SAFEGUARDING QUARTERLY MONITORING FORM For guidance on completing this form please refer to the for completing ‘Guidance the Safeguarding Monitoring Form’ For the period from (date): To (date): SECTION A: BACKGROUND INFORMATION Name of Organisation Provider’s Safeguarding Lead name SECTION B: & SAFEGUARDING B1 Does your organisation have a management information system for staff Yes No records and DBS checks or does it have a Single Central Record of the staff assigned to the commissioned service(s) up to date as at the end of this monitoring period? If what actions are you taking to update this asap? ‘No’ B2 Have there been any new employees / volunteers / agency staff assigned Yes No to work on this commissioned service(s) that are awaiting a DBS check in this monitoring period? If please indicate details below ‘Yes’ Application date Work start date Area of work (e.g. admin/office duties, or with children, young people, parents etc.?) Add more rows if needed B3 Have you received any positive DBS disclosures of any staff assigned to Yes No work on this commissioned service(s) to report/manage in this monitoring period? See for managing positive criminal records ‘Guidance bureau disclosure’ for more information. If please indicate details below ‘Yes’ Disclosure date Reported to Report Has a risk Status/Date Nominated Rep date assessment been completed &/or LADO? undertaken?
SAFEGUARDING QUARTERLY MONITORING FORM For guidance on completing this form please refer to the ‘Guidance for completing the Safeguarding Monitoring Form’ For the period from (date): To (date): SECTION A: BACKGROUND INFORMATION Name of Organisation Provider’s Safeguarding Lead name SECTION B: & SAFEGUARDING B1 Does your organisation have a management information system for staff records and DBS checks or does it have a Single Central Record of the staff assigned to the commissioned service(s) up to date as at the end of this monitoring period? Yes No If ‘No’ what actions are you taking to update this asap? B2 Have there been any new employees / volunteers / agency staff assigned to work on this commissioned service(s) that are awaiting a DBS check in this monitoring period? Yes No If ‘Yes’ please indicate details below Application date Work start date Area of work (e.g. admin/office duties, or with children, young people, parents etc.?) Add more rows if needed B3 Have you received any positive DBS disclosures of any staff assigned to work on this commissioned service(s) to report/manage in this monitoring period? See ‘Guidance for managing positive criminal records bureau disclosure’ for more information. Yes No If ‘Yes’ please indicate details below Disclosure date Reported to Nominated Rep &/or LADO? Report date Has a risk assessment been undertaken? Status/Date completed
safeguarding_quarterly_monitoring_form.docx