Priority Forms: All Parish Staff and Community Members
Form 3 – Child Concern Referral: Record of disclosure or immediate concern, details of alleged victim, perpetrator and circumstances. Civil authority and church notification details and actions taken.
Form 17 – Safeguarding Incident Report Form: Record of an incident or general concern. Church record only – no civil authority notification.
Safeguarding Administration: Parish Priests and Parish Safeguarding Officers
Form 1 – Parish Safeguarding Officer Role and Nomination Form: For the information and appointment of Parish Safeguarding Officers.
Form 2 – Declaration & Form 18 – Handbook Declaration: All Church workers (paid and unpaid) to complete.
Form 11 – Parish Self-Audit: Initial and scheduled auditing of parish Safeguarding implementation.
Policies and Procedures: All Parish Staff and Community Members
Form 4 – Safeguarding Children Policy & Procedures
Form 5 – Procedure for Responding to Concerns of Abuse
Form 6 – Code of Behaviour for All Workers
Form 7 – Developing Safe Practices
All remaining forms detail procedures for specific circumstances.
Form 8 – Including Disabled Children
Form 9 – Guidance on dealing with non-compliance with the Safeguarding Policy
Form 10 – Parental Consent Form
Form 12 – Code of Behaviour for Children taking part in Church Activities
Form 13 – Images of Children involved in Church Activities
Form 14 – Recruitment Procedures
Form 15 – Working with Children Compliance Guidelines
Form 15a – Cessation of Child-Related Work
Form 16 – Church Attendance Agreement
For any queries regarding the Diocese of Broome Safeguarding Program, please contact:
Diocesan Safeguarding Coordinator
T: 0408 018 682
A: 13 Barker St Broome / PO Box 76 Broome WA 6725