Open Recommendations

Ensure that all institutions conduct required mock suicide drills, and develop strategies to increase staff participation in those drills.

Ensure that all appropriate staff are trained in automated external defibrillator use and that automated external defibrillators are strategically placed, readily available, and regularly checked to ensure that they are in working order at each BOP institution.

Ensure that cut-down tools in working order are accessible to staff in each housing unit at each institution, that staff are trained on proper use of the tool, and that the BOP determines whether staff should be issued and required to keep their own cut-down tool on their duty belt during their entire shift.

Ensure that each institution has a sufficient number of maneuverable gurneys in strategic locations to provide proper medical response during inmate transport.

Issue standard, enterprise-wide guidance and training to staff on using the radio to communicate clear, descriptive information during inmate medical emergencies.

Ensure that staff receive both the initial and refresher naloxone training and are fully prepared to administer naloxone to an unresponsive inmate suspected of having experienced a drug overdose.

Ensure that all Evidence Recovery Teams are properly trained on post-incident evidence recovery protocols.

Develop procedures to ensure that all required death-related records are completed and collected consistently and in accordance with established deadlines.

Fully assess the operational condition of the chiller plant and establish a replacement plan as warranted.

Develop a plan to address and possibly replace the old and dirty air ducts. If duct replacement is not an option, develop a comprehensive cleaning schedule to address this concern.

Update or prepare schematics to reflect the current locations of all ventilation and air cleaning components.

Develop and implement a comprehensive renovation plan for the ventilation and air cleaning system at the GPO Central Complex in accordance with the pending building utilization plan.

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

Rec. B.1.a: The DoD OIG recommended that the Assistant Secretary of the Army (Acquisition, Logistics, and Technology) implement controls sufficient to ensure that contracting officials are following Federal and DoD requirements related to administration and management of cost-plus-award-fee contracts.

Rec. B.1.b: The DoD OIG recommended that the Assistant Secretary of the Navy (Research, Development, and Acquisition) implement controls sufficient to ensure that contracting officials are following Federal and DoD requirements related to administration and management of cost-plus-award-fee contracts.

Rec. C.1.a: The DoD OIG recommended that the Defense Pricing and Contracting Principal Director, in coordination with the Military Departments and Defense agencies, establish and implement a solution to accurately capture all relevant cost-plus-award-fee data.

Rec. C.1.b: The DoD OIG recommended that the Defense Pricing and Contracting Principal Director, in coordination with the Military Departments and Defense agencies, evaluate the effectiveness of the award fees paid.

4. We recommend that the Department's General Counsel direct the Chief of the Ethics Law and Programs Office to ensure ELPO leverages subject-matter expertise from USPTO to carry out reviews of CFDRs that comply with regulations and internal policies.

7. We recommend that the Department's General Counsel direct the Chief of the Ethics Law and Programs Office to ensure patent examiners receive clear and accurate guidance in response to CFDR filings and specific requests.

8. We recommend that the Department's General Counsel direct the Chief of the Ethics Law and Programs Office to develop and implement a written process to identify and track conflict-of-interest risks and ensure risk assessment results are used to inform ethics training and guidance given.