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ABOUT US
ABOUT ARDOCH
CHILD SAFETY
CAREERS
CONTACT
OUR STRATEGY
OUR HISTORY
ANNUAL REPORT & AUDITED FINANCIAL REPORTS
OUR PEOPLE
OUR PARTNERS
OUR WORK
CHILD SAFETY
OUR PROGRAMS
SCHOOL COSTS GUIDE
OUR IMPACT
OUR OUTCOMES FRAMEWORK
SCHOOL COSTS GUIDE
PROGRAM OUTCOMES
WHERE WE WORK
RESEARCH AND EVALUATION
OUR OUTCOMES FRAMEWORK
PROGRAM OUTCOMES
RESEARCH AND EVALUATION
WHERE WE WORK
GET INVOLVED
EVENTS
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BECOME A CORPORATE PARTNER
LEAVE A GIFT IN YOUR WILL
FUNDRAISE FOR ARDOCH
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DONATE
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Donate
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Close Search
Menu
Home
ABOUT US
ABOUT ARDOCH
CHILD SAFETY
CAREERS
CONTACT
OUR STRATEGY
OUR HISTORY
ANNUAL REPORT & AUDITED FINANCIAL REPORTS
OUR PEOPLE
OUR PARTNERS
OUR WORK
CHILD SAFETY
OUR PROGRAMS
SCHOOL COSTS GUIDE
OUR IMPACT
OUR OUTCOMES FRAMEWORK
SCHOOL COSTS GUIDE
PROGRAM OUTCOMES
WHERE WE WORK
RESEARCH AND EVALUATION
OUR OUTCOMES FRAMEWORK
PROGRAM OUTCOMES
RESEARCH AND EVALUATION
WHERE WE WORK
GET INVOLVED
EVENTS
VOLUNTEER
BECOME A CORPORATE PARTNER
LEAVE A GIFT IN YOUR WILL
FUNDRAISE FOR ARDOCH
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Child Safety Incident Report
If you believe a child is in immediate danger, call 000.
Thank you for taking the time to complete this child safety incident report. Ardoch takes seriously the safety of our people and the children that we work with. We are grateful that you are committed to helping us keep children safe and providing a safe and healthy environment for all children and young people. This form is available for you to report all types of child safety issues, as well as all forms of child abuse and neglect.
Please provide as much detail as possible, so that we can address any issues or incidents with accuracy and in a timely way. We assure you that we will follow up this report as quickly as possible. Depending on the incident reported and the incident location, there may also be legal reporting requirements to the Police or child protection. Ardoch staff can help you to complete this reporting. Thank you again for your partnership in keeping children and young people safe.
This form will be submitted to Ardoch's Child Safety Officer for action. If you need support with reporting or would like to speak to the Child Safety Officer you can email
[email protected]
or call (03) 9537 2414.
Details of person submitting report
Full Name
Position (if applicable)
Your Preferred Phone number
Your Email address
Are you a paid Ardoch Employee submitting this report?
Yes
No
Incident Details
Where did this incident occur?
On what date did the incident occur?
At approximately what time did the incident occur?
Example format required: 01:00AM or 01:00PM
Please describe what happened (the incident)
Details of the Child / Children Affected
Full Name of Child (if known)
Name of School child attends (if known)
Details of people who witnessed the incident
Witness Name
Witness position
Please select...
Ardoch staff member
Ardoch board member
Education Volunteer
Big Buddy
Workplace Volunteer (other) – ie: all workplace volunteers excl. Big Buddies
Educator ie: would cover all teachers in education partners
Program Support Volunteer
Donor
Other ie: would include anyone else, including members of the public
Witness Email address
Witness Phone Number
Files & Attachments
If you have any documentation (for example, photos, emails, letter, other) relevant to your incident report please upload it here
Incident Management
List any corrective action/s already taken
Who needs to be advised?
Child Protection
Police
School
Volunteer
Workplace Coordinator
Other
Names and contact details of people to be advised?
Any recommendations from the incident to improve overall child safety?
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