MBIMB Safeguarding Concern Record Form (Printable PDF)

A professional, easy-to-use safeguarding concern record form designed to help organisations accurately document and respond to safeguarding disclosures.

This 5-page printable PDF provides a structured format for recording safeguarding concerns, disclosures, incidents, evidence, witness details, and actions taken. It ensures clear, factual documentation that supports safeguarding procedures and protects everyone involved.

Suitable for schools, nurseries, sports clubs, charities, community organisations, and youth settings.

Includes Sections For:

• Organisation details

• Details of the person affected

• Full disclosure or concern record (using factual wording)

• Witness information and evidence seen

• Alleged abuser details (if known)

• Date and time of incident

• Immediate actions taken (e.g. police, medical)

• Ongoing safeguarding response

• Signature and date confirmation

• Further information notes section

This structured form helps ensure safeguarding concerns are recorded clearly, consistently, and in line with best practice.

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