ECB low level concerns/incident form OverviewA low level concern is something you have observed/been told about that you feel needs recording because: it may need to be shared with other volunteers/parents/professionals where action was taken to deal with the concern/incident, or no action was taken but the concern needs monitoring in case action needs to be taken. Check whether significant incident form is more appropriate to complete before proceeding.Name of child/young person /adult(Required) D.O.B. of child/young person(Required) MM slash DD slash YYYY Email(Required) Event Name Date and time of this report MM slash DD slash YYYY DETAILS OF CONCERN /INCIDENTTypeLow level safeguarding (low level behaviour, concern about general welfare)Low level H&S (minor accident, injury, feeling unwell etc)ComplaintLow level near miss that could have led to minor injury or harm to a person using the service/staff/volunteerOverviewWHAT ACTION HAVE YOU ALREADY TAKEN IN RELATION TO THE CONCERN/INCIDENT?Include details of first aid treatment if this was given, and by whom. If a near miss, state lessons learnt.WHAT FURTHER ACTION IS REQUIRED? (IF APPLICABLE)(WHO WILL ACTION / OBSERVE, MONITOR)FINAL UDPATE ON FURTHER ACTIONS (IF APPLICABLE)Include details of first aid treatment if this was given, and by whom. If a near miss, state lessons learnt.Product Name Quantity Price: $0.00 Quantity Location One Two Three OptionShrewsburyShifnalLudlowTotal Untitled First Choice Second Choice Third Choice OptionFirst OptionSecond OptionThird Option
