Suspicion of harm

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Suspicion of harm

Educators may suspect harm if:

  • a child says they have been harmed
  • someone else, for example another child, a parent, or an employee, says harm has occurred or is likely to occur
  • a child says they know someone who has been harmed (it is possible that they may be referring to themselves)
  • they are concerned at significant changes in the behaviour of a child, or the presence of new unexplained and suspicious injuries
  • they see the harm happening.

Child’s name      __________________________________________________________________

Why do you suspect harm? Try to use the exact words a child or someone else uses if relevant.
Provide as much detail as possible

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If relevant, what date did the person say something?  ________________What time?______AM/PM

Have you followed the procedure in the Child Protection Policy for making a report? Yes No
Nominated Supervisor advised? Yes No

Nominated Supervisor comments if any

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Report made to Police? Yes No

Only applies if child in immediate danger
 or criminal offence

If yes record date, time, reference and advice

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Report made to Child Protection? Yes No

If yes record date, time, reference and advice or attach acknowledgement from child protection.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Referred to Support Services with family’s consent?Yes No

If yes record date, time, reference and advice

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Report made to Regulatory Authority? Yes No

Any physical or sexual abuse that occurred at the
 service must be reported

If yes attach acknowledgement

Report made to other relevant organisations? Yes No

See Child Protection Policy

If yes record date, time, reference and advice

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Describe any other actions you have taken

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

___________________________ ___________________________ _____________/_____________
Staff Member Signature Staff Member Name
(Please print)
Date/Time
___________________________ ___________________________ _____________/_____________
Witness Signature (if any) Witness Name (if any)
(Please print)
Date/Time
___________________________ ___________________________ _____________/_____________
Nominated Supervisor Nominated Supervisor
(Please print)
Date/Time

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