Official Site of The State of New Jersey

Quick Guide to Incident Reporting

Quick Reference Guide to Incident Reporting	Guía de Referencia Rápida Para La Notificación de Incidentes

Incident Reporting Forms

Revised Incident Reporting UpDoc Instructions, including contact and Reporting Authority assignment information.

Initial Report

• Initial Incident Report
• Initial Report Form Instructions
• Summary Review – Incident Reporting Levels and Categories Grid
• Choking Checklist
• Walkaway Checklist

Follow-Up Report

• UIR Follow-up Report Form (DC 14: Appendix B)
• UIR Follow-up Report Form Instructions

Mortality Follow-Up 

• Mortality Follow-Up Form
• Instructions for Completing Mortality Follow-Up Form

Incident Reporting Category Lists

• Incident Reporting Levels and Categories Grid

Office of Risk Management: Plan of Correction

• Office of Risk Management Plan of Correction Training (revised Feb. 2024)

For use by providers after a DHS Investigation has been completed:

• Plan of Correction Template and Instructions