Actions taken by a member of SLT concerning welfare and well-being of a child on receipt of a Part 2 Part 3 Use this pro-forma to record actions completed and decisions made on the receipt of a Part 1 & 2 concern form. Name: Class or tutor group: Pupil’s Class teacher or name: tutor’s Date & time received from person Date & time of concern: completing part 2: Your name: Your signature: Additional outcomes shared with: Name Role Date Action taken by senior designated lead Filed MASH referral Dated:
Actions taken by a member of SLT concerning welfare and well-being of a child on receipt of a Part 2 Part 3 Use this pro-forma to record actions completed and decisions made on the receipt of a Part 1 & 2 concern form. Pupil’s Name: Class or tutor group: Class teacher or tutor’s name: Date & time of concern: Date & time received from person completing part 2: Your name: Your signature: Additional outcomes shared with: Name Role Date Action taken by senior designated lead Dated: Filed MASH referral
web_Child_Protection__Safeguarding_2016_September_V6_November_Review_2017_%282%29.docx