INC-1042
highinvestigationFall with injury
John Doe · Maple Street Home · Riverside Park — community activity
3 requirements outstanding — closure is blocked until each is evidenced.
- reported
- triage
- notification
- 4investigation
- 5root cause
- 6corrective
- 7review
- 8closed
Incident facts
Occurred
Sep 13, 14:12
Reported
Sep 13, 14:42
Reported by
Sarah Johnson
Owner
Program Manager
Witnesses
Sarah Johnson, Devon Carter
Linked service event
Description
During a community outing, John lost balance on uneven pavement and fell, sustaining a scraped left knee. Mobility aid was not in use at the time of the fall.
Immediate action taken
First aid applied on site; nurse notified; individual returned to residence and monitored.
Corrective actions
| Action | Owner | Due | Status | |
|---|---|---|---|---|
| Re-train residential staff on mobility aid use during community outings | Nadia Farouk | Sep 18, 2026 | open | |
| Add terrain risk check to community outing pre-brief | Marcus Bell | Sep 23, 2026 | open |
Audit trail
Immutable record of every action on this incident
| Timestamp | User | Action | Old → new | Reason |
|---|---|---|---|---|
| Sep 13, 14:48 | Sarah JohnsonDSP | Incident reported | — → reported | — |
| Sep 13, 14:54 | Rules EngineSystem | Incident deadlines generated | — → External notification due in 24h | Rule INC-01 |
Required steps
Closure is blocked until every item is evidenced
Notifications
Recipients and windows derived from the matching rule
- Legal guardianvalid
Due Sep 13, 17:12 · sent Sep 13, 15:18
- Program Managervalid
Due Sep 13, 16:12 · sent Sep 13, 15:00
- State reporting portalpending
Due Sep 14, 14:42 · not yet sent
Governing rule
Rule
High-severity incident external notification
Trigger
Incident severity = High or Critical
Window
24 hours from report time
Escalation
Escalate to QA Manager at 75% of window
Notify
Program Manager, QA / Compliance, Executive