—DLORIDA GAME & FRESH WATER FISH COMMISSION
SS
cour LB | 27 | cEMPLATIE 30, Ma les: escape [| bite fi’ injury () other 1
REPORTING INSPECTOR: _C. Denes
(COMPLAINT OFFICER(S):__¢. Dens
VERIFICATION "TYPE: class 1) 20 34 NATIVE BxorIcy
VISOAL SIGHTING EY GFC PERSONNEL REPTILE: VENOMOUS NONVENOHOUS [}
a
(0 INFORMATION FROM "THE PUBLIC FIsi ) BIRD O MAMMAL f° OTHER []
Rae __|Neber/Species of animals involved:
| Aaa i GE pee
Phone
Ab OTHER: z
LOCNTTON GF TNCTDANE! ~~.
STTUATIONAL ORIGIN:
(] relessed —LOCHTTON OP ESCAPE/RELEASE peas
{] escaped = ORNER'S Name: any
unknown Threat to public: J yes
Permit: J) no fh yes # |
f
Elcwcgncl CBee
___4
yes: Public [] GRC employee {] AC officer {] Police [) other J
Permittee/enployee ff Permittee relative] Permittee friend)
at a soaks Ped eat ek backd
Ledge Cee
we
DISPOSITION srarus:
[ animal(s) still Loose
animal destroyed
Q animal captured
{] animal returned to omer
{] seized/placed:
ACHION TAREN: citation(s), Warning(s) V6.
Time Miles 7
snares (] traps ()
() chemical: bait (] projectile ()
OQ data card completed
ae a
REVIMNED BY:CAPTIVE WILDLIFE INCIDE!
/BITE/ESCAPE NARRATIVE
1. TYPE
BITE,
2. IBE # 1726
3, RESPONDING OFFICER (8) SHANNON WIYDA
4, INCIDENT DATE 2/10/08
6. ANIMAL TYPE INVOLVED TIGER
7, LOCATION OF INCIDENT PALM BEACH ZOO
9. OWNER’S NAME, PALM BEACH ZOO
PERMITTED PALM BEACH ZOO-KEITH LOVETT
10. INJURIES
BRIEF DESCRIPTION FINGER TIP BITTEN (1CM)
VICTIM'S NAME SUSIE NUTTALL
DOB/AGE 10/16/82
MEDICAL REPORT ATTACHED NO (rv? YES OR NO}
MEDICAL DETAILS BONE FILED, STICHES
AL. ACTION TAKEN -REPORT TAKEN
12, DISPOSITION STATUS -CLOSED
13. ANIMAL CAPTURED —_NA (ry? YES,NO.OR Na)
14, INCIDENT NARRATIVE
‘On February 10, 2008 a keeper employed by Palm Beach Zoo, was bitten by a
Susie Nuttall (keeperivictim) and Amanda Haug (assistant curator) were training two
male tigers (Mata & Rimba 2,8yrs old) in their night house.
‘The keepers were training the two tiger’s commands; sit, paw up, ete. The tigers were
separated, in neighboring cages and each keeper worked with their own tiger adjacent
to each other,
Ms. Nuttall was in surgery and not available for an interview at the time of my
investigation, Ms. Haug provided the following events. Ms. Nuttall was training Mata in
a low/squatting position. While training, keepers are to provide an instant reward. Therewards are fed with a flat palm or tube shaped meat, All other non training foods are
introduced through a food chute,
Ms. Nuttall was providing a reward when Ms. Hang heard her make a noise, Ms. Haug
‘went to Ms. Nuttall to see if she was all right and observed Ms. Nuttall’s right middle
finger tip had been bitten. Ms. Nuttall was sent to the emergency room immediately.
On February 11, 2008, Ms Nuttall had hand surgery. The surgery consisted of
smoothing the bone on the tip of her finger and stitehes, The injury was denoted with a
depth of Lem.
All large carnivore trainers are provided with the Palm Beach Zoo protocol (attached),
trained for numerous documented hours, and are always accompanied by another
keeper. The victim, Ms. Nuttall had 8 months experience at the Palm Beach Zoo and a
year of experience at another facility. The assistant curator present during the incident,
‘Ms. Haug, has 5.5 years experience at the Palm Beach Zoo.
