(How did the restraint come to an end, and what help and support did you offer to the child?) signature: Date: Interviewer signature: Date: Part 1 B (A member of staff not involved in the restraint must fill this in.) Injuries Was the child injured? Yes No If what were the ‘Yes’, injuries? Was a member of staff injured? Yes No If what were the ‘Yes’, injuries? Did someone get medical help? Yes No Was first aid given? Yes No Was an accident form filled in? Yes No
(How did the restraint come to an end, and what help and support did you offer to the child?) signature: Date: Interviewer signature: Date: Part 1 B (A member of staff not involved in the restraint must fill this in.) Injuries Was the child injured? Yes No If ‘Yes’, what were the injuries? Was a member of staff injured? Yes No If ‘Yes’, what were the injuries? Did someone get medical help? Yes No Was first aid given? Yes No Was an accident form filled in? Yes No