The Diocese of Leeds
Pages


Safeguarding Office
C/o Hinsley Hall
62 Headingley Lane
LEEDS
LS6 2BX

Tel:
0113 2618046

safeguarding@dioceseofleeds.org.uk

 

Documents

 Forms for Safer Recruitment

All the forms below can now be found on the CSAS Webpage www.csas.uk.net/procedures-manual in the forms section

 DBS1

Volunteer Application

Volunteer roles involving children, young people or adults in the Catholic Church in England & Wales.

DBS2

Volunteer Reference

Standard Reference Request Form - Volunteers.

DBS3

ID Verification form

Standard ID verification form required in ALL cases where an individual requires a Disclosure.

DBS4

Safeguarding Self Declaration

Safeguarding Self Declaration (Confidential) to be used for all Disclosure applicants (new and existing alike).

Mandatory Forms which apply to all Children and Adult Activities.

CM 1

Safeguarding Children, Young People and Adults

 

 

This form collects data from an alleged victim or someone concerned that a Child or Adult may be at risk. After the preliminaries of name/address of alleged victim or person reporting an incident, there is a log for recording all actions and incidents. This initial recording will form the first entry in a file of information about the case which will be retained by the Safeguarding Coordinator for the Diocese or religious Congregation.

Children – Management of Allegations and Concerns
Adults – Management of Allegations and Concerns

CASE 1

Written Agreement for Volunteers

 

 

Employees and Volunteers sign this document to indicate that they have received and understood the volunteers job description and agree to adhere to the National Child Protection policies and procedures and the code of conduct for adults involved in contact with children and young people.

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales

CASE 2

Application for Approval of Events and Activities with Children and Young People (By Parish Priest or Leader of the Organisation)

 

The event leader is entirely responsible for the planning, supervision and conduct of the event, from Risk Assessment, to gaining appropriate approval in advance of the event.

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales

CASE 3

Risk Assessment Form

 

The event leader must:

  • Undertake a risk assessment prior to seeking approval (App B);
  • Ensure adequate insurance exists for the intended event/activity;
  • Ensure appointment of staff in accordance with recruitment procedures (App A);
  • Where appropriate, this should include the event venue’s own risk assessment;
  • First aid should form part of the risk assessment.

Please see your parish Health and Safety representative.

CASE 4

Parental Consent for an Activity/Event

 

The event leader must gain a consent form from the parent/guardian/carer of any persons under the age of 18yrs, prior to the event. Higher risk events (as identified in the risk assessment) will require a specific consent form (seek advice from insurance/company/provider). The form gains consent for activities and if necessary - photos/video to be taken, in addition to gaining contact details, medical requirements, transport agreements and a list of what the young person must bring, or not bring. It is also an agreement and acknowledgment of the co-responsibility of those with parental responsibility to ensure reasonable behaviour during the event. 

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales

CASE 5

Session Recording Sheet

 

This form captures information gathered by the event leader throughout the activity/event, to record:

  • Information on the participants - i.e. health needs;
  • Monitor and make arrangements for concluding the event - i.e. parents/guardians/carers collecting the participants;
  • Evaluate the event.

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales

CASE 6

Incident Report Form

 

This form is to be used by the event leader should an incident occur. An incident is defined as an undesirable consequence, be it physical impact or near miss.   

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales

CASE 9

Declaration of Child Protection Procedures

 

 

This form/declaration is to be signed by each person with a role in relation to children and young people to confirm that they have received/understood the procedures on how to deal with allegations or suspicious abuse and that they agree to comply with the church’s safeguarding procedures. 

National Policies for Creating a Safe Environment for Vulnerable People in the Catholic Church in England and Wales