Safeguarding Incident Report Form

Please record as much detail as possible within 24 hours of a disclosure.

All fields marked with an * are required:

Your name *

Your telephone *

Name of student *

Date and time of disclosure/concern *

Date

Time

Where was the disclosure made?: *

If a disclosure was not made, where does the concern come from:

eg: observation in family home etc.

Record in as much detail as possible what was said if a disclosure was made.

Please use the person's own words as much as possible.

If this is an observation that is of concern, please record as much information as possible as well as being specific about the concern:

Thank you for your report. You can refer to the company safeguarding flow chart to check the process and procedures followed by the DSL. You can add any further information/files here should you wish:

Click or drag files to this area to upload. You can upload up to 5 files.

Files Submitted

Comment

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Elite Tutors’ Guarantee

We take enormous care to ensure your child is matched with the right tutor but if you are not happy, then we will introduce you to a new tutor straight away.