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Serving locally, connecting the county Safeguarding in Lincolnshire District Revised September 2017 Responding Well - Safeguarding Form CONFIDENTIAL This form should be completed as a record of any concerns and the action taken to respond to them Name of person(s) about whom there are concerns Form completed by Role Date/Time completed Useful contact details Church Minister Church Safeguarding Officer Circuit Epworth and Scunthorpe Circuit Safeguarding Officer Andrew Bamford 01427 728192 [email protected] Date Comment/Action 1. Begin by outlining details of those who might need help and family members.

Microsoft Word - Safeguarding Concern Form.doc · Web viewAndrew Bamford 01427 728192 [email protected] Date Comment/Action 1. Begin b y outlining detai ls of those who might

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Page 1: Microsoft Word - Safeguarding Concern Form.doc · Web viewAndrew Bamford 01427 728192 andrewbamford16@gmail.com Date Comment/Action 1. Begin b y outlining detai ls of those who might

Serving locally, connecting the county

Safeguarding in Lincolnshire DistrictRevised September 2017

Responding Well - Safeguarding Form

CONFIDENTIAL

This form should be completed as a record of any concerns and the action taken to respond to them Name of person(s) about whom there are concerns

Form completed by

Role

Date/Time completed Useful contact details

Church

Minister

Church Safeguarding Officer

Circuit Epworth and Scunthorpe

Circuit Safeguarding Officer

Andrew Bamford 01427 728192 [email protected]

Date Comment/Action 1. Begin by outlining details of those who might need help and family members.

2. What are the facts of the concerns?

Page 2: Microsoft Word - Safeguarding Concern Form.doc · Web viewAndrew Bamford 01427 728192 andrewbamford16@gmail.com Date Comment/Action 1. Begin b y outlining detai ls of those who might

3. What action has been taken already?

4. Has anyone been contacted for advice or help and what did they say/do?

A copy of this form should be sent to your Circuit Safeguarding Officer. If you are a Circuit Safeguarding Officer please forward a copy to the DSO. It should be filed in a central place in a secure and lockable place. Howard Smedley, District Safeguarding Officer Mobile: 07758 239286 Email: [email protected]