Get Critical Bincidentb Report

This guide provides a clear, step-by-step approach to filling out the CRITICAL BINCIDENTb REPORT online. By following these instructions, users can ensure that all necessary information is accurately submitted for critical incidents.

Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to access the CRITICAL BINCIDENTb REPORT. This will allow you to open the form in an online editor.
2. In the 'General Information' section, provide your phone number (10 digits), name of the program or place of service, and the full address including city and postal code. Specify whether the service provider is licensed or not, and include the service category as referenced in the CLBC contract.
3. Proceed to the 'Persons Involved' section. Indicate whether the individuals are a person accessing the service, a visitor, or another specified type. Fill in the name and birthdate (DD/MM/YYYY) of the involved individual, select gender, and list all persons adversely affected, attaching an additional list if necessary.
4. In the 'Type of Incident' section, mark the relevant incident type that is reportable to CLBC. Options include various forms of abuse, injuries, neglect, and other specified incidents. Be sure to check the definitions if you need clarification on any type.
5. Detail the incident specifics in the 'Details of Incident' section. Record the time (24 hh:mm) and date (DD/MM/YYYY) of the incident, location, and provide a description of what occurred. If space is insufficient, you may attach additional pages.
6. Additionally, describe the actions taken in response to the incident, attaching pages if necessary.
7. In the 'Notification' section, indicate if parties were notified (yes/no) and provide the names, relationships or titles, and contact details of individuals notified, including family members and relevant authorities.
8. Complete the 'Signatures' section by filling in your name, position, signature, date (DD/MM/YYYY), time (24 hh:mm), and contact details. Ensure that the program supervisor or manager also provides their information.
9. Review all filled sections for accuracy. Finally, you can save your changes, download, print, or share the filled-out form as necessary.

Complete your CRITICAL BINCIDENTb REPORT online today to ensure thorough documentation of incidents.