Although this was an aceident by the victim, hand feeding has been proven to bea safety
hazard. Palm Beach Zoo's large carnivore reward protocol shall be re-evaluated, At
is time, PBZ, is no longer allowing hand feeding.
No citations were given at this time,Tae- 022 oe
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION wee
DIVISION OF LAW ENFORCEMENT i ee
INCIDENT SUMMARY REPORT Nad”
7 JuveNILe BY oricinat (C1 SUPPLEMENT
REPORT #
On May 19" |, Investigator Jon Garzaniti, was made aware of an incident that occurred at the Palm
Beach Zoo. The Assistant Zoo Director, Keith Lovett, reported that an employee entered a restricted
area near the tiger exhibit to remove a DVD player. The employee, Brandon Dana, slipped while
removing the DVD player, and fell with his back against the mesh cage. The tiger scratched Mr,
Dana’s back at this time, causing minor injuries. Mr. Dana did not nave permission fo enter the
restricted area. The incident occurred on May 17", but was not reported by the employee until the
18°
On May 19" | interviewed Mr, Lovett at the Palm Beach Zoo. | collected a sworn written statement
from him at this time, which he had previously filled out documenting the incident, (Mr, Lovett stated
that Mr. Dana reviewed that statement and agreed the statement was accurate. | also photographed
the area where the incident occurred. The GPS coordinates where the injury occurred is N 26 40 10,
W080 04 184.
‘On May 20" | interviewed Mr. Dana at his residence. He provided a recorded statement of the
incident. | provided him with the statement ! received from Mr. Lovett, and asked him to review it for
accuracy. He stated that he had already reviewed it and that he did not see any discrepancies with i.
He went on to say that he “didn't say it was the zoo’s fault”, and that he thought the tiger was not in
his enclosure at the time he entered the restricted area. | photographed the injuries Mr. Dana
received at this time as well,
| tumed the information | gathered over to Investigator Wiyda, who completed the report. This was
done as | had two weeks of scheduled paternity leave starting the following day. There is nothing
further to report at this time.
Nanbo of vestpeve Miles ‘Number vestigate Vessl Haus Tela Number Ivete Hours
4 ees 20 =
Photograph By in
Jon Garzanifi sec a S/I9/44 and 5/2014
| ewear the above statment scored ed toto the best of iy inowedge ard bee ‘Swom lo and ubsibed blows me, te undesirably tis
lay ok Eee ee
[ere seeese see eee M727 6isitt
Oifors Spans oF ot ea ta OTT 7 soap
yo the Cob Nt, of Law Exoroorion Ooo Sepatue
Jon Garzaniti : wae watt
ices Wane oF
Ageney Phone/ CeliProne: __( 661) 670 - 5530 1 (
Rear 6 Paap
FFWCDLE 045A (0808) COfflon's Slgnatre (tnt ready ons page) cee Page tofDIVISION OF LAW ENFORCEMENT
SWORN WRITTEN STATEMENT
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION Se
ri
Date and time statement received: _May 19,2011, 4:00 pin ‘Coss number: _FWSA-11-OFF-2966
Location where statement was glvon:_Palm Beach Zoo Tiger Exhibit
Name of person giving staiement _ Keith Lovett a
Dur _11g0-513-70-452.0 ee faa DOB: _12/12/70
‘Adress of person giving statement : _12939 175th Ra N Jupiter, FL 3347
Home Phoned, _( 561) 743 — 6491 Work Phone# _( 581.) 833 - 7130 _ Gell _( 561.) 719 — 1594
STATEMENT.
Background Information: Mr. Brandon Dana has been employed as a maintenance
department employee at the zoo since June 2010, During his tenure at the zoo Mr. Dana has
been regularly instructed by the Zoo's Director of Operations (now retired) Rick Forbes,
Maintenance Supervisor Eric Cassidy, newly hired Maintenance and Facilities Manger (MFM)
Sam Bauer, and the Assistant Zoo Director (AZD) Keith Lovett on policies and procedures
preventing direct access to dangerous animals residing at the zoo. A teemphasis of these
policies was performed by the Maintenance and Facilities Manger and Assistant Zoo Director
over the last couple weeks following an incident where Mr. Dana violated zoo polioy regarding,
access to restricted animals.
On Sunday Mayi5, 2011, zoo maintenance department technicians Mr. Frank Cablik and Mr.
