there any additional staffing factors identified as If yes, describe those factors.
contributing to the adverse events?
Was there a lack of communication or incomplete If yes, describe who, what, and
communication that contributed to or caused the event? how it contributed.
Were there any environmental factors that contributed If yes, describe the factors and
or caused the adverse event? how they contributed.

Were there any organizational leadership factors If yes, describe the factors and
contributing to or causing the event? how they contributed.

Were there any assessment or planning factors that If yes, describe the factors and
contributed to or caused the event? how they contributed.

Were there any other factors that are considered If yes, describe the factors and
relevant to the adverse event? how they contributed.
Risk-Reduction Actions
List contributing factors by the most important factors and develop actions to reduce future risk.
Date Risk Area/Contributing Factor Corrective Action Plan

58 | JULY | AUGUST 2021 AMERICANJails