Incident Reporting System


Please use this form to report incidents to the trust. Your Headteacher or other nominated person will also see this report. In an emergency or time critical situation always use the published Hamwic contact telephone numbers to reach somebody directly.

Select school where incident occurred, or associated school if reporting incident outside school.
Please select a school.

Please select the type of incident being reported. If a single incident involves multiple types select the first to occur.
Please select an incident type.

Date incident occurred (DD/MM/YYYY).
Please select the date.

Time incident occurred.
Hours (0-23) : Minutes (0-59) :
Please enter a time.
Please enter a time.

Please provide the name of the person reporting the incident.
Please enter your name.

Please provide the job title, role or department of the person reporting the incident.
Please enter your job title or role.

When dealing with drug discovery always ensure there is a second adult witness throughout the process. Seal the sample in a plastic bag & include details of the date & time of the seizure / find and witness present. Store in a secure location e.g.safe lockable cupboard. Notify the Police without delay who will collect and store / destroy it. You do not have to divulge the pupils details, but it is advisable to do so. Record full details of the incident including police reference number on the form below.

Please use this form to share any concern – no matter how small, and even if no more than causing a sense of unease or a ‘nagging doubt’ – that an adult may have acted in a way that:

  • is inconsistent with HET’s staff code of conduct, including inappropriate conduct outside of work; and
  • does not meet the harm threshold or is otherwise not serious enough to merit a referral to the LADO.

To understand the definition of harm and what a harms test is, please read this national guidance: Harms Test Guidance.

Please provide a concise record including brief context in which the low-level concern arose. Please ensure you are as precise and accurate as possible and where relevant, details are chronological.

Staff are also encouraged to use this form to self-refer.

Please select the type of drug incident being reported.
Please select a drug incident type.
Other - Please Specify
Please specify other

Please select the type of cyber incident being reported.
Please select a cyber incident type.
Other - Please Specify
Please specify other

Please select the type of low level incident being reported.
Please select a incident type.

Please indicate if your are refering an incident about yourself.
Please select yes or no.

Please select the whether a Pupil, Staff member or somebody else was involved in the incident. Please DO NOT include those whos only involvement was as a Witness or Victim, these can be specified elsewhere.
Please select a type.

Please specify the name or names of the pupils involved in the incident. Please DO NOT include those whos only involvement was as a Witness or Victim, these can be specified elsewhere.
Please enter at least one name.

Please select the year group of the pupil.
Please select a year group

Please specify the name of the person involved in incident. Please DO NOT include those whos only involvement was as a Witness or Victim, these can be specified elsewhere.
Please specify a name.

Please specify the email address of the person involved in the incident if you have it. Please DO NOT include those whos only involvement was as a Witness or Victim, these can be specified elsewhere.
Please specify an email.

Please specify the names and details of any witnesses
Please specify a witness and a type.

Did discrimination occur at any point during this incident.
Please select yes or no.

Select the type of discrimination in this incident.
Please select a type.

Did violence occur at any point during this incident.
Please select yes or no.

Select the type of violence that took place in this incident.
Please select a type.

Was physical intervention used in this incident.
Please select yes or no.

What was the reason that restraint was used in this incident.
Please select the reason.

Did an injury occur during or as a result of this incident?
Please select yes or no.

Select the role(s) of the person(s) that were injured



Please select roles

Please specify the subject of the incident. E.g. who was the target of discrimination, who was restrained, injured etc.
Please specify a subject and a type

Please provide the job title, role or department of the subject.
Please specify a job title or role.

Please describe the concerns you have about family drug use.
Please describe your concerns

Please specify the gender of the person subjected to discrimination.
Please select a gender

Please specify the ethnicity of the person subjected to discrimination.
Please select an ethnicity

What was happening in the environment including factors leading to the behaviours
Please specify

Do these relate to the BRP, how did the pupil response to these?
Please describe your actions

Where did the incident take place?
Please select a location.
Other - Please provide full details
Please specify other location

Is this location on the school premisis
Please select yes or no

Describe the incident in detail.
Please provide a description

Select the actions taken after the incident





Please select one or more actions.
Other - Please Specify
Please specify other

Describe the nature of the injury.
Please describe the injury

Did the injury occur during a permitted activity.
Please select yes or no.

Was first aid provided for the injury?
Please select yes or no.

Please specify the name of the person who provided first aid.
Please specify.

Please indicate if the injury required the person to go to hospital.
Please select yes or no.

Please specify who took the injured person to hospital?
Please select an option.

Please Indicate if the injured person had to stop work.
Please select yes or no.

Please indicate if the injured person was off work for 7 days or more as a result of the injury.
Please select yes or no.

Select the actions taken as a result of the injury.







Please select one or more actions.

Please fill out details of all the physical intervention used in this incident
Time Duration Name
Please fill out at least one row, any row you start must be completed and have a technique selected.

