Policy Text
Kern County Sheriff’s Office
Policies and Procedures
TITLE:
SUPERVISOR’S INVESTIGATION REPORT
NO: N-220
APPROVED: Donny Youngblood, Sheriff-Coroner
EFFECTIVE:
September 15, 1993
REVIEWED:
05/11/2018
REVISED:
1/22/2009
UPDATED:
05/11/2018
N-220 - 1
POLICY
The SUPERVISOR’S INVESTIGATION REPORT form is used to detail the results of a
supervisor’s investigation into all reported work-related accidents, injuries, illnesses, or
exposures to infectious or hazardous material, to the Sheriff’s Office and the County. Do not use
this form for non-injury vehicle accidents.
The SUPERVISOR’S INVESTIGATION REPORT form is also used to document any work-
related injury or illness when there is NO medical treatment beyond first aid and NO lost time
beyond the date of injury to the Sheriff’s Office and the County.
Attached is a copy of a SUPERVISOR’S INVESTIGATION REPORT form (Exhibit A) with
each line numbered. The following guidelines will be used to complete the form: