Ottawa-Carleton Regional Police Service
ADVANCED TASER Statistic Report
CASE #:

DATE/TIME:

OFFICER:
SUBJECT:

CADRE:
age
height

sex
weight

CONDITION: EDP / drugs / alcohol/
att. suicide / other:
CALL TYPE:
HOSPITAL: Y / N
PHYSICIAN:
INJURIES:

ACTIONS OF SUBJECT/DANGER PRESENT/
OTHER MEANS OF CONTROL ATTEMPTED:

MARK CONTACT POINTS WITH ‘X’

By TASER International, Inc.
TASER(Model #):
FT, NEED FOR ADDITIONAL SHOTS? Y / N
DISTANCE

If yes, why?

CONTACTS PENETRATE SKIN? Y / N If yes, were contacts removed at hospital? Y / N
2nd
other(s)
TIME REQUIRED TO INCAPACITATE (seconds): 1st
DID TASER WORK SATISFACTORILY? Y / N If no, explain?
, INCREASED RESISTANCE
,
SUBJECTS DEMEANOR AFTER TASER: NO CHANGE
, ATTACKED OFFICER
, SUBJECT INCAPACITATED
, FELL TO
STOPPED RESISTANCE
,OTHER
GROUND

ADDITIONAL COMMENTS:

Attach Copy of Occurrence Report