If you have a Safeguarding concern along the Lancaster Canal, you should report it, using this form.

PLEASE NOTE: This form is only for non-urgent safeguarding concerns. We will try to respond within 24 hours.

If you, or someone else is in danger, call 999 IMMEDIATELY

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Reporter Name *

First

Last

The reporter is the person submitting this form.

Reporter Email *

Reporter Phone Number

Role of Person Raising Safeguarding Concern *

• Member of Lancaster Canal Boaters Association
• Volunteer or Officer of Lancaster Canal Boaters Association
• Canal boater or waterway user
• Member of the public
• Other

Name of Person at Risk (Adult or Child)

Is This Safeguarding Concern About a Child or an Adult at Risk? *

• Child (under 18)
• Adult at risk
• Both child and adult at risk
• Unsure

Details of Safeguarding Concern *

Include details of Date, time, location, What you saw or heard

When and Where Did the Safeguarding Incident or Concern Occur?

Give details on boat name and index number where applicable, and a what three words location if you can.

Who Is Involved in the Safeguarding Concern? *

Include details of those at risk or those who have already acted. If a member of the LCBA was involved, please mentioned this.

Has This Safeguarding Concern Been Reported to Anyone Else (e.g. Police, Social Services)?

Where possible include police crime reference numbers if applicable.

Risks Name and

Immediate Safeguarding Risks and Actions Taken So Far

Include details of any actions that you have already taken

Any Other Information Relevant to the Safeguarding Concern

Urgency of Safeguarding Concern in Line with Procedure *

• High concern – serious safeguarding issue but not an immediate emergency
• General safeguarding concern – information for follow up
• Unsure – need guidance in line with safeguarding procedure

PLEASE NOTE: This form is for Non-urgent concerns. If you or someone else is in danger, call 999 immediately

Submit Safeguarding Concern