Example from a local authority
Essex County Council has a template for the report of a concern for child protection. It includes space to record details such as:
- The date of both record and incident
- The name and role of the person making the referral
- Details of the concern, using a body map if appropriate (you can also download a body map template from the link above)
- Action taken and advice sought
- Whether a referral was made
Examples from schools
Voluntary controlled (VC) primary school
St Peter's Church of England Primary School (VC) in the city of Bristol has a safeguarding concern form which has space to indicate:
- Whether the person completing the form is a pupil, member of staff, or parent/carer
- Whether they witnessed or experienced an incident themselves, or was told about one
- Details about the concern
Secondary school
The contact details of the person reporting the concern The