To be used in the field to document original findings. Please insert this field sheet in to the appropriate Disaster Victim Packet

Transcription

1 To be used in the field to document original findings. Please insert this field sheet in to the appropriate Disaster Victim Packet Please document all information. A proper positive identification begins NOW with YOU. NOT all fields will be appropriate for all situations. Please complete all that are appropriate AND PUT A LINE OR N/A in the ones that you have no information for: Date of recovery Body Bag # Condition of Remains Position found in: MM/DD/YYYY Major Outward Damage Obvious trauma Burning/Charring present Found In (Grid Number) Place body found Time Incomplete Remains Water/Environmental Decay 24 hour format Associated with Material: Field Comments Vehicle Parts Personal Effects Unknown Material C Do we have a presumptive identification? If so, who do you think this may be? Please note in the field comments area WHY you believe this is a presumptive ID. Last First (MM/DD/YYYY) Number of Photo s Taken in the field: Recovery Team Leader and members (please list everyone on the team) Transported to Morgue by: Time Received at Morgue Location of Remains at Morgue

2 To be attached to the front of each Disaster Victim Packet Body Bag # Presumptive Name: Incident Name Presumptive SSN Open Field # RFID # Last Name First Name Presumed DOB Person performing station function must check and sign below when completed. represents that this station function could not be performed. Processing Station: Rep Inital Section Rep. Signature: Date of Exam Admitting Personal Effects Photography Tracker's Name Body Radiography Fingerprint After Processing Location C Anthropology Pathology Embalming DNA Dental Examination Dental Photography Dental Radiology Exit Morgue Anthropology Radiographic Dental Records Fingerprints Pathology Personal Effects Photography DNA Field Case tes Comments This bag produced bag # s: Photo s: NUMBER OF DENTAL PHOTOS NUMBER OF PERSONAL EFFECTS PHOTOS NUMBER OF SPECIMAN PHOTOS Also included in this file: Creation_TimeStamp PMinfo#

3 AFIP/DNA SPECIMEN TAKEN Incident Location Incident Name Body Bag # DATE OF SPECIMEN PROCUREMENT EXAMINER1 EXAMINER 2 NOT SUITABLE FOR TYPING - NO SPECIMEN TAKEN If not, why? ENTIRE SPECIMEN TAKEN PORTION OF SPECIMEN TAKEN - DESCRIPTION OF SPECIMEN TAKEN (INCLUDE SIZE) HOLD (NOTES ON HOLD) ADDITIONAL INFORMATION <Field Missing> 4/10/2002

4 Bag # Location # VIP/DMORT Program Morphology Examination Form FRAGMENTED REMAINS DNA Taken Date of Exam Unk Case # Decedent: (First, middle, last) Sex Age Race (Confirmed info in this box DO NOT enter info) Seat Assignment Fresh Decomposing Burned Charred Cremains Distinct Marks Condition of Remains Specific Trauma Floating (GPS) Submerged (Grid #) Scavenger Activity Associated with Material: Shape Recognizable Aircraft Parts n Aircraft Parts Unknown Source Piece (Fairly symmetrical) Sex Strand (Linear) Tissue Organ Bone Teeth t Determined Male Female Size Less than 1" (2.5cm) 1-2" (2.5-5cm) 2"-6" (6-15cm) 6"-12" ( 16-32cm) 1'-2 Feet (33-64cm) Larger than 2 Feet (Greatest Dimensions) Pathology Descriptions of Fragmented Remains in Full Detail : Additional Information Available? Dental Additional Information Available? Anthropology Additional Information Available? Pathologist signature: Anthropologist signature 4/10/2002

5 VIP/DMORT Program FINGERPRINT EXAM FORM Incident Location Body # Date of Exam Incident Name Examiner 1 Examiner 2 Condition of Body Burned, mutilated, etc Finger Printed (LIST FINGERS PRINTED) If not, why? Footprint available 4/10/2002 <Field Missing>

6 VIP/DMORT Program Pathology Report Recovered Clothing Description Incident Name AK Body # Coroner Case # First Name MI Last Name Location Item Color Dress Blouse Hose Slip Girdle Bra Skirt Shirt Tie Undershirt Hat Jacket Gloves Sweatshirt Coat Sweater Blazer Suit Jacket Vest Slacks Shorts Shoes Boots Socks Underpants Belt Belt Buckle Description Belt Buckle Inscription Size Style Material Other Clothing: (List significant descriptions) Manufacturer Dry Cleaning Marks Description Laundry Marks Description Tobacco Smoker Tobacco Product Tobacco Brand What Fingers Stained 4/10/2002

