Safeguarding Reporting Form

Please read our Safeguarding Policy before completing this form, you can find it from our Policies page.

Safeguarding Reporting Form

Staff / Learner / Guest Details

First Name

Last Name

Client Type

Phone/Mobile

Details of parent / support worker / carer of above named:

First Name

Last Name

Who have you spoken to about your concerns?

Please specify the names, positions, dates and contact details of ALL the people involved.

Safeguarding Details

Nature of concern: (The Allegation / Behaviour / Risk that is causing concern):

Names of principle parties are essential.

Attach any photo, video or report (max 10 files and max file size 10mb)

Choose File

Reporting Staff

First Name

Last Name

Job Title

Date / Time of Report

Initial Staff Feedback

Internal Tracking (PLEASE SUBMIT WITHOUT COMPLETING THIS SECTION)

To be completed by the Designated Safeguarding Lead once submitted. Please submit without completing any of the following fields.

First Name

Last Name

Status

Reported to Funder or External

Dated description

Funded Courses

Creative & Digital

Others

Functional Skills

ICDL Exams

Funded Courses

Creative & Digital

Others

Functional Skills

ICDL Exams

Staff / Learner / Guest Details

Details of parent / support worker / carer of above named:

Who have you spoken to about your concerns?

Safeguarding Details

Reporting Staff

Internal Tracking (PLEASE SUBMIT WITHOUT COMPLETING THIS SECTION)

Intech Centre - City & Guilds Functional Skills exams / tests

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