Date of completion: Name of worker: Name: AIS number: Safeguarding Threshold Checklist v6 Vulnerability of the Less More adult at risk vulnerable vulnerable The abusive act More Less Serious Serious Tick Tick Tick Seriousness of Abuse (refer to Low Significant Critical threshold tool - type of abuse) Patterns of abuse Recent abuse in Isolated an ongoing Repeated abuse incident relationship Impact of abuse on Some impact but Serious long- victims No impact not long-lasting lasting impact Impact on others No one else Others Others directly affected indirectly affected affected Intent of alleged Unintended/ ill- Deliberate/ perpetrator Opportunistic informed Targeted Illegality of actions Bad practice - Serious Criminal act not illegal criminal act Risk of repeated Unlikely abuse on victim Possible to recur Likely to recur to recur Risk of repeated Others not Possibly at risk Others at abuse on others at risk serious risk
Name: AIS number: Date of completion: Name of worker: Safeguarding Threshold Checklist v6 Vulnerability of the adult at risk Less vulnerable More vulnerable The abusive act Less Serious More Serious Tick Tick Tick Seriousness of Abuse (refer to threshold tool - type of abuse) Low Significant Critical Patterns of abuse Isolated incident Recent abuse in an ongoing relationship Repeated abuse Impact of abuse on victims No impact Some impact but not long-lasting Serious long- lasting impact Impact on others No one else affected Others indirectly affected Others directly affected Intent of alleged perpetrator Unintended/ ill- informed Opportunistic Deliberate/ Targeted Illegality of actions Bad practice - not illegal Criminal act Serious criminal act Risk of repeated abuse on victim Unlikely to recur Possible to recur Likely to recur Risk of repeated abuse on others Others not at risk Possibly at risk Others at serious risk
NTWC24-App5c-3-NorthTyneSGThreshCList-V04.2-Iss-1-Feb-18.docx