‘Andre Michaud worked under direction of the zoo's AZD to install a television and DVD player
in front of the zoo's tiger exhibit. Those items were installed to facilitate an upcoming press
conference announcing the birth of tiger cubs and to allow public viewing of video showing the
tiger birth. As part of the AZD's direction to employees, significant emphasis was placed on
reminding staff that the placement of the clestronio equipment would be in a restricted area
adjacent to dangerous animals and that no work was to be performed without the supervision
and prior notification of the need for access to the zoo's lead keeper of the tiger area, Nancy
Nill. ‘The electronics were installed on Sunday with proper notification and supervision of
animal care staff and without incident. The AZD also reiterated the need for safety in this
restricted area and reminders of the notification policy was directed to Mr. Cahlik and Mr.
Michaud on Monday morning, May 16, 201 1, duting the press conference by the AZD.
‘On Tuesday May 17, 2011, Mr, Michaud with Mr, Dana as a helper contacted Ms, Nill to
provide access to the elect onies in the restricted area. Ms. Nill opened the restricted area to
allow the work to be performed and reiterated the need to stay away from the exhibit mesh.
During this work being performed by Mi. I lichaud, br. Dana dis :overed a loose fence picket
and asked Ms. Nill permission to climb over a section of the fence to allow him the opportunity
Ewen E one sams Dana t aftto fix the picket. Ms, Nill reiterated to Mr. Dana that she was only allowing permission because
she was present to supervise the work and that he was not to ever climb the tiger barrier fence
without permission from the appropriate staff, ‘The electronics and picket repair work was
performed without issues.
Incident;
At approximately 4:30 pm on Tuesday May 17, 2011, the zoo's MFM asked employee Mr.
Cahlik to inform fellow employee Mr. Michaud to remove the DVD player from the restricted
area for the evening. After receiving instruction from the MFM, Mr. Cablik inquired to Mr.
Dana the location of Mr. Michaud. Mr. Dana informed Mr. Cahlik thet Mr. Michaud was
dealing with the clean up of broken glass in the west side parking lot. Mr. Dana asked Mr.
Cablik why he needed Mr. Michaud and Mr. Cahlik relayed the instruction received from the
MFM regarding the removal of the DVD player. Upon hearing the instruction relayed to Mr.
Cablik from the MEM, Mr, Dana questioned why Mr. Michaud had to perform this work. Mr.
Cablik told him that the MFM wanted it performed by Mr. Michaud because he was trained on
the installation of the equipment. According to Mr. Cablik, Mr, Dana stated that " a baby could
do this work and it only required the removal of three wires". After this discussion with Mr,
Cablik and without the approval of the MEM or any other zoo supervisor Mr. Dana traveled to
the tiger exhibit to remove the DVD equipment, Once he arrived at the tiger exhibit, Mr. Dana
did not call Ms. Nill or any other animal department employee responsible for the tigers, did not
inquire with any staff or check for himself to see if the tiger was still on exhibit, and since he
did not have a key to the barrier fence gate he jumped over the barrier fence in order to access
the DVD player. During his removal of the equipment Mr. Dana came too close to the exhibit
fence with his back and the tiger on exhibit jumped on the mesh and was able to soratch Mr.
Dana's back resulting in moderate injury.
‘After the injury, Mr. Dana who has had workplace injuries during his employment at the 200
and is aware of the zoo's policy requiring the notification of injury to z00 management and the
completion of a work place injury form, did not inform any management or other staff members
of his injury and did not complete the required paperwork. Later that evening without the
notification to the 200 of the injury, Mr. Dana sought treatment for his injuries at a local
hoypital, When later question by the AZD about whether Mr. Dana had informed the hospital
of the nature of his injury, Mr. Dana stated that "I just told thom it was an animal injury and I
refused to fill out a requested incident report at the hospital." When asked by the AZD, Mr.
Dana stated that he did not inform the hospital that he was involved in a workplace injury or
that the injury occurred at the zoo. Due to the extent of the bruising and contusions on Mr.
