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Appendix C – Safeguarding Incident Report Form

Safeguarding Incident Report Form

 

In the event of a disclosure, all WP&UP staff and volunteers should behave in the following way:

  • Stay calm;
  • Do not press for information by questioning the individual. Encourage the person to talk, listen and remember what they say;
  • Do not express disbelief, anger, embarrassment, shock or fear;
  • Reassure the individual and tell them you are glad they are speaking to you and that you know it is not their fault;
  • Never promise to keep a secret;
  • When appropriate write down what has happened on the safeguarding incident form and where possible, recount any conversations verbatim;
  • Inform your superior at the earliest opportunity and hand in this form to them.

PLEASE NOTE – THE DETAILS RECORDED IN THIS FORM WILL BE STORED IN A CONFIDENTIAL FILE. DETAILS INCLUDED IN THIS RECORDING SHEET WILL ONLY BE SHARED WHEN NECESSARY FOR THE PROTECTION ON THE INDIVIDUAL.

Date of recording:

Date of incident (if applicable) :

Name of staff / Student Reporting :

Project Name:

Location:

Nature of concern:

PLEASE PROVIDE AS MUCH DETAIL AS POSSIBLE.

Actions taken:
Outcome:

(to be completed by the Designated Safeguarding Officers)

Review of procedures

  • Review Safeguarding Policy.
  • Review Risk assessment (if appropriate).
  • Check DBS for each DSO.

Share any learning or improvements with the WP&UP Trustees.

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