Child Safety Incident or Allegation Report This form must be used to record details of a Child Safety Incident or Allegation. If you are a young person completing this form and need assistance, please speak with a trusted adult. If you believe a child/young person or yourself is in immediate danger or a life-threatening situation, call Triple Zero (000) If a child/young person has been harmed or you suspect them of being harmed, a report must be made via PoliceLink 131 444 or in person at your local Police Station Where appropriate, a report may need to be made to Child Safety Services. Any incident reportable to Police must be reported immediately or no later than two hours by calling Branch Support Office at 07 3870 7000 (plus option 9 after hours). For more information on reporting, please see our Child Safe Reporting Standard For definitions of child abuse or more information on Child Safe Scouting, you can view our policy document here For incidents that are not Child Safety related, please refer to the Scouts Queensland Incident Report Form What happens when I submit a report? When your report is submitted, you will receive an email acknowledgement containing a reference number. A Branch Support Office team member, such as the Complaints Officer, will reach out to you and offer support If the matter has been reported to the police, the alleged offender will be advised a report has been made and will be suspended. Further updates will come directly from the Police until their investigation has been completed. Once police involvement has concluded, or if police involvement is not warranted, the Chief Commissioner may initiate an internal investigation or make a determination based on the information held. Any adult that is found to have breached the Code of Ethics or Conduct for Adults in Scouting will have their role in Scouting reviewed. This may result in the member being counselled, required to undertake further training and may lead to their membership being suspended or terminated Where the alleged offender is also a youth member, their membership will be reviewed. As a result, the youth member may receive a warning or be temporarily excluded from activities. Their Unit may receive a recommendation to review their Unit Code of Conduct or arrange a visit from an external authority to educate the Unit. At most, their membership may be terminated For more information on what happens when a report is made, please see our Child Safe Scouting Procedure or contact email@example.comWhere can I find additional support? There lots of services available to help you out at any time of day or night. Different services focus on different issues, so it’s best to find the one most suited to your needs. The crisis services listed below are available 24/7. For more services, visit the Support services page. Kids Helpline - 1800 55 1800 Kids Helpline is Australia’s free, 24/7 phone and online counselling service for young people aged 5 to 25. Lifeline - 13 11 14 Lifeline provides all Australians experiencing a personal crisis with access to online, phone and face-to-face crisis support and suicide prevention services. Find out how these services can help you, a friend or loved one. 13 11 14 is a confidential telephone crisis support service available 24/7 from a landline, payphone or mobile. Anyone across Australia experiencing a personal crisis or thinking about suicide can contact Lifeline. Regardless of age, gender, ethnicity, religion or sexual orientation our trained volunteers are ready to listen, provide support and referrals. 1800 RESPECT - 1800 737 732 1800RESPECT is the National Sexual Assault Domestic Family Violence Counselling Service. It is a confidential online and telephone counselling, information and referral service available 24/7.Details of the young person directly impacted by the child safety incidentA separate Child Abuse Report Form must be completed for each young person directly impactedYoung Person's Name(Required) Membership numberIf known Any communication or medical requirementsEg; English as a second language or time sensitive medications.Incident detailsDate of incident(Required) DD slash MM slash YYYY Time of incident Hours : Minutes AM PM AM/PM Location of incident(Required)Please include the address if known and/or name of campsite/place Type of incident(Required) Suspicion or allegation of abuse or neglect of a young person Suspicion of potential harm or neglect of a young person Harmful or unwanted behaviour between young persons (where there is no clear perpetrator) An episode of severe challenging behaviour Breach of Duty of Care Breach of Child Safe Reporting Standard Details of incident(Required)Please describe the incident including alleged perpetrator/s behaviour, sighted injury or other indicators of abuse, conversations with the child etc, with as much detail as possible.Action undertakenPlease describe what action, if any, has been taken to ensure the safety and/ or address the support needs of those involvedDetails of other persons involvedAlleged offender's nameIf known What is their connection with young person? Any other relevant factorsWere there any other witnesses to the incident?(Required)NoYesWitness detailsWitness Name(Required) Involvement as Witness(Required) Contact(Required)If witness is not a member of Scouts Queensland, please provide a contact where possible Incident ResponsePlease provide details of who has been informed of this incidentHave the Police been notified?(Required)YesNoDate the Police were notified(Required) DD slash MM slash YYYY Police report number(Required) Why not reported?(Required)I don’t believe this matter is reportable to policeSomeone else has reported to policeI believe a report to police will put myself in dangerThe alleged offender is under 10 years oldOther (provide details below)Please provide details(Required) Any other relevant detailsIf known, name of person notified, department, contact details, any advice provided etcIf you believe a child is in immediate danger or a life-threatening situation call Triple Zero (000). Instructions about when to call vs Police???? If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm or being neglected, contact Child Safety Services Centres and talk to someone about your concerns: During normal business hours - contact the Regional Intake Service. After hours and on weekends - contact the Child Safety After Hours Service Centre on 1800 177 135. The service operates 24 hours a day, 7 days a week.Have Child Safety Services been notified?(Required)YesNoWhen were Child Safety Services notified?(Required) DD slash MM slash YYYY Any other relevant detailsIf known, name of person notified, report reference, contact details, any advice provided etcHave the parents/guardians been informed of the incident?(Required)YesNoHave the parents/guardians been notified of the report to external authorities?(Required)YesNoPlease provide details of conversations or reasons why parent hasn’t been informedInformation provided, reactions, concerns and admissionsAny others informedPlease list any other Scouting Members, external authorities, service providers or relevant peoplePlease include any other comments or relevant information not captured elsewhere on this formAttachmentsPlease attach any supporting documents Drop files here or Select files Max. file size: 10 MB, Max. files: 5. Details of the person making this reportName of person making this report(Required) First Last Member numberIf known Email(Required) I have completed this form to the best of my knowledge and abilitySignature(Required)EmailThis field is for validation purposes and should be left unchanged.