Dana's back, the hospital instructed Mr. Dana to refrain from work the following day. Mr. Dana
texted in sick to the MFM on the morning of Wednesday May 18, 2011, but did not divulge the
nature or cause of his injury. ‘The MFM then proceeded to call Mr. Dana and discuss the nature
of his illness and whether he needed to be seen by a doctor and Mr. Dana said "he was sick, had
gone to the hospital and received antibiotics, and it was not a big deal”,
Went = ana foainay Pane 263Upon returning to work on Thursday May 19, 2011, Mr. Dana approached the MFM and fellow
worker Mr, Paul Bedard. During a brief discussion where the MFM questioned how he was
feeling and inquired further about his illness, Mr, Dana stated that he did not want to tell the
MFM and really needed to talk to "Keith" the zoo's AZD. The MFM questioned whether he
had fallen off'a ladder or some type of related injury and Mr. Dana divulged to Mr. Bedard and
the MFM that he was "hit from behind by the tiger". Upon hearing this information, the MFM
instructed Mr. Dana to proceed to the zoo hospital to discuss the incident with the AZD and the
MFM immediately contacted the AZD by text to inform him of Mr. Dana's pending arrival.
Soon after arriving at the hospital, the AZD had a series of meeting with involved staff to
discuss the details of the incident. Those staff members included Mr, Dana, Mr. Michaud, Mr.
Eric Cassidy, and Ms. Nancy Nill. Additionally, Mr. Cahlik was reached by phone to confirm
the details of the incident, During the series of meetings, Mr. Dana confirmed that he entered
the restricted tiger area without permission, that he knew he was required to call the lead keeper
prior to entering the area, that he was aware that he did not have a key to the restricted area
because he was not permitted entry to this area without permission, and that Ms. Nill did informa
hhim previously in the day that he was never to hop the tiger fence without permission.
‘Additionally Mr, Dana acknowledged that he was aware of the zoo policy regarding reporting
‘workplace injuries and that he purposefully violated these policies to avoid "getting in trouble”
T have 16d this statement and initialed al corrections. fully undersiand its entre contents and solemnly swear
(or affirm) that tis true and
SUBSCRIBED and sworn to (oy/affirmed) before
Ve: eID
me, a law enforcement authorized to Sottae ‘of Officer
administer oaths pursuant to Florida Statute o
La
117.10. Don GAe2Anv:
—— Name of Officer (Pr
AMIN ER fnmnR Pana BaraDIVISION OF LAW ENFORCEMENT
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION ae
CAPTIVE WILDLIFE INJURY BITE ESCAPE FORM
breadky peannusk Hf (oe /
DATE REPORTED: 5/19/2011
REPORT DATE: _ 5/24/11
INCIDENT DATE: 5/17/2011
COMPLAINT OFFICER ($):GARZANITI
VERIFICATION TYPE: VISUAL
‘ANIMAL TYPE INVOLVED: TIGER
Name: _BRANDON DANA.
Address: _7131 HIGHRIDGE RD Phone: ___561-502-4975
BOYNTON BEACH FL
Clty State Zip
CIOTHER LOCATION OF INCIDENT: PALM BEACH ZOO
LATILONG:
FLOCATION OF ESCAPE/RELEASE: NIA
SITUATIONAL ORIGIN: NIA
Threat to public? [J] Yes XNo [] NA
Permitted: X
OWNER'S Name:
Phone: (
INCIDENT NARRATIVE:
‘On May 19” 2011, | received a call from the assistant director of the Pi Zoo, Keith Lovett. He
stated that he was just advised that one of his maintenance staff was injured by a tiger on May 17th. The
employee Brandon Dana, has boon employed with the zoo since June 2010.
Mr. Lovett stated on May 17”, the victim Brandon Dana, Jumped the public barrier to remove a DVD
player, Mr. Dana does not have the key to the barrier fence as he is not to have access to these restricted
areas. He has been instructed of this on previous occasions, most recently 5/15/11 while installing the
DVD player. At this time he was also instructed to have animal staff present at all times when in
restricted areas.
Mr. Dana was also not requested to remove the DVD player, another employee was instructed to do so,
and Mr. Dana took it upon himself to remove the DVD player alone. Mr. Dana did not follow verbal
protocol to contact animal staff before accessing the restricted area. (Mr. Lovett stated they are planning
‘on making this a written policy)
Mr. Lovett stated Mr. Dana entered the restricted area and the tiger jumped on the mesh of the enclosure
and caused minor injuries to Mr. Dana’s back.
