situations where the adult may be placed at greater risk if the PiPoT is informed immediately) INCIDENT/CONCERNS DETAILS Brief description of concerns: Child / Adult with care and support needs / Other (please state) Was the victim a child or adult with care and support needs? Are there adult or Adult Safeguarding Procedures: Yes / No/not known children’s safeguarding Safeguarding Procedures: Yes / No/not known Children’s procedures currently For all give details in process or a history Person in Position of Trust: of ? Police Crime Reference Number (if applicable) Child (if applicable): DETAILS ALLEGED VICTIM’S No. of Alleged Victims 1st Adult / Child / Young Person / other individual ID Number if applicable: Full Name: DOB: Gender: Male / Female Current/Past LA Involvement: Child in need / child protection current or historical (if a child) and Adult / Relationship to the Alleged Parent’s names Child’s Person in Position of Trust: DOB: (if different) 2nd - Adult / Child / Young Person / other individual ID Number if applicable:
situations where the adult may be placed at greater risk if the PiPoT is informed immediately) INCIDENT/CONCERNS DETAILS Brief description of concerns: Was the victim a child or adult with care and support needs? Child / Adult with care and support needs / Other (please state) Are there adult or children’s safeguarding procedures currently in process or a history of ? Adult Safeguarding Procedures: Yes / No/not known Children’s Safeguarding Procedures: Yes / No/not known For all give details Police Crime Reference Number (if applicable) Person in Position of Trust: Child (if applicable): ALLEGED VICTIM’S DETAILS No. of Alleged Victims 1st Adult / Child / Young Person / other individual ID Number if applicable: Full Name: DOB: Gender: Male / Female Current/Past LA Involvement: Child in need / child protection current or historical (if a child) Parent’s names and DOB: (if different) Adult / Child’s Relationship to the Alleged Person in Position of Trust: 2nd - Adult / Child / Young Person / other individual ID Number if applicable:
pipot-protocol-final-version-february-2018.docx