EUCLID POLICE DEPARTMENT RESPONSE TO RESISTANCE REPORT

SUSPECT INFORMATION OFFICER INFORMATION

NAME: SEX: M F AGE:

SEX: M F AGE: RACE: W B A H U

REPORT #: -
RACE: W B A H U HT: WT:

HT: WT: UNIFORMED: Y N YRS EXP: DATE: - -

TOTAL # SUSPECTS & OTHERS AT SCENE: TOTAL # OFFICERS AT SCENE:
INCIDENT TIME:
CHECK ALL THAT APPLY
CHECK ALL THAT APPLY
SUSPECT AGGRESSIVE ACTIONS
OFFICER RESPONSE
ATTEMPT TO DISARM KICKING
JOINT MANIPULATION TASER DISPLAY
FIREARM DISPLAY PULLING
ARM/HAND STRIKES TASER DRIVE STUN
FIREARM DISCHARGE PUNCHING
FOOT/LEG STRIKES TASER CARTRIDGE
EDGE WEAPON PUSHING/SHOVING
TAKEDOWNS PEPPERBALL
CONCEALING HANDS RESISTIVE TENSION GROUND STABILIZATION IMPACT/BATON STRIKES
GRABBING SCRATCHING RESTRAINT TECHNIQUES IMPACT/BATON RESTRAINT
HOSTILE ADVANCE SPITTING/BITING NONCOMPLIANT HANDCUFFING SPECIALTY MUNITIONS
IMPACT WEAPON STRIKING OC SPRAY FIREARM DISPLAY

LIFE-THREATENING WEAPONLESS ASSAULT VERBAL COMMANDS FIREARM DISCHARGE

SUSPECT PASSIVE ACTIONS K-9 IMPACT ROUND

AGITATED BEHAVIOR REFUSAL/DISOBEY INJURIES

ARGUMENTATIVE SHOUTING/YELLING OFFICER INJURY (SLIGHT) SUBJECT INJURY (SLIGHT)

CLENCHING FISTS CONSPICUOSLY IGNORING OFFICER INJURY (MODERATE) SUBJECT INJURY (MODERATE)

FLAILING ARMS TENSE BODY OFFICER INJURY (SEVERE) SUBJECT INJURY (SEVERE)

FLED ON FOOT THREATS OFFICER KILLED SUBJECT KILLED

GRITTING TEETH VERBAL DEFIANCE INJURIES / EXPLANATIONS / COMMENTS

TARGET GLANCE FURTIVE MOVEMENT

POSTURING BODY LIMP BODY/DEAD WEIGHT

SUSPECT—OFFICER SAFETY FACTORS

FIREARM POSSESSION OWN SAFETY/SUICIDAL

WARRANT SUSPECTED CRIMINAL ACT

HIGH RISK STOP UNDER INFLUENCE/INTOX

CRIME HISTORY SEVERE OFFENSE/THREAT VIDEO OF INCIDENT YES NO

EFFECTS ON SUBJECT TIME TO EFFECT DURATION OF EFFECTS NUMBER FIRED

PEPPERBALL / OC

1-10 MINUTES
EYES TEARING/CLOSING IMMEDIATELY NUMBER OF STRIKES
11-20 MINUTES
COUGHING/CHOKING LESS THAN 1 MINUTE
21-30 MINUTES
SKIN BURNING 1-2 MINUTES APPROX. DISTANCE
31-60 MINUTES
RUNNY NOSE MORE THAN 2 MINUTES
MORE THAN 1 HOUR
NONE
DISTANCE TO
EFFECTS ON OTHERS RESISTANCE OVERALL EFFECT
SUBJECT
ft..
NONE SUBMISSION EXCELLENT
MILD RESISTANCE GOOD BURST
MILD sec..
VIOLENT RESISTANCE MODERATE DURATION
MODERATE CONTROLLABLE POOR
SEVERE UNCONTROLLABLE NONE INDOORS OUTDOORS

OFFICER: BADGE: UNIT: ARREST: SUPERVISOR DATE:

YES NO REVIEWED VIDEO:

ASSISTING OFFICERS BADGES: APPROVING DATE:

SUPERVISOR:

Revised 8/23/18
 MODE OF USE MARK PROBE IMPACT & DRIVE STUN MARK WITH
(MARK ALL THAT APPLY)
LOCATIONS “X” ON DIAGRAM AT RIGHT BLUE INK
CARTRIDGE DISCHARGE
DID BOTH PROBES CONNECT? Y N
DRIVE/TOUCH STUN
ARC DISPLAY DID BOTH PROBES PENETRATE? Y N
LASER DISPLAY
FIRED FROM WHAT DISTANCE? ft.
TIME TO EFFECT
IMMEDIATELY
NO. OF CARTRIDGES FIRED
LESS THAN 1 MINUTE
MORE THAN 1 MINUTE
TASER

APPROX. TOTAL TIME APPLIED

DURATION OF EFFECTS
LESS THAN 1 MINUTE TASER CAM VIDEO? Y N
1-10 MINUTES
11-20 MINUTES
21-30 MINUTES OVERALL
MORE THAN 30 MIN. EFFECTIVENESS
RESISTANCE EXCELLENT
SUBMISSION PROBES REMOVED BY
GOOD
MILD RESISTANCE POLICE OFFICER
MODERATE
VIOLENT RESISTANCE EMS/PARAMEDIC
POOR CARTRIDGE SERIAL #:
CONTROLLABLE MEDICAL STAFF
NONE
UNCONTROLLABLE
SUBJECT INJURIES
MODE OF USE
(MARK ALL THAT APPLY) NONE
BATON/IMPACT MUNITIONS

MARK WITH
SLIGHT BLUE INK
BATON
MODERATE
IMPACT MUNITIONS
SEVERE
VISIBLE
NOT VISIBLE
TIME TO EFFECT PHOTOGRAPHED
IMMEDIATELY NOT PHOTOGRAPHED
LESS THAN 1 MINUTE
1-2 MINUTES OVERALL EFFECTIVENESS
MORE THAN 2 MINUTES EXCELLENT
GOOD
RESISTANCE MODERATE
SUBMISSION POOR
MILD RESISTANCE NONE
VIOLENT RESISTANCE
CONTROLLABLE
UNCONTROLLABLE

MODE OF USE
MARK IMPACTS ON DIAGRAM AT RIGHT
HANDGUN
SHOTGUN CHECK IF DOES NOT APPLY
SUBMACHINE GUN MARK WITH
BLUE INK
PATROL RIFLE/CARBINE FIRED FROM WHAT DISTANCE ft.
SCOPED RIFLE
EXTRA/BACKUP WEAPON HOW MANY ROUNDS FIRED
PHOTOGRAPHED
FIREARM

NOT PHOTOGRAPHED

SUBJECT INJURIES OFFICER/BYSTANDER INJURIES

NONE NONE
SLIGHT SLIGHT
MODERATE MODERATE
SEVERE SEVERE
FATAL FATAL
VISIBLE VISIBLE
NOT VISIBLE NOT VISIBLE
PHOTOGRAPHED PHOTOGRAPHED
NOT PHOTOGRAPHED NOT PHOTOGRAPHED