Dog bite investigative worksheet
Case number
Bite level classification
Date Time
Location of attack.
Number of dogs involved in the attack
Nature of location (inside, outside, etc.)
Lighting.
Weather at the time of the attack.
Dog name
Breed
Sex
Age
Color, markings
Height
Weight
Owner name, address
Owner Race Sex
Disposition of dog
(Euthanized? Date, time, by whom. Euthanasia chemical used. Authorization of euthanization?)
(Returned to owners? Date, time, by whom, authorization)
(Destroyed at scene? By whom? Circumstances? Body retained for analysis?)
Source of dog-name/address
Type of source (breeder, pet store, etc.)
Number of previous homes
Parents known? Y/N
Parents owners-full info (supplementary case numbers)
Parents available for exam/interview? Y/N
Parents source-name/address
Parents source type
Siblings known? Y/N
Sibling owners name/address of each
Siblings available for exam/interview? Y/N (supplementary case numbers)
Reproductive status of dog
Ever bred? Y/N
If female, is dog in estrus/recently been in/expected to be in soon? Y/N
Identity/location of progeny
Illness/injury? Y/N
Describe if yes.
Vaccine history
Is dog currently on any medication? Y/N
If yes describe
Hearing?
Eyesight?
Hip conditions?
Blood tests;
Samples taken-Date: Time:
By whom?
Fresh or post mortem?
Chem/CBC
Thyroid
Steroids
Testosterone
Amphetamines/stimulants
Hormones
Body condition/musculoskeletal
Parasites
Brain:
Harvested?
Date, time, by whom.
Freshly post mortem or delayed?
Gross exam
Rabies tested Y/N
How preserved.
Necropsy conducted? By whom. Attach report of veterinarian. In necropsy, have stomach contents examined and saved for analysis. Test for human DNA. compare stomach contents to dog's usual diet. If dog not dead/destroyed have veterinarian evacuate stomach for above.
Has dog had training? Y/N
By whom, when, where, type.
Any earned titles? Y/N
If yes list:
Used as:
Guard dog Y/N
Military dog Y/N
Police dog Y/N
Schutzhund Y/N
Has dog ever been fought? Y/N
Living conditions-
Type of neighborhood-rural, suburbs, urban
Type of residence-apartment, town home/patio home/duplex, single family home, property over 1 ac, other
Containment: Fence, chain, tether, pen, indoor, none.
If chained. length of chain and weight of chain.
Primarily kept indoors or outdoors
Sleeping arrangements
Diet
Fed by
Where, how often
Who disciplines dog
Usual method
Who has most frequent interaction with dog
Does dog have regular contact with other dogs? Y/N
Type, duration, frequency, location
Has dog shown aggression toward other dogs/animals? Y/N
Describe fully
Family;
Type/ Family makeup-adults/children/infants
Basic dynamics
Quantity of contact with human family/quality
Aggression toward family members? Y/N
Contact with other humans:
How often?
Where?
Adults, children, infants?
Differing races?
Disabled persons?
Aggression towards other humans:
Adults Y/N
Children or infants? Y/N
Races Y/N
Disabilities? Y/N
Males vs. females?
Bite incident victim information;
Name
Address
Sex Race Height Weight
If female, was victim menstruating at the time of the attack. Y/N
Relationship of victim to owner:
Relationship to dog.
Was victim disabled or ill? Y/N
Under treatment for mental disability? Y/N
Any unusual physical attributes? Y/N Describe.
Victim dress at the time of the attack?
Victim’s actions immediately before the attack.
Was victim known to the dog? Y/N
Did victim have contact with the dog prior to this incident? Y/N
Prior aggressive contact? Y/N
Witnesses to the incident?
Name
Address
Telephone
Details of the actual attack-sequence of events, response of victim, dog, and witnesses.
Exact injuries to victim. Order of injuries if established.
Details of any injuries to the dog, including when in the course of the attack injuries occurred.
Was the attack on dog’s home territory or in a place familiar to the dog?
Witness interview covering similar questions-what did victim, do, what did the dog do, what did owner/other bystanders do.
Were there other animals present or involved in the attack?
Full information and actions of each one.
Relationship of other dogs to the victim and to the primary dog.
Crime scene photos
Detailed crime scene diagram
Detailed physical description of scene
Behavioral evaluation of dog:
Date, time, location of evaluation-location type
Physical demeanor of dog at initial contact
Response when approached
Initial body language cues
Challenges/aggressive responses
Level of confidence (1-5)
Response to challenges
Responses of dog to stimuli (if available):
GR-growl RR-retreat/run away
BT-bare teeth SR-submissive roll or urination
LU-lunge/charge AG-evacuate anal gland
SB-snap/bite-engage and release PR-Positive reaction
BF-full bite NR-No reaction
NA-Not available
Pet dog |
| Bend over dog/demand down |
|
Hug dog |
| Enter or leave room |
|
Kiss dog |
| Reach toward dog w/o leash |
|
Call off furniture |
| Reach toward dog w/leash |
|
Push/pull off furniture |
| Put on/take off leash |
|
Approach on furniture |
| Put on/take off collar |
|
Disturb while resting/sleeping |
| Place in crate/pen |
|
Approach while chewing/playing |
| Remove from crate/pen |
|
Approach while eating |
| Leash restraint |
|
Touch while eating |
| Collar restraint |
|
Take dog food away |
| Bathe/groom dog |
|
Take human food away |
| Trim nails |
|
Take toy/chewy/bone |
| Response to obedience command |
|
Verbally correct |
| Veterinary clinic visit |
|
Physically punish |
| Strange adult enter house/yard |
|
Stare at dog |
| Strange child enter house/yard |
|
Response to familiar dog on leash |
| Familiar adult enter house/yard |
|
Response to strange dog on leash |
| Familiar child enter house/yard |
|
Response to familiar dog off leash |
| Stranger sudden approach |
|
Response to strange dog off leash |
| Familiar person sudden approach |
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