Section 13.05 - Content of Incident Report(1) The Initial Incident Report shall include, but not be limited to, the following: (a) the individual involved;(b) provider(s) involved;(c) date, time, and location of the incident, if known;(d) the incident category;(e) description of the incident;(f) immediate action taken to protect health, safety and welfare;(g) people involved in the incident including any eyewitnesses to the incident.(2) The Final Incident Report shall include at least the following:(a) additional action(s) to be taken;(b) the responsible party(ies) and the target completion date(s) for action(s); and,(c) the Initial Incident Report and any additional information gathered after filing of the Initial Incident Report.(3) The Department may modify the contents required for inclusion in incident reports at its discretion, and shall identify the required contents in incident management guidelines periodically issued by the Department.Adopted by Mass Register Issue 1344, eff. 7/28/2017.