Use of Force Monitoring Form A record is to be completed as soon as is practicable. A record is to be completed when an officer / member of police staff uses force on any person. If an officer / member of police staff uses force on more than one person, a new form will be completed for each person on whom force is used. Officers should complete their own constabulary s records even if force is used in another force area. Recognising the potential lack of detail, one record should be completed where force has been used over a period of time against person(s) not subsequently apprehended in a designated public order event. This is a statistical recording form gathering data surrounding tactics deployed, levels of threat, impact factors and injuries to subjects and officers (it not an exhaustive list). All use of force should be clearly documented via the completion of a detailed account in your PNB and or duty statement, in line with the NDM. A form is to be completed when one of the following techniques or tactics is used: Handcuffing (compliant) Handcuffing (non-compliant) Unarmed skills (including pressure points, strikes, restraints and take downs) Use of dogs Drawing or use of baton Drawing or use of irritant spray Limb / Body restraints Spit guard Shield Conductive Energy Device (C.E.D. currently TASER - in any of the 7 categories of use) AEP: aimed or discharged Firearms: aimed or discharged / improvised
Section : Staff Details. Please give your name: Please give your warrant / identification number: What is your rank or role? NPCC Chief Superintendent Superintendent Chief Inspector Inspector Sergeant Constable Custody Detention Officer PCSO Police Staff Traffic Warden Special Constable Please indicate if you are a detective: What is your gender? Male Female Transgender Do not identify as female, male or transgender. What is your age? Under 20 20-24 25 29 30 34 35 39 40 44 45 49 50 54 55 59 60 and over Please tick the box appropriate to your length of service: 0 6 months 7 2 months 3 23 months 2 5 years 6 0 years 5 years
More than 5 years Length of time since personal safety training? 0 6 months 7 2 months 3 23 months 2 5 years More than 5 years On which LPA / BCU / OPU are you currently based? Here each force can provide an appropriate dropdown list of the regions; include option for out of force. Section 2: Incident level characteristics. Incident number: Custody number: Incident date: (DD/MM/YY) Incident time: (HH:MM) Incident location type (please tick all that apply): Street / Highway Public transport Retail premises Open ground (e.g. park, car-park, field) Licensed premises Sports or event stadia Hospital / A and E (non-mental health setting) Mental health setting Police vehicle with prisoner handling cage Police vehicle without prisoner handling cage Dwelling Police station (excluding custody block) Custody block Ambulance On which LPA / BCU / OPU was this use of force carried out? Here each force can provide an appropriate dropdown list of the regions; include option for out of force. Primary conduct of subject / behaviour: Compliant Verbal resistance / gestures Passive resistance Active resistance
Aggressive resistance Serious or aggravated resistance Were you assaulted by the subject? Were you threatened with a weapon? but information or intelligence indicated a weapon may be present Firearm Bladed weapon / object Pointed weapon / object Missile / object thrown Blunt weapon / object Were you assaulted with a weapon? Firearm Bladed weapon / object Pointed weapon / object Missile / object thrown Blunt weapon / object Were you spat at? Impact factors: Possession of a weapon Alcohol Drugs Mental health Prior knowledge Size / Gender / Build Acute Behavioural Disorder Crowd Reason for using force (please tick all that apply): Protect self Protect public Protect subject Protect other officers Prevent offence Secure evidence Effect search
Effect arrest Method of entry Remove handcuffs Prevent harm Prevent escape What main duty were you undertaking at the time of the incident? Mobile patrol Foot patrol Custody Roads policing CID ARV PSU / public order Surveillance Dog handler duty Mounted section duties Off duty Were you single crewed at the time of the incident where you had to use force? Are you a specially trained Conducted Energy Device (C.E.D. currently TASER) officer? Were you carrying C.E.D. at the time of the incident? Which of the following tactics did you use, and in what order? ( st, 2 nd, 3 rd etc) For each tactic, please indicate whether it was effective (yes / no). Tactical communication Compliant handcuffing n-compliant handcuffing Unarmed skills (including pressure points, strikes, restraints and take-downs) Ground restraint Dog deployed Dog bite Baton drawn Baton used Irritant spray CS drawn Irritant spray CS used Irritant spray PAVA drawn Irritant spray PAVA used Limb / Body restraints
Spit guard Shield C.E.D* (if used, please complete CED section) Firearms (if aimed or fired, please Firearms section) AEP aimed AEP fired / improvised For each use of force marked * above used please tick which area the force was used on: A 2 B 3 2 5 7 5 E G C 4 3 8 4 6 F H D 9 0 K J 2 3 4 5 6 7 8 9 0 2 3 4 5 A B C D
E F G H J K Use of C.E.D This section is only required if C.E.D. is used: drawn, aimed, red-dotted, arced, used for drive-stun, fired or used for angled drive stun. Please select C.E.D. device X26 TASER C.E.D. replacement Please record C.E.D. device serial number: Please tick all uses that apply Drawn Aimed Arced Red-dotted Drive-stun If applicable, please complete the category below: Drive-stun repeat application (how many?) Angled drive-stun Fired (for each firing record cartridge number) If applicable, please complete the category below: Fired five second cycle interrupted Fired repeat cycle of the same cartridge Fired total number of cycles Fired cycle extended beyond 5 seconds Fired miss with one probe Fired - miss with both probes Did you utilise any further cartridges? If, repeat question above for each individual use of the C.E.D. Use of Firearms Aimed Fired Section 3: Subject Details. Subject name: Date of birth (if known) (DD/MM/YY)
Perceived age (if date of birth unavailable): 0-0 -7 8-34 35-49 50-64 65 and over Gender of subject (officer perceived): Male Female Transgender Ethnicity of subject (officer perceived): White Black (or Black British) Asian (or Asian British) Chinese Mixed Don t know Is the subject physically disabled? (officer perceived) Is the subject mentally disabled? (officer perceived) Section 4: Injuries to staff: Were you physically injured during this incident? Do you believe the injury you received was as a direct result of the subject INTENTIONALLY attempting to assault you? Please describe injury level: Minor Severe Was medical assistance provided?
Section 5: Injuries to subject. To the best of your knowledge and at the time of completing this form, did the subject receive injuries as a result of your use of force? (if arrested, inform custody officer) Unknown To the best of your knowledge and at the time of completing this form, what level of injury did the subject receive from this incident, relevant specifically to your use of force? Minor Severe Death Was medical assistance offered? Was medical assistance provided? Section 6: Outcome. What subsequently happened to the subject (tick all that apply)? Made off / escaped Arrested Hospitalised Detained - Mental Health Act Fatality Section 7: Designated public order event, where force is used against person/s unknown Which of the following tactics did you use? For each tactic, please indicate whether it was effective (yes / no). Tactical communication Unarmed skills (including pressure points, strikes, restraints and take downs) Dog deployed Dog bite Baton drawn Baton used Irritant spray CS drawn Irritant spray CS used Irritant spray PAVA drawn Irritant spray PAVA used Shield tactics
Taser used (please complete CED section) AEP used (please indicate where the AEP struck the body) Firearms (if aimed or fired, please complete Firearms section) / improvised On what date and between which times? -------------------- -------------------- and----------------- Against how many people? person -5 people 6-0 people + people Operational order number / unique public order event number? -----------------------