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Safeguarding Children
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Everybody is responsible for safeguarding children. This is regardless of your occupation, how frequently you work with children, or how often you interact...
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Accident/Incident Report Form
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Section 1: Information about person involved in the accident/incident
First Name
*
Last Name
*
Post Code
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Please indicate if
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Employee
Service User
Student
Member of Public
Other
Date of Incident
Time of Incident
Hours
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Section 2: Information about the location of the incident and treatment
Where did the incident take place?
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Public
Service User Home
Carers Home
Office
Other
Details of Injury
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If in public, please state area
Was the person treated in hospital?
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Yes
No
If yes, which hospital?
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Section 3: A description of the incident
Please provide details on the incident / accident
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What happened? How did it happen? What did you do?
Whom was the incident reported to?
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Did you contact family? Office? Police?
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Section 4: Report
Has the incident been reported to the Police and/or Council?
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Yes
No
Please Provide details
If no, why?
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Has the accident been classes as "reportable" as required by RIDDOR regulation?
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Yes
No
Has NOK been informed?
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Yes
No
Actions to be taken?
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Provide additional training
Conduct Supervsion
Conduct Spotcheck
Conduct Carer Performance Review
Disciplinary Procedure
Statement requested
None
Other
Additional Information
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Name of individual completing the form
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Date
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Most Recent Course
Child Protection
Children Services
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Safeguarding
Child protection is about protecting children from violence, exploitation, abuse and neglect and keeping them safe from harm. It is about promoting the...
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