Empowering Learners, Building Bright Futures

Super Scientists/Esgate Education is committed to building a ‘culture of safety’ in which the children in our care are protected from abuse, harm and radicalisation.

The Club/provision will respond promptly and appropriately to all incidents or concerns regarding the safety of a child that may occur. The Club’s/provision’s child protection procedures comply with all relevant legislation and with guidance issued by Leicestershire, Northamptonshire and Rutland Education authority.

The club lead/tutor will pass any Child Protection concerns to the Schools/County Child Protection Officer (CPO) and or DSL. The School/County CPO/DSL will liaise with external agencies (eg Social Care and Ofsted).

ALL STAFF and volunteers are Enhanced DBS checked and are on the up-date service. This is renewed every 3 years.

Dismissal of students after science club/provision

Super Scientists/Esgate Education will work with the schools/taxis to get school support on dismissal where possible.

Students are asked to line up in the classroom where science club has taken place and one staff member to be at the front of the line and one behind, where possible. Students who are signed up to an onsite after school club are asked to be at the front of the line.

Students who are signed up to an on-site after school club are escorted there first.

The rest of the students are then escorted to the dismissal point and each child is in turn dismissed to their appropriate adult and ticked off as they escalate the queue on the register. Any students whose appropriate adult is not there is expected to wait with us or a staff member until they arrive.

If parents are more than 5 minutes late the students may be placed into the schools on-site after school club until they arrive and arrangements for a late collection fee may be incurred, if the school requires it. Or our staff will ring the contact numbers on the register.

Dismissal of students from on-site tutoring

Students are escorted to the roadside where they are checked to be in the car with their parents or taxi provided by County.

Parents who are late must notify us as soon as possible and if other children are booked in then they are asked to wait under the canopy in the back garden for safety purposes.

Repeat lateness may involve a late collection fee.

Child abuse and neglect

Child abuse is any form of physical, emotional or sexual mistreatment or lack of care that leads to injury or harm. An individual may abuse or neglect a child directly, or by failing to protect them from harm. Some forms of child abuse and neglect are listed below.

1). Emotional abuse is the persistent emotional maltreatment of a child so as to cause severe and persistent adverse effects on the child’s emotional development. It may involve making the child feel that they are worthless, unloved, or inadequate. Some level of emotional abuse is involved in all types of maltreatment of a child, though it may occur alone.

2). Physical abuse can involve hitting, shaking, throwing, poisoning, burning, drowning, suffocating or otherwise causing physical harm to a child. Physical harm may be also caused when a parent or carer feigns the symptoms of, or deliberately causes, ill health to a child.

3). Sexual abuse involves forcing or enticing a child to take part in sexual activities, whether or not the child is aware of what is happening. This can involve physical contact, or non-contact activities such as showing children sexual activities or encouraging them to behave in sexually inappropriate ways.

4). Neglect is the persistent failure to meet a child’s basic physical and emotional needs. It can involve a failure to provide adequate food, clothing, and shelter, to protect a child from physical and emotional harm, to ensure adequate supervision or to allow access to medical treatment.

Signs of child abuse and neglect

Signs of possible abuse and neglect may include:

5). Significant changes in a child's behaviour

6). Deterioration in a child’s general well-being

7). Unexplained bruising or marks

8). Comments made by a child which give cause for concern.

9). Reasons to suspect neglect or abuse outside the setting, eg in the child’s home, or that a girl may have been subjected to (or is at risk of) female genital mutilation (FGM), or that the child may have witnessed domestic abuse

10). Inappropriate behaviour displayed by a member of staff, or any other person. For example, inappropriate sexual comments, excessive one-to-one attention beyond the requirements of their role, or inappropriate sharing of images.

If abuse is suspected or disclosed

When a child makes a disclosure to a member of staff, that member of staff will:

11). Reassure the child that they were not to blame and were right to speak out.

12). Listen to the child but not question them.

13). Give reassurance that the staff member will take action.

14). Record the incident as soon as possible (see Logging an incident below).

CSE, (Child Sexual Exploitation) and CCE, (Child Criminal Exploitation).

CSE is a form of child sexual abuse where children are manipulated or given gifts/affection in exchange for sexual activities.

CCE & County Lines is a power imbalance where adults or older peers coerce children into criminal activity. County Lines is a form of CCE where gangs use children to traffic drugs across regions using dedicated phone lines.

Core Principle: Exploited children are victims of abuse, not simply willing participants in crime.

Key Warning Signs and Indicators

Behavioural Changes: Unexplained gifts, new expensive items, multiple mobile phones, or carrying a bag/rucksack they refuse to put down.

Attendance Issues: Going missing from home or education, frequent travel to unfamiliar areas, or uncharacteristic truancy.

Physical and Emotional Signs: Unexplained injuries, signs of physical assault, sudden emotional withdrawal, or expressions of fear and anxiety.

