NOTES: The following form is provided as a template only and must be customised as required by the youth work organisation. Youth work organisations should ensure that the form captures all information required for their specific needs and make necessary amendments. The form is designed to capture information and does not detail subsequent or associated actions that may be required, such as reviews or investigations.  

Please note that the nature of the issue raised or being reported may necessitate differing follow-up protocols. For example a safeguarding concern may be reported differently to an illness or injury. 

A report form such as this should contribute to, and be an integral part of, a robust protocol for reporting, responding to & learning from incidents and concerns. 

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