[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307085-105":53,"doc-detail-307085-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","significant-incident-form-template-child-welfare-and-protection-reporting-form","SIGNIFICANT INCIDENT FORM - Template - Child Welfare and Protection Reporting Form","","Significant Incident Form template for reporting concerns about a child’s welfare or protection. It instructs staff to complete the form as soon as possible and pass it to the Organisation/Child Protection Officer without delay. Part A records general welfare concerns, while Part B records possible child abuse, including child details, incident details, witnesses, injuries, actions taken, agencies contacted, whether parents/carers were informed, and the child’s views. It ends with signature, date, and printed name.",{"@graph":63,"@context":122},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/significant-incident-form-template-child-welfare-and-protection-reporting-form/307085/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/significant-incident-form-template-child-welfare-and-protection-reporting-form/307085.png","ImageObject",442,249,{"name":88,"@type":89},"Jordan Avery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114,118],{"name":105,"@type":106,"acceptedAnswer":107},"When should the Significant Incident Form be completed and submitted?","Question",{"text":108,"@type":109},"Complete the form as soon as possible after receiving information that causes concern about the child’s welfare or protection, and pass it to the Organisation/Child Protection Officer without delay.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which parts of the form should be completed for different types of concerns?",{"text":113,"@type":109},"Complete Part A if concerns relate to general welfare. Complete Parts A and B if concerns relate to possible child abuse.",{"name":115,"@type":106,"acceptedAnswer":116},"What information must be captured about the incident?",{"text":117,"@type":109},"Include date, time, location, nature of concern, and details covering who, what, where, when, and why.",{"name":119,"@type":106,"acceptedAnswer":120},"What details are required in Part B regarding communication and the child’s views?",{"text":121,"@type":109},"Record agencies contacted, whether parents/carers were informed (with reasons if not), and the child’s views on the situation, using the child’s own words where possible.","https://schema.org",{"og:url":78,"og:type":124,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":126,"canonical":78},"index,follow",{"doc_id":128,"site_id":56},307085,1791407842,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":88,"user_avatar":133,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":139,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":140,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":61,"update_tm":144,"read_time":9},1099523882367,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","SIGNIFICANT INCIDENT FORM-TEMPLATE  \nThis form must be completed as soon as possible after receiving information that causes concern about the welfare or protection of a child. The form must be passed to [Organisation name/Child Protection Officer] as soon as possible after completion; do not delay by attempting to obtain information to complete all sections.  \nComplete Part A of this form if the concerns relate to the general welfare of a child.  \nComplete Parts A and B if the concerns relate to possible child abuse.  \nPART A WHERE THERE ARE CONCERNS ABOUT GENERAL WELFARE OF A CHILD  \n1. Child’s Details  \nName:   \nDate of Birth:   \nAddress:   \nPostcode:   \nTel No:   \nPreferred Language:  Is an interpreter required? YES / NO Any Additional Needs?  2. Details of Person Recording Concerns Name:  Position/Role:  Address:   \nPostcode:   \nTel No:  3. Details of Incident giving rise to Concerns  \n(including date, time, location, nature of concern, who, what, where, when, why)  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n|  |\n\n4. Details of any witnesses  \n(including names, addresses and telephone contacts)  \n__________________________________________________________________________________  \n__________________________________________________________ ________________________  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n____________________________________________________________________ ______________  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n5. Details of injuries  \n(including all injuries sustained, location of injury and action taken)  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n____________________________________________________________________________ ______  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \nPART B WHERE THERE ARE CONCERNS ABOUT POSSIBLE CHILD ABUSE  \n6. Details of person about whom there is a concern  \nName:   \nRelationship to Child:   \nAddress:   \nPostcode:   \nTel No:  7. Details of concerns  \n(including date, time, location, nature of concern, who, what, where, when, why Continue on a separate sheet if necessary)  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n\n8. Details of any action taken  \n__________________________________________________________________________________  \n________________________________________________ __________________________________  \n__________________________________________________________________________________  \n____________________________________________________________________________ ______  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n9. Details of agencies contacted  \n(including date, time, name of person contacted and advice received)  \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n10. Have the child’s parents/carers been informed? YES/NO (delete as appropriate)  \nIf yes, record details / If no please state why  \nnot:   \n__________________________________________________________________________________  \n__________________________________________________________________________________  \n11. Child’s views on situation (if expressed) . Where possible, please use the child’s own words.  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n\nSigned:   Date:   \nPrint Name: ","cbCaibX9JASRxvI0","https://ap.wps.com/l/cbCaibX9JASRxvI0","pdf",212470,10,"English","# Significance and completion instructions\n# Part A: General welfare concerns\n## Child’s details\n## Person recording concerns\n## Incident details\n## Witnesses and injuries\n# Part B: Possible child abuse\n## Person of concern\n## Concerns details\n## Actions taken\n## Agencies contacted and parents/carers informed\n## Child’s views\n# Sign-off","[{\"question\":\"When should the Significant Incident Form be completed and submitted?\",\"answer\":\"Complete the form as soon as possible after receiving information that causes concern about the child’s welfare or protection, and pass it to the Organisation/Child Protection Officer without delay.\"},{\"question\":\"Which parts of the form should be completed for different types of concerns?\",\"answer\":\"Complete Part A if concerns relate to general welfare. Complete Parts A and B if concerns relate to possible child abuse.\"},{\"question\":\"What information must be captured about the incident?\",\"answer\":\"Include date, time, location, nature of concern, and details covering who, what, where, when, and why.\"},{\"question\":\"What details are required in Part B regarding communication and the child’s views?\",\"answer\":\"Record agencies contacted, whether parents/carers were informed (with reasons if not), and the child’s views on the situation, using the child’s own words where possible.\"}]","SIGNIFICANT INCIDENT FORM - Template - Child Welfare and Protection Reporting Form | PDF",1789843880]