(1) The director shall appoint a loss
prevention review team when the death of a person, serious injury
to a person, or other substantial loss is alleged or suspected to
be caused at least in part by the actions of a state agency,
unless the director in his or her discretion determines that the
incident does not merit review. A loss prevention review team
may also be appointed when any other substantial loss occurs as a
result of agency policies, litigation or defense practices, or
other management practices. When the director decides not to
appoint a loss prevention review team he or she shall issue a
statement of the reasons for the director's decision. The
statement shall be made available on the department's web site.
The director's decision pursuant to this section to appoint or
not appoint a loss prevention review team shall not be admitted
into evidence in a civil or administrative proceeding.
(2) A loss prevention review team shall consist of at least
three but no more than five persons, and may include independent
consultants, contractors, or state employees, but it shall not
include any person employed by the agency involved in the loss or
risk of loss giving rise to the review, nor any person with
testimonial knowledge of the incident to be reviewed. At least
one member of the review team shall have expertise relevant to
the matter under review.
(3) The loss prevention review team shall review the death,
serious injury, or other incident and the circumstances
surrounding it, evaluate its causes, and recommend steps to
reduce the risk of such incidents occurring in the future. The
loss prevention review team shall accomplish these tasks by
reviewing relevant documents, interviewing persons with relevant
knowledge, and reporting its recommendations in writing to the
director and the director of the agency involved in the loss or
risk of loss within the time requested by the director. The
final report shall not disclose the contents of any documents
required by law to be kept confidential.
(4) Pursuant to guidelines established by the director,
state agencies must notify the department immediately upon
becoming aware of a death, serious injury, or other substantial
loss that is alleged or suspected to be caused at least in part
by the actions of the state agency. State agencies shall provide
the loss prevention review team ready access to relevant
documents in their possession and ready access to their
employees.
[2011 1st sp.s. c 43 § 508; 2002 c 333 § 2.]
NOTES:
Effective date -- Purpose -- 2011 1st sp.s. c 43: See notes following RCW 43.19.003.
Intent -- 2002 c 333: "The legislature intends that when the death of a person, serious injury to a person, or other substantial loss is alleged or suspected to be caused at least in part by the actions of a state agency, a loss prevention review shall be conducted. The legislature recognizes the tension inherent in a loss prevention review and the need to balance the prevention of harm to the public with state agencies' accountability to the public. The legislature intends to minimize this tension and to foster open and frank discussions by granting members of the loss prevention review teams protection from having to testify, and by declaring a general rule that the work product of these teams is inadmissible in civil actions or administrative proceedings." [2002 c 333 § 1.]