DOC Form OP-040102 Shift Supervisor's Daily Report Form - Oklahoma

Form OP-040102 or the "Shift Supervisor's Daily Report Form" is a form issued by the Oklahoma Department of Corrections.

The form was last revised in April 1, 2014 and is available for digital filing. Download an up-to-date Form OP-040102 in PDF-format down below or look it up on the Oklahoma Department of Corrections Forms website.

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Attachment B
OP-040102
Page 1 of 2
Shift Supervisor’s Daily Report
Section I. Daily Post Assignment Roster
Shift
Date
The shift supervisor signature indicates all information on this form is correct. Officers will sign in for the post
assignment during shift briefing. Any changes in post assignment will be noted and initialed by the shift
supervisor.
(Post and Type of Post)
(Staff Assigned)
S/A/T
Total number of officers present for shift:
S/A/T
Total number of officers absent for shift:
S/A/T
Total number of officers assigned to shift:
Other (Hospital, etc.)
Officers called in on day off & reason:
Assignment:
Officer:
Day Off
Approved Leave (Type)
Training
Sick/Enforced
Daily Master Roster Record of Changes (Use a second form if additional space is needed)
Post
Officer Assigned
Reason for Absence
Relieving Officer
Relieving Officer Assign.
Comments
Attachment B
OP-040102
Page 1 of 2
Shift Supervisor’s Daily Report
Section I. Daily Post Assignment Roster
Shift
Date
The shift supervisor signature indicates all information on this form is correct. Officers will sign in for the post
assignment during shift briefing. Any changes in post assignment will be noted and initialed by the shift
supervisor.
(Post and Type of Post)
(Staff Assigned)
S/A/T
Total number of officers present for shift:
S/A/T
Total number of officers absent for shift:
S/A/T
Total number of officers assigned to shift:
Other (Hospital, etc.)
Officers called in on day off & reason:
Assignment:
Officer:
Day Off
Approved Leave (Type)
Training
Sick/Enforced
Daily Master Roster Record of Changes (Use a second form if additional space is needed)
Post
Officer Assigned
Reason for Absence
Relieving Officer
Relieving Officer Assign.
Comments
Attachment B
OP-040102
Page 2 of 2
Section II. Shift Information Sheet
Date:
Shift Supervisor:
Overall
Count:
Count:
SHU
Unit
Unit
Unit
Unit
Unit
Count:
Unit
Medical
Shift Briefing Notes:
Passed on from Last Shift:
Passed on to Next Shift:
Summary of Incidents:
Security Equipment Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Surveillance Cameras Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Fire Panel Status:
Include date warden was notified,
who made notification, date work
order was submitted and completed
Out Count/Reason:
(Name/DOC#/Location)
DUTY OFFICERS
Next Shift Call-Ins
(Name/Reason)
Name
Contact #
Name
Reason
Facility:
Mental Health:
Medical:
Maintenance:
SIGNATURES
Shift Supervisor:
Date/Time:
Chief of Security:
Date/Time:
Deputy Warden:
Date/Time:
Warden:
Date/Time:
(R 4/14)

Download DOC Form OP-040102 Shift Supervisor's Daily Report Form - Oklahoma

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