7 Body Bag# VIP/DMORT Program Pathology Report Personal Effects Rings Stone Color Size ne Clear White Blue Lt Blue Gray Lt Green Green Black Red Yellow Jade Turquoise Garnet Wedding Ring Number of Stones ne Description on Tracking Form Inscription Additional Rings Description Additional Rings Inscription Misc Jewlery Description Misc Jewlery Description Watch Brand Description on Tracking Form Inscription Necklace Description on Tracking Form Inscription Band Color Religious Medal Wallet Description on Tracking Form Inscription Description on Tracking Form Contents Purse Description on Tracking Form Contents CURRENCY: MISC ITEMS FOUND: Currency found Misc personal effects 4/10/2002

8 VIP/DMORT Program Jewelry Recovered Description Post Mortem Records Body # Location Ankle Bracelet Description on Tracking Form Inscription Belt Buckle Bracelet Cuff Links Necklace Religious Medal Misc Jewelry Tie Clip Ear Ring Location Ear Ring Description Both Right Left More than one right More than one left <Field Missing> 4/10/2002

9 VIP/DMORT Program AK Body # Anthropology Examination Form Date of Exam 5/9/2003 Coroner # Decedent: (First, middle, last) Sex Age Race (Do not enter info in this box) Estimate age Anthropology estimated information in this area. Age narrow lower Age narrow upper 95% Lower limits: 95%Upper limits: Stature Caucasoid Negroid (in Inches) Ancestry Skeletal Asian American Indian Anthro sex Hispanic Unknown Male Female Unknown Male possible Female possible Other Gracile Intermediate Skeletal Robusticity Robust Indeterminate Present Parts Cranium Partial Cranium Mandible Partial Mandible Torso Partial Torso R Upper Arm Cranium Partial Cranium Mandible Partial Mandible Torso Partial Torso R Upper Arm Partial R Upper Arm R Forearm Partial R Forearm R Hand Partial R Hand L Upper Arm Partial L Upper Arm Partial R Upper Arm R Forearm Partial R Forearm R Hand Partial R Hand L Upper Arm Partial L Upper Arm L Forearm Partial L Forearm L Hand Partial L Hand R Upper Leg Partial R Upper Leg R Lower Leg L Forearm Partial L Forearm L Hand Partial L Hand R Upper Leg Partial R Upper Leg R Lower Leg Partial R Lower Leg R Foot Partial R Foot L Upper Leg Partial L Upper Leg L Lower Leg Partial L Lower Leg Unique Skeletal Features (Pathology, Healed Trauma, n-metric Traits, Etc.) Partial R Lower Leg R Foot Partial R Foot L Upper Leg Partial L Upper Leg L Lower Leg Partial L Lower Leg L Foot Partial L Foot L Foot Partial L Foot Anthro sex based on Anthro age based on Anthro Ancestry based on Anthro Stature based on Anthro UniqueSkeletal Anthro Cond of Remains Examining Anthropologist <Field Missing> 4/10/2002

10 VIP/DMORT Program Pathology Report Physical Characteristics Incident Name First/MI/Last Name Race Build Complexion Eyes Bag # Facial Hair Gracile Intermediate Blue Brown Robust Indeterminate Light Medium Dark Acne Tanned Olive Ruddy Green Hazel Grey Blind Missing R Missing L Glass R Glass L Cataract R Cataract L Beard Beard & Moustache Moustache Clean Shaven Goatee Sex Grid Location African American Caucasion Hispanic Native American Asian/Pacific Islander Other Height cm Weight kg Ear Lobes Male Female Unk Attached Unattached Inches Pounds Unknown Facial Hair Color Facial Hair Style Blonde Brown Black Gray Red Salt & Pepper White Bushy Fu Manchu Full Upper Lip Handle Bar Whiskers Under Lower Lip Mutton Chops Pencil Thin Upper Lip Very long Hair Color Auburn Blonde Brown Black Gray Red Salt & Pepper White Other Hair Length Ex Short less than 1" Short 1-3" Medium 4-8" Long 8-12" Very Long 12-24" Ex Long more than 24" Shaved Hair Colored Unk Hair Accessory Wig Toupee Hair Piece Hair Transplant Finger Nail Type Natural Artificial Unknown Length Extremely Long Long Medium Short Characteristics Bites Deformed Dirty Mishapen Decorated Tobacco Stain Polish Color Toenail Length Extremely Long Long Medium Short Characteristics Deformed Dirty Mishapen Decorated Toenail Color Optical Glasses Contacts Objects in Body Pacemaker Bullets Prosthetic Devices Orthopedic devices Other Prothestics Circumsion Unk NA Scars, birthmarks, deformities Surgery Thoracotomy Coronary Artery Bypass Cholecystectomy Appendectomy Other laparotomy Mastectomy Laminect Smoker Tatoos Other Personal Effects <Field Missing> 4/10/2002