Action and Reporting Procedures

Internal Reporting: Require staff to report any suspicion immediately to the Designated Safeguarding Lead (DSL).

External Referrals: Below are contacts for the local authority Children’s Social Care or the Multi-Agency Safeguarding Hub (MASH).

Emergency Response: Emphasise that if a child is in immediate danger of physical harm, staff must dial 999 to contact the police straight away.

Super Scientists/Esgate Education has Zero tolerance for sexism, misogyny/misandry, homophobia, biphobia, transphobia, racism, lesbianism, gay, bi, or trans (LGBT) or gender abuse.

Preventative Education

Relationship education, sex education, and anti bullying will be delivered if requested by case workers in an inclusive and supportive manner so as not to upset, belittle or undermine others' views and opinions. The delivery and procedures for this are covered in our Online Safety Policy under Education and Engagement Approaches. Teaching how to keep safe online and specific online safety with mobile phones and smart technology will be delivered if requested by key workers and follow our computing, IT and E Safety Policy as well as our Online Safety Policy. Staff and students are also directed to our mobile phone policy.

Handling Court Orders & Custody Disputes (Such as Child Arrangements Orders, Prohibited Steps Orders, or Specific Issue Orders).

As an provision we require document Verification: This requires parents or guardians to provide original, certified, or stamped copies of court orders. These will be securely stored under GDPR guidelines.

Collection Protocols: As a provision we require a list of who is legally permitted to collect a child. If a non-custodial parent attempts unauthorised collection (e.g., immediate escalation to the Designated Safeguarding Lead (DSL) is required and, if necessary, emergency services).

Communication Rules: Staff must remain neutral and only share information regarding the child's welfare equally with both parents, unless a court order explicitly restricts one parent’s access.

Medical Communications

Clear Consent Rules: Staff must get written permission before sharing any medical details outside the provision.

Secure Communication Channels: Any electronic files require official, encrypted work emails or secure messaging apps instead of personal phones or social media.

Emergency Protocol: If a medical emergency happens, call 999 first then notify a level 3 paediatric first aid trained member of staff to give appropriate first aid. Then notify the DSL, who will notify parents.

Record Keeping: All medical notes must be kept in a locked file or secure digital database with restricted access.

Data Privacy Limits: Health data can only be shared without consent if a person is in immediate danger of serious harm.

Hidden Harm (Such as homelessness and parents in prison or on remand). Children who are carers, looked after children and children in care.

Children and adults affected by parental imprisonment, homelessness, children who are carers, looked after children and children in care face severe trauma, poverty, stigma, and an increased risk of abuse or neglect.

All staff are trained to spot behavioural changes, poor attendance, unaddressed housing needs, or sudden family breakdown as red flags.

Staff must ensure a non-judgmental, supportive environment that counters the shame and stigma associated with both issues and report all or any signs of abuse/neglect to a DSL.

Staff Procedures and Actions

Record openly: Staff are to document disclosures or changes in living/family arrangements accurately in line with standard reporting.

Staff to have immediate consultation with the Designated Safeguarding Lead (DSL).

Maintain privacy: Respect confidentiality while balancing the immediate safety and welfare needs of the individual.

Multi-Agency Referrals and Signposting

Local housing pathways: Link adult or family homelessness directly to local authority housing options and specialised support guidelines like those from Homeless Link.

Prison support networks: Connect families with external expert groups such as the Prison Advice and Care Trust (Pact) or consult the National Information Centre on Children of Offenders (NICCO) for guidance.

Elective Home Education/Children absent from Education

Safeguarding children who slip out of regular school supervision is a multi-agency duty, not just a council matter. 

Vulnerability Assessment: Staff must try to recognise that sudden decisions to home-educate or unexplained absences can sometimes mask underlying abuse, neglect, or coercion.

Elective Home Education (EHE) Protocols

Constructive Response & Signposting: If a parent approaches the provision to discuss home education, staff should engage constructively and signpost the parent to the Local Authority Elective Home Education Team for impartial advice before a final decision is made or the Council/key worker.

Written Notification & Roll Removal: The Council requires written notice from parents to delete a pupil from the admissions register under Regulation 13 (Ground F), and then notify our provision at the earliest opportunity.

Multidisciplinary Checkpoints: Staff can recommend an exit meeting involving the Designated Safeguarding Lead (DSL) and local partners for vulnerable pupils (e.g., those with a social worker or SEND support) before they transition. The parent has the right to decline this offer.

Children Missing Education (CME) Protocols

A CME is any child of compulsory school age who is not registered at a school and not receiving a suitable education elsewhere. This is unlikely to be an issue for Esgate Education as all students are referred by the Council. However, staff are to be mindful that reasonable steps may need to be taken to account for these children who are vulnerable to abuse and neglect.

