Use this ‘post-it’ note form to provide a non-judgemental observation that could contribute towards a possible narrative. It’s a ‘flag’ but not necessarily a concern on its own. Whatever is posted will not be seen by anyone other than the Safeguarding Coordinators and will not be acted on in isolation.

An incident form can be used to record any concern, incident or disclosure relating to the safety or wellbeing of a child or adult at risk. This might include an injury, an allegation, inappropriate behaviour, a disclosure of abuse, or a concern about someone’s welfare. 

The form provides a clear, factual record of what happened, when and where it happened, who was involved, and what action was taken. It helps ensure concerns are reported to the Safeguarding Coordinators and followed up appropriately, supporting the protection of those involved and providing an accurate record if further action is needed. 

Please note: completing an incident form does not replace reporting a safeguarding concern directly to the Safeguarding Coordinators (please contact them in addition) or contacting the emergency services where necessary.