11 Body # Decedent: Radiology Team From : Incident Name Incident Location VIP/DMORT Program Radiology Report Date of Exam (LAST,FIRST, MIDDLE) Coroner Case # Sex Age Healed fractures Cranium Mandible Torso R Upper Arm R Forearm R Hand L Upper Arm L Forearm L Hand R Upper Leg R Lower Leg R Foot L Upper Leg L Lower Leg L Foot Radiology Parts X-Rayed Radiology Per Effects <Field Missing>

12 VIP/DMORT Program Pathology Report Recovered Clothing Description Incident Name AK Body # Coroner Case # First Name MI Last Name Location Item Color Dress Blouse Hose Slip Girdle Bra Skirt Shirt Tie Undershirt Hat Jacket Gloves Sweatshirt Coat Sweater Blazer Suit Jacket Vest Slacks Shorts Shoes Boots Socks Underpants Belt Belt Buckle Description Belt Buckle Inscription Size Style Material Other Clothing: (List significant descriptions) Manufacturer Dry Cleaning Marks Description Laundry Marks Description Tobacco Smoker Tobacco Product Tobacco Brand What Fingers Stained 4/10/2002

13 Bag # VIP/DMORT Program Pathology Examination of Partial or Complete Remains Coroner Case # Sex: Date of Exam Male Female Unknown Examining Pathologist General Description Consists Of: Est Race Caucasoid Negroid Asian American Indian Hispanic Unknown Other Specimen Wt Dimensions Morgue # Coroner Case # Est Height Inches Est Wt Pounds Head Scalp Hair Black Dk Brown Lt Brown Blonde Gray White Red /Auburn Gray/White Other Hair Length Style >24" 12-24" 8-12" 4-8" 1-3" <1" Straight Wavy Curly Tightly curled Other Facial Hair Color Black Dk Brown Lt Brown Blonde Gray White Red /Auburn Gray/White Other Facial Hair Type Beard Moustache Clean Shaven Other (describe) Ears Left Ear Pierced # Right Ear Pierced # Pierced other: Teeth Present? Additional head and neck exam remarks: Torso Viscera Identifiable Page 1 of 2 4/10/2002 <Field Missing> 4/10/2002

14 Genitalia Pathology Exam Form Page 2 0f 2 Bag # Sex Male Female Unknown Date of Exam Ext Male Female Indeterminate Penis Circumcised Penis Uncircumcised Penis Indeterminate Internal Testis Left Testis Right Uterus Tubes Left Tubes Right Ovaries Left Ovaries Right Extremities Rt Upper Left Upper Arm Forearm Hand Arm Forearm Hand # Fingers # Fingers Fingernails/Polish Fingernails/Polish Extremity Remarks Rt Lower Left Lower Thigh Leg Foot Thigh Leg Foot # Toes # Toes Toenails/Polish Toenails/Polish Scars (other than surgical) Birthmarks Deformities (non peri-mortem) Tattoos Objects in Body Pacemaker Bullets Prosthetic Devices Orthopedic devices Other Prothestics List manufacturer, serial numbers, and other identifying features: Surgery Thoracotomy Coronary Artery Bypass Cholecystectomy Appendectomy Other laparotomy Mastectomy Laminectomy Personal Effects Brief Description Optical Glasses Contacts Clothing (See Clothing Form) Additional Information