(On May 20", Mr. Dana reviewed Mr. Lovett’s statement and did not find any discrepancies. (Statement
attached ) Mr. Dana described the incident to Investigator Garzaniti,
Mr. Dana stated he jumped the barrier fence to remove the DVD player. While removing the DVD player,
he slipped and his back leaned against the tiger enclosure. The tiger ran and jumped on the enclosure,
this pushed Mr. Dana into the barrier fence. He examined himself and did not find any substantial
injuries. He left the area, packed his stuff and went home. He did not advise anyone of the injury, this is
violation of zoo policy. (attached) Mr. Dana later went to the hospital for medical treatment. He did not
advise the hospital that the injuries were caused by a tiger.
Mr, Dana was treated and released the same day and was advised to take one day off of work. He called
in sick the next day and still didn’t advise of his injury. Upon returning to work the 19" of May he advised
of his injuries. |
Brapiz
FWODLE 603 (04/06) fucornbed on I.FWODLE 09 64I06)INJURIES:
‘Scratches, slight puncture, and contusions to back
VICTIM'S Name: _BRANDON DANA. DOBVAGE: _ 11/20/60
Address: _7131 HIGHRIDGE RD BOYNTON BEACH FL
City State Zp
Medical Report attached? [] Yes X No
| Medical det
ACTION TAKEN: DISPOSITION STATUS:
=
RT
ANIMAL CAPTURED. |
CAPTURE METHOD: COMMENTS:
NA’ NA
SIGNATURE: Sheree
REGION: _SRA MILES: _50 TIME: 6
INVESTIGATOR: _Shannon Wiyda M723______REVIEWED BY: _ at
FWCOLE 609 (0408)FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION
DIVISION OF LAW ENFORCEMENT
SWORN WRITTEN STATEMENT
Date and time statement received: _May 19, 2011, 4:00 pm Case number: _FWSA-11-OF F-39896
Location where statement was given: _Pelm Beach Zoo Tiger Exhibit
Name of person giving statement: _Kei
Lovett sees
DL#: _L130-513-70-452.0 Doe: 12/12/70
Address of person giving statement : _12939 175th Rd. N Jupiter, FL 33478 :
Home Phone #: _( $61) 743 - 6491 Werk Phone _( 551) 833 — 7130 Cell# _( 561.) 719 - 1594
Background Information: Mr. Brandon Dana has been employed as a maintenance
department employee at the zoo since June 2010. During his tenure at the zoo Mr. Dana has,
been regularly instructed by the Zoo's Director of Operations (now retired) Rick Forbes,
Maintenance Supervisor Eric Cassidy, newly hired Maintenance and Facilities Manger (MFM)
Sam Bauer, and the Assistant Zoo Director (AZD) Keith Lovett on policies and procedures
preventing direct access to dangerous animals residing at the zoo. A reemphasis of these
policies was performed by the Maintenance and Facilities Manger and Assistant Zoo Director
over the last couple weeks following an incident where Mr, Dana violated zoo policy regarding
access to restricted animals.
On Sunday May15, 2011, zoo maintenance department technicians Mr, Frank Cahlik and Mr.
Andre Michaud worked under direction of the zoo's AZD to install a television and DVD player
in front of the zoo's tiger exhibit. These items were installed to facilitate an upcoming press
conference announcing the birth of tiger cubs and to allow public viewing of video showing the
tiger birth. As part of the AZD's direction to employees, significant emphasis was placed on
reminding staff that the placement of the electronic equipment would be in a restricted area
adjacent to dangerous animals and that no work was to be performed without the supervision
and prior notification of the need for access to the z00's lead keeper of the tiger area, Nancy
Nill. The electronics were installed on Sunday with proper notification and supervision of
animal care staff and without incident. The AZD also reiterated the need for safety in this
restricted area and reminders of the notification policy was directed to Mr. Cablik and Mr,
Michaud on Monday morning, May 16, 2011, during the press conference by the AZD.
