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UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Was the USMS notified of all incidents involving USMS prisoners? <br />(' Yes (— No <br />Incidents Not Reported <br />(If needed, use "Other Notes Section" on last page to document more than one incident.) <br />Incident Type Use Incident types listed above) Incident Subtype (Leave blank Date of Incident <br />Remarks <br />Court Action <br />(If needed, use "Other Notes Section" on last page to document more than one action) <br />Are there any court orders or pending major litigation affecting the facility? <br />C` Yes C No <br />Case Name/Case Number Functional Area Date of Court Filing <br />ADMINISTRATION AND MANAGEMENT <br />Policy Development and Monitoring <br />Does the facility maintain policies and procedures that describe facility operations, maintenance and administration? <br />Yes (' No <br />Do policies have a date documenting the last time the responsible facility man agerladministrator reviewed them to <br />ensure they remain current, accurate and relevant to the facility's operation? <br />C' Yes (' No <br />If 'Yes', Date of Last Internal Review <br />Policy Communication and Access <br />Are policies and procedures communicated to all employees? <br />C' Yes C No <br />Does staff have 2417 access to policies and procedures? <br />C Yes r No <br />Prisoner Property and Money <br />Does the facility properly inventory prisoner property? <br />(- Yes (' No <br />NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the intended recipient(s). Any unauthorized review. use, disclosure, or distribution is prohibited. If you are not the intended <br />recipient, pfease contact the sender and destroy all copies of this document. Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such. <br />UNCLASSIFIEDIILAW ENFORCEMENT SENSITIVE (When Completed) <br />Page 4 of 22 <br />Form USM -218 <br />Rev. 07/21 <br />