Was safety maintained throughout the physical intervention?
Please select yes or no.

Please provide details, did staff have to change technique? Did the staff have to release the pupil due to an unsafe position? Did anything go wrong?
Please provide details.

Please describe in detail. What was the justification for the use of force? What dangers were prevented by using force?
Please provide details.

Please specify who contacted the parents and how.
Please provide details.

Please specify who else was notified about the intervention.






Please select at least one option.
Other - Please Specify
Please specify other

Please specify if the safeguarding log has been updated.
Please select yes or no.

Please specify if the physical intervention has been discussed with the pupil.
Please select yes or no.

Please specify the name of the person who discussed with pupil.
Please specify.

Please specify if the BRP has been updated or created.
Please select yes or no.

Specify any other actions taken as a result of the incident. Including the use of consequences if appropriate
Please specify.

Please specify the type of safeguarding incident being reported.
Please specify a type of incident
Other - Please Specify
Please specify other

Please specify any actions taken (with dates) and by whom.
Action Date Who
Action Date Who
Action Date Who
Action Date Who
Action Date Who
Action Date Who
Please provide details.

Have you or anyone else from the school spoken with trust about this incident?
Please select yes or no.

Who was contacted at the trust? What was discussed?
Please provide details.

Are you aware of any outside agencies who are involved in this incident?
Please select yes or no.

Please provide details of the outside agencies?
Please provide details.

Has the Local Authority Designated Officer been contacted (if applicable).
Please select yes or no.

What is/was the outcome of the safeguarding incident.
Please specify the outcome.

Please specify if the safeguarding incident is ongoing.
Please select yes or no.

Has this incident been recorded on CPOMS or My Concern? (if applicable).
Please select yes, no or not applicable.

Have any items found been sealed following the instructions above? If No please do so now.
Please select yes or no.

Have you notified the police. Remember you do not have to divulge the pupil's details, but it is advisable to do so.
Please select yes or no.

Please explain why you have not notified the police.
Please specify the reason.

What is the police reference number?
Please specify the number

Give a detailed account of the circumstances around finding the items
Please provide details.

Have the items been disposed of in the correct manner & placed in a yellow drug bin?
Please select yes or no.

Please provide details of the actions taken in response to the incident.
Please provide details.

Please provide a summary of subsequent actions taken, including risk assessments
Please provide details.

Has the incident (other than via this form) been reported to Hamwic Managed Services?
Please select yes or no.

Please provide details of actions taken to rectify the situation, repair damage etc.
Please provide details.

Any other information about the incident. Please provide as much detail as possible.
Please provide details.

Please specify the account username or device name involved in the cyber incident.
Please provide details.

Have the school IT Team been informed about the incident?
Please select yes or no.

Is the cyber incident still ongoing? Is the device or account still compromised? Are more devices or users becoming affected?
Please select yes or no.

The 72 hours includes weekends and bank holidays.
Please select yes or no.

Please indicate if an actual data breach took place.
Please select yes or no.

Please indicate if this data breach meets the requirements for notifying the ICO.
Please select yes or no.

Please specify the date the ICO was notified of the breach.
Please select a date.

Please explain why the ICO does not need to be notified of this breach. What makes it Not Notifiable.
Please supply a reason.

Please explain how you found out about the data breach. If you did not discover the breach yourself please describe how the person that did found out and how
Please describe how you found out,

Please describe the nature of the data breach. Which rules/procedures were breached and how did it happen? If you are not sure of the rules, just explain which internal procedure was not followed or ask the DPO for assistance.
Please provide details.

Please describe the personal data that was revealed or potentially revealed in the breach. DO NOT provide any of the actual data.
Please describe the personal data,

Please select the categories of people whos data is involved or potentially involved in the breach.




Please select at least one category.
Other - Please Specify
Please specify other

Please select the approximate number of data subjects affected or potentially affected.
Please select a range.

Is there likely to be any harm or detriment to individuals as a result of the breach?
Please select yes or no.

Is there likely to be any detriment to individuals? If yes, please provide details.
Please provide details.

Could the data breach result in a high risk to those whose information has been, or has potentially has been exposed?
Please select yes or no.

Please provide details.
Please provide details.

Have you informed the data subjects of the breach?
Please select yes or no.

Please specify the date that data subjects were notified about the breach.
Please select a date.

Please specify the time that data subjects were notified about the breach. If this was done over a period of time please specify the time the last person was notified.
Hours (0-23) : Minutes (0-59) :
Please select a time.
Please select a time.

Please explain your rationale for not making the data subject(s) aware of this breach
Please supply a reason.

Please describe the actions taken in response to the incident to reduce its impact?
Please describe the actions.

Describe any follow up action that has been or will be taken to prevent similar future breaches
Please describe the actions.

Please specify the date the training took place.
Please select a date.

Please indicate if the Headteacher or a member of SLT has been informed about the incident.
Please select yes or no.