On Tuesday May 17, 2011, Mr, Michaud with Mr. Dana as a helper contacted Ms. Nill to
provide access to the electronics in the restricted area. Ms. Nill opened the restricted area to
allow the work to be performed and reiterated the need to stay away from the exhibit mesh,
During this work being performed by Mr. Michaud, Mr. Dana discovered a loose fence picket
and asked Ms. Nill permission to climb over a section of the fence to allow him the opportunity
FWCDLE 208 (09/08) Page tof4
isto fix the picket. Ms. Nill reiterated to Mr, Dana that she was only allowing permission because
she was present to supervise the work and that he was not to ever climb the tiger barrier fence
without permission from the appropriate staff, The electronics and picket repair work was
performed without issues,
Incident:
At approximately 4:30 pm on Tuesday May 17, 2011, the z0o's MFM asked employee Mr,
Cahlik to inform fellow employee Mr. Michaud to remove the DVD player from the restricted
area for the evening. After receiving instruction from the MFM, Mr. Cahlik inquired to Mr.
Dana the location of Mr, Michaud. Mf. Dana informed Mr. Cablik that Mr. Michaud was
dealing with the clean up of broken glass in the west side parking lot. Mr. Dana asked Mr.
Cablik why he needed Mr. Michaud and Mr, Cahlik relayed the instruction received from the
MEM regarding the removal of the DVD player. Upon hearing the instruction relayed to Mr.
Cablik from the MFM, Mr. Dana questioned why Mr. Michaud had to perform this work. Mr.
Cahlik told him that the MFM wanted it performed by Mr. Michaud because he was trained on
the installation of the equipment. According to Mr. Cablik, Mr. Dana stated that " a baby could
do this work and it only required the removal of three wires". After this discussion with Mr,
Cablik and without the approval of the MEM or any other zoo supervisor Mr. Dana traveled to
the tiger exhibit to remove the DVD equipment. Once he arrived at the tiger exhibit, Mr. Dana
did not call Ms, Nill or any other animal department employee responsible for the tigers, did not
inquire with any staff or check for himself to see if the tiger was still on exhibit, and since he
did not have a key to the barrier fence gate he jumped over the barrier fence in order to access
the DVD player. During his removal of the equipment Mr. Dana came too close to the exhibit
fence with his back and the tiger on exhibit jumped on the mesh and was able to scratch Mr.
Dana's back resulting in moderate injury.
After the injury, Mr. Dana who has had workplace injuries during his employment at the zoo
and is aware of the zoo's policy requiring the notification of injury to zoo management and the
completion of a work place injury form, did not inform any management or other staff members
of his injury and did not complete the required paperwork, Later that evening without the
notification to the zoo of the injury, Mr. Dana sought treatment for his injuries at a local
hospital, When later question by the AZD about whether Mr. Dana had informed the hospital
of the nature of his injury, Mr. Dana stated that "I just told them it was an animal injury and
refused to fill out a requested incident report at the hospital." When asked by the AZD, Mr.
Dana stated that he did not inform the hospital that he was involved in a workplace injury or
that the injury occurred at the zoo. Due to the extent of the bruising and contusions on Mr.
Dana's back, the hospital instructed Mr. Dana to refrain from work the following day, Mr. Dana
texted in sick to the MFM on the morning of Wednesday May 18, 2011, but did not divulge the
nature or cause of his injury. The MFM then proceeded to call Mr. Dana and discuss the nature
of his illness and whether he needed to be seen by a doctor and Mr. Dana said "he was sick, had
gone to the hospital and received antibiotics, and it was not a big deal”,
FWCDLE 208 (09/08) Page 2 of 4
4
4Upon returning to work on Thursday May 19, 2011, Mr, Dana approached the MFM and fellow
worker Mr. Paul Bedard. During a brief discussion where the MFM questioned how he was
feeling and inquired further about his illness, Mr. Dana stated that he did not want to tell the
MFM and really needed to talk to "Keith" the zoo's AZD. The MFM questioned whether he
had fallen off a ladder or some type of related injury and Mr. Dana divulged to Mr, Bedard and
the MFM that he was "hit from behind by the tiget”. Upon hearing this information, the MFM.
instructed Mr. Dana to proceed to the 200 hospital to discuss the incident with the AZD and the
MFM immediately contacted the AZD by text to inform him of Mr. Dana's pending arrival,
Soon after arriving at the hospital, the AZD had a series of meeting with involved staff to
discuss the details of the incident, These staff members included Mr. Dana, Mr. Michaud, Mr.
