Critical Incident Disclosure Form

Guidance notes for Part 1:
Following are some helpful pointers in completing the above form:

1. NAYC/ACUK Ltd is required to ensure that its duty of care towards its staff and guests is carried out in line with the principles enshrined within the Working together to safeguard children and young people, 2018 and the Care Act, 2014 as well as its Safeguarding Policy.
2. Essential principles of recording the information received/disclosed/observed:
   a. This form should be filled in as soon as possible after the incident or disclosure
   b. Remember: do not investigate or ask any leading questions
   c. be clear and factual in your recording of the incident or disclosure
   d. avoid giving your opinion or feelings on the matter
   e. aim to record using the 4 W’s and 1 H: When, where, what, why and how
   f. do not share this information with anyone else except your manager and safeguarding lead in the first instance and they will advise on who else will need to be informed, how and when.
   g. make use of the additional information section to add any other relevant information that you may be aware of. This can include any observations.
3. What constitutes a safeguarding concern? – any incident that has caused or likely to cause significant harm to a child can be classed as a safeguarding concern. Abuse is classified under four different categories (with regards to children) as already stated within the safeguarding policy (physical, sexual, emotional, neglect). With regards to adults there are 6 further categorisations.
4. Why is the view of the child/adult significant? It is important to give whatever detail is available of the child explanation (or verbatim) of the matter to help ascertain if it is plausible and to help offer a context to the concern identified.
5. Passing information to the Safeguarding Lead – your Safeguarding Lead holds ultimate responsibility in responding to any safeguarding concerns within the Organisation and therefore it is important they have oversight of the actions taken and will make relevant and appropriate contact with statutory agencies if required. They will remain the most appropriate link between the organisation and external agencies.

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• Please use the PDF, download it and send it to hr@acuk.net or use the online form to report an incident.