Reporting a Safeguarding Concern

CONFIDENTIAL

Reporting a Safeguarding Concern

Your name
Your position
Your contact details: Full email address and preferred phone number
Has the person being reported been informed that the Safeguarding Referrals Team will be contacted? (tick if yes) OU Student name and Personal Identifier, if known
How is the person known to the Open University?
Date and time disclosure initially disclosed
Date and time actioned (if different from above)
Does the student have a disability? If so, please provide details available
Is the student a carer? (tick if yes) Are you aware of any children involved? Please include ages, if known
Context in which disclosure/concern was raised i.e in email, in call, in a form
Record as accurately as you can the wording used regarding the disclosure/concern and any questions, you asked to clarify information received.
Was there mention of any support in place (e.g. GP, Social Services, Family Support Worker, Mental Health Team)?
Have the distressed and suicidal guidelines been followed, if applicable?
Please describe any initial action that you took
Name of Safeguarding Champion or other colleague consulted (if applicable)
Any other comments

Thank you for completing this form.
Please click the Submit button below.
A member of the Safeguarding Referrals Team may be in touch with you.
If you have any further information, email Safeguarding-Referrals@open.ac.uk

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