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You have seen your friend and work colleague standing face to face with a student with his hands on the student's hips, when he saw

You have seen your friend and work colleague standing face to face with a student with his hands on the student's hips, when he saw you he quickly moved away. Record a video of you reporting this incident to the principal. Only record your side of the conversation.

Upload your video in the space provided.

To follow up the incident the principal has asked you to do a incident report detailing what you witnessed. Complete the form below and upload for assessment.

image text in transcribed
CHCEDS033_CHCPRTO01 - Incident Report Form.v1.1 (2) Q Search in Document Home Insert Draw Design Layout References Mailings Review View o+ Share 86 Calibri 14 A A Aa A BEEF. = 1 1 AaBbCcDdE AaBbCcDdEe AaBbCcDdEe AaBbCcDdE AaBbCcDdEe AaBbCcDdEe AaBbCcDc AaBbCcDdl Paste B I U . abe X2 X2 AL A . = = = =13 . . Body Copy R... Emphasis Heading 3 Heading 7 Normal No Spacing Heading 1 Heading 2 Styles Pane UNIT ASSESSMENT CHCEDSO33 Meet legal and ethical obligations in an education support environment CHCPRTOO1 Identify and respond to children and young people at risk Attachment 1 - Incident Report Form EMPLOYEE DETAILS Name of reporter: Position: Name of victim: Name of witness: INCIDENT DETAILS Date of Incident: Time: Place: First Aid/Medical Treatment provided: Nature and extent of incident Describe the events leading up to the incident and how the incident occurred (victim's statement). Witness Name Witness Statement How can a recurrence be prevented? Appropriate Government/Police Advised? Yes/No/NA Name of mandatory reporter actioning this form: Date : Page 1 of 1 83 words X English (Australia) Focus E + 96%

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