Joint Reasonable Inquiries: Staff must report to the Council via DC Pro if a child is persistently absent or leaves without a clear destination, including joint "reasonable inquiries" conducted alongside the local authority (such as checking multi-agency databases, phone tracing, or localised checks).

Immediate Escalation: If a missing child has an active child protection plan, is looked after, or faces an immediate risk of harm then the Police must be contacted immediately.

Emergency Response (Missing or Abducted Child)

Search the immediate area, rooms, and outdoor spaces safely and quickly.

Notify the setting manager or Designated Safeguarding Lead (DSL) right away.

Call the police immediately on 999 if a child is missing or suspected taken.

Lock down the building or site to prevent anyone from leaving until authorities arrive.

Provide the police with a full description, clothing details, and the exact time the child was last seen.

Community Safety and Terrorism Threats.

Please see Prevent Policy and Guidance on preparation for terrorism & major incidents/Lockdown Procedure.

Modern Slavery, Asylum Seekers and Refugees

Super Scientists/Esgate Education protects people regardless of immigration status, nationality, or language ability.

According to the Modern Slavery Act 2015, slavery includes human trafficking, forced labour, servitude, and debt bondage.

Asylum seekers and refugees face heightened risks due to past trauma, language barriers, poverty, and insecure legal status.

Recognising Signs and Indicators

Students with a lack of personal identification documents, signs of malnourishment, uncharacteristic fear, physical injuries, or third parties controlling finances and communication.

Note indicators of extreme distress, fear of statutory authorities due to experiences in home countries, isolation, and risks of illegal exploitation or homelessness.

Procedures and Reporting Pathways

Trauma-informed response: Staff are trained to listen calmly, avoid leading questions, and never promise total confidentiality if safety is at risk.

National Referral Mechanism (NRM): Suspected modern slavery should be reported to the DSL who will report their concerns via the UK Government Modern Slavery Portal or local authority first-responder channels.

Multi-agency cooperation: Staff will liaise with local emergency contacts, follow police procedures, and support specialist organisations like the Refugee Council.

All Staff/Students are entitled to Basic Human Rights according to The Human Rights Act 1998: 

Super Scientists/Esgate Education is committed to upholding the Human Rights Act 1998 in all safeguarding procedures. Such as:

Article 3: Freedom from torture, inhuman, or degrading treatment (the core basis for preventing abuse).

Article 4: Freedom from slavery and forced labour.

Article 5: Right to liberty and security.

Article 8: Right to respect for private and family life (balancing confidentiality with vital safety interventions).

Article 14: Prohibition of discrimination (ensuring asylum seekers and refugees receive equal protection).

Abuse/Bullying of SEND students or students with neurodiversity. Super Scientists/Esgate Education does not condone any form of bullying and abuse. Specific bullying of a student or staff member due to Special Educational needs/neurodiversity or English as a second Language (ESL) will be dealt with according to the safeguarding policy. For specific procedures please see our SEND Policy.

Contextual SG and Extra-Familial Harm.

Super Scientists/Esgate Education recognises harm can occur in social and physical environments outside the family, including schools, neighbourhoods, peer groups, and online spaces. 

Extra-Familial Harm: Encompasses risks, such as Child Sexual Exploitation (CSE) and Child Criminal Exploitation (CCE), county lines, serious youth violence, peer-on-peer abuse, modern slavery, and online grooming.

Adolescent safety is heavily influenced by peer networks and public spaces where parents and carers have limited direct control or influence.

Identification & Indicators

Behavioural Red Flags: Sudden changes in friendship groups, unexplained gifts, expensive items, missing episodes, or appearing under the control of another peer or older individual.

Environmental Tracking: Staff may find it necessary to record not just what an individual child is doing, but where incidents occur (e.g., specific local parks, digital apps, transit hubs) to help map community risks.

Family Impact Recognition: External exploitation often fractures family dynamics; it is important to look at how community pressures undermine parental safeguarding capacity.

Response, Referral & Safety Planning

Wider Referral Pathways: Staff should report community-level or peer-group concerns to the Designated Safeguarding Lead (DSL), local Multi-Agency Safeguarding Hubs (MASH), or local exploitation screening panels.

Contextual Interventions: Responses will look beyond individual behaviour, changes to include safety planning for specific locations, contributing to community risk reduction, and building a list of safe contacts in conjunction with any outside agencies.

Multi-Agency Collaboration: Super Scientists/Esgate Education is committed to working with external partners—such as local authorities, youth services, and community policing—to address the social conditions of the harm.

Underage or Young Pregnant Children (Under 18)

Mandatory Lead Notification: Any pregnancy in a child under 16 must trigger an immediate mandatory discussion with the DSL, designated safeguarding lead.

