|
|
Name
of child |
|
|
Age
of child and date of birth |
|
|
Home
address and telephone number |
|
|
Is
the person making the report expressing their own concerns
or those of someone else? |
|
|
What
is the nature of the allegation? Include dates, times,
any special factors and other relevant information. |
|
|
Make
a clear distinction between what is fact, opinion or
hearsay. |
|
A
description of any visible bruising or other injuries. |
|
Witnesses
to the incidents |
|
The
child's account, if it can be given, of what has happened
and how any bruising or injuries occurred |
|
Have
the parents been contacted? |
|
If
so, what has been said? |
|
Has
anyone else been consulted? If so record details. |
|
If
it is not the child making the report has the child concerned
been spoken to? What was said? |
|
Has
anyone been alleged to be the abuser? Record details. |