RECORDING PROFORMA
DO
· Keep calm and listen carefully to what the person is saying
· Take what the person is saying seriously and tell them that you believe them
· Reassure the person that they were right to tell and that the abuse was not their fault
· Be honest and let the person know what will happen next and that you will need to refer to your parish Safeguarding Co-ordinator to help stop the abuse
· Write down immediately, or as soon as possible, what the person has said. Have your signature witnessed and dated
DON’T
· Show shock or disbelief
· Make promises you cannot keep, such as promising that you will not tell anyone
· Push the person into giving details of the abuse; your role is to listen to what the person wants to tell you, not investigate
· Ask direct or leading questions – this could be harmful to the investigation
· Jump to conclusions or put words in the person’s mouth
· Discuss what the person has told you with others who are not directly involved with helping the person
· Alert the perpetrator
Hand this report directly to the Parish Safeguarding Co-ordinator (or incumbent/Priest-in-Charge, where appropriate). This report must be kept securely with your parish safeguarding records in perpetuity.
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NAME & CONTACT DETAILS OF PERSON COMPLETING THIS FORM
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PARISH
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NAME & CONTACT DETAILS OF PERSON SPOKEN TO / EMAILED
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DATE, TIME & PLACE OF CONVERSATION
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INFORMATION KNOWN ABOUT THE VICTIM – NAME, CONTACT DETAILS etc
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INFORMATION KNOWN ABOUT THE VICTIMS FAMILY – NAMES, CONTACT DETAILS etc
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INFORMATION KNOWN ABOUT THE ALLEGED PERPETRATOR – NAME, CONTACT DETAILS etc
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IF DIFFERENT FROM ALLEGED PERPETRATOR, INFORMATION ABOUT CHURCH OFFICERS INVOLVED – NAMES, CONTACT DETAILS etc
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DETAILS OF THE CONCERN OR ALLEGATION:
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WHO HAVE YOU SPOKEN TO ABOUT YOUR CONCERNS: |
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Child / young person you are worried about |
Yes / No If yes, DATE: |
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Parish Safeguarding Children Co-ordinator |
Yes / No If yes, DATE: |
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Incumbent / Priest-in-Charge |
Yes / No If yes, DATE: |
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Bishop’s Safeguarding Adviser |
Yes / No If yes, DATE: |
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Other |
Yes / No If yes, DATE: NAME:
POSITION:
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SIGNED
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PRINT NAME
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DATE |
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GIVE DETAILS OF ALL ACTIONS TAKEN IN CHRONOLOGICAL ORDER (what was said and done and by whom)
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