Eric Cassidy, and Ms. Naney Nill. Additionally, Mr, Cahlik was reached by phone to confinn
the details of the incident. During the series of meetings, Mr. Dana confirmed that he entered
the restricted tiger area without permission, that he knew he was required to call the lead keeper
prior to entering the area, that he was aware that he did not have a key to the restricted area
because he was not permitted entry to this area without permission, and that Ms. Nill did inform
him previously in the day that he was never to bop the tiger fence without permission.
Additionally Mr. Dana acknowledged that he was aware of the zoo policy regarding reporting
workplace injuries and that he purposefully violated these policies to avoid "getting in trouble”
FWDLE 208 (09/08) Pagesota Y)| have read this statement and initialed all corrections. | fully understand its entire contents and solemnly ewear
(or affirm) that itis true and correct.
‘Signature of Person Giving Statement
SUBSCRIBED and sworn to (or affirmed) before
me, a law enforcement officer authorized to 7 ~ Signature of Officer
administer oaths pursuant to Florida Statute
417.10. ee
Name of Officer (Print)
FWCDLE 208 (09/08) Page 4 of 4
4
739-10 BMIOYRIS OR MEME]
‘ACCIDENTS, INJURIES 7
‘Detecasin if the accident o injury requses emergency medical assianos if 0, eal Zoo Base,
24 ploy iy ones das aot equ entgenn teatment, onc the explosee's
supervisor mi he eis to have ao Bplayee Aviso! Report completed, then rept te
Anjos othe Cota’ works compensatieninaraos cari.
Inthe event tate vic’ inf o likes doe not ei emecgncytetnent report he
lncident oti Shop or deartmoct oud and cca chavo Vitor Achient Report
compet ther fc th nj report tha Conny ore asin cacen.
All sales ies mat be oposted. Tun al repre into Pectonel. No riot ito
Bligh or vit oor.
2FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION
DIVISION OF LAW ENFORCEMENT
ACCIDENT INFORMATION FORM
(For Fatal or Severe Injury Accident)
Please Fax To Appropriate Section within 24 Hours
(7 Boatwn acciDent
(850) 488 ~ 9264
Incidenti Summary #; FWSA-16-OF F-3495
Date of Incident: 4/45/2016
County: Palm Beach’
CJ HUNTING ACCIDENT
(650) 921 ~6453
(C7 ALLIGATOR INCIDENT
(650) 921 ~ 6263
a Agency: FC
Day of Wook: Friday Timo of Day (mil; 1355
Nearest City or Town: West Palm Beach
Location of the Incident: 1201 Summit Or State Waters Ti att shore
No. of Vesseljs) Involved: NA No, of Injured: Zero
No.of Fatalities: Ore No, of Missing; Zer0 :
Vessel Descripton(s):
Vessel# 1: Regi NA Length: NA Woke: NA
typeof Vessel, NA a Tee Ton Tier
Vessel# 2: Regi NA Length: NA. Make: NA
Type of Vessel, NA TF Ree I com Pico
‘Subject Information: (Use additional sheets if necessary)
VESSEL #1: Name ‘DOB City/State of Residence Fatal Missing Injured ~—_Uninjured
esr NANA ee
Occupant t: Hai Gc oR oP
Occupant 2: a ai -
‘Occupant 3: a Co rr
VESSEL #2: amo DOB — City/State of Resklence Fatal Missing Injured —Uninjured
ee NA NA (eieee lea G mr
Occupant [ i rc
Occupant 2: aaea| Gee
‘Occupant 3: G a ies
Notified Fatality investigator Byes = No ‘Arrival Tine (ri)
Investigator: Erk Howell Suponisor: Lt Jon Garzantt Phone Number: (XB) XX XXX
fees = [J NO Name: Alcita Kinman
Other Oficers on Scene: yes no Namo: Capt Jones, Lt Garzanit, West Paim Beach Of
Otar Agoncls onthe Soone: — K YES [| NO Name: West Palm Beach Police Depariment
Alcohol Related: Dives [No JR] UNKNOWN Arrest I No 7 PENDING
Nan
State Attorney Notified: [7 yes XINO Nextof kin Notified: [XI YES [~ NO 7
Accident Description: __(Briefly descrive what happened)
(On 41872018, a Palm Boach Zoo enpleyoo ontored the right House aea fhe tiger erdosure, At enproximately
by alter nat had access tthe me. The velim wae darted Stacey F. Kerwsor, DOB of 81911978,
1956, the employee was flay atackod
Fwcote osm)