Statutory Age of Consent: Sexual activity involving anyone under 16 requires an immediate child protection referral due to the presumptive risk of abuse or exploitation.

Welfare Assessment: The DSL must refer the young person so a professional can evaluate the young person's safety, mental health, and capacity to cope with the pregnancy and future parenting.

Pregnant Parents and Unborn Babies

Pre-Birth Referrals: Staff must establish a clear pathway to initiate a multi-agency referral or Early Help assessment to Children’s Social Care if an unborn baby is suspected to be at risk.

Concealed Pregnancies: If staff suspect a concealed pregnancy, they must report it immediately to the DSL, who will refer to social services or Local Education Authority for escalation for safeguarding of the child.

Information Sharing: Super Scientists/Esgate Education will support local authority children's services and health trusts, while respecting data protection laws.

Code of Practice/Expectations

Super Scientists/Esgate Education has a core code of practice that encompasses:

Commitment to Quality: We deliver tailored, high-standard academic support that empowers learners.

Equal Opportunity: We maintain an inclusive environment free from discrimination based on race, gender, religion, or ability.

Scope: This applies to all tutors, staff, students, and representatives associated with super Scientists/Esgate Education.

Standards of Teaching and Learning

Professional Competence: Tutors hold verified subject expertise and clear academic credentials relevant to the subjects they teach.

Personalised Approach: Lessons are adapted to match the individual learning pace, style, and goals of each student.

Progress Tracking: Clear records of student development and regular feedback is provided to learners, their families, and Local Education Authorities.

Safeguarding and Welfare

Duty of Care: All staff ensure a safe, supportive, and secure physical and digital learning environment.

Safe Recruitment: All staff and tutors undergo necessary background checks and vetting procedures.

Professional Boundaries: Staff always maintain appropriate, transparent communication between tutors and students at all times.

Academic Integrity and Conduct

Honesty and Fairness: All staff uphold strict academic integrity by encouraging genuine independent work and critical thinking.

Respectful Communication: All staff foster mutual respect, courtesy, and constructive dialogue in all educational interactions.

Data Privacy: We protect student data and personal information in line with standard privacy and ICO regulations.

If a member of staff witnesses or suspects abuse, they will record the matter straightaway with the schools CPO/DSL and if necessary, logging on ‘my concern’. If a third party expresses concern that a child is being abused, we will encourage them to contact Social Care directly. If they do not do so, we will explain that the Club/provision is obliged to, and the incident will be logged accordingly. This may require a multi agency form such as the one for Rutland on the following link: Please check which County multi agency form to be filled in before you go ahead.

https://www.rutland.gov.uk/sites/default/files/2022-11/Multi-Agency%20Referral%20Form.docx

Peer-on-peer abuse

Children are vulnerable to abuse by their peers. Peer-on-peer abuse is taken seriously by staff and will be subject to the same child protection procedures as other forms of abuse. Staff are aware of the potential uses of information technology for bullying and abusive behaviour between young people.

Staff will not dismiss abusive behaviour as normal between young people. The presence of one or more of the following in relationships between children should always trigger concern about the possibility of peer-on-peer abuse:

1). Sexual activity (in primary school-aged children) of any kind, including sexting.

2). One of the children is significantly more dominant than the other (eg much older)

3). One of the children is significantly more vulnerable than the other (eg in terms of disability, confidence, physical strength)

4). There has been some use of threats, bribes or coercion to ensure compliance or secrecy. If peer-on-peer abuse is suspected or disclosed

We will follow the same procedures as set out above for responding to child abuse.

Extremism and radicalisation

All childcare settings have a legal duty to protect children from the risk of radicalisation and being drawn into extremism. There are many reasons why a child might be vulnerable to radicalisation, eg:

1). Feeling alienated or alone

2). Seeking a sense of identity or individuality

3). Suffering from mental health issues such as depression

4). Desire for adventure or wanting to be part of a larger cause.

5). Associating with others who hold extremist beliefs.

Signs of radicalisation

Signs that a child might be at risk of radicalisation include:

1). Changes in behaviour, for example becoming withdrawn or aggressive.

2). Claiming that terrorist attacks and violence are justified.

3). Viewing violent extremist material online

4). Possessing or sharing violent extremist material

If a member of staff suspects that a child is at risk of becoming radicalised, they will record any relevant information or observations on a Logging a concern form and refer the matter to the CPO.

Low-Level Concerns

Meaning: Any behaviour by an adult or child that does not meet the harm threshold, but is still worrying, awkward, or breaks our staff code of conduct or behaviour policy.

Examples: Being overly friendly with a person, using bad language, or acting in a way that feels unsafe or unprofessional.

The Reporting Process

Who to tell: State clearly that staff must report the issue to the Designated Safeguarding Lead (DSL) or the head of the group.

How to report: Allow verbal reports but require a written follow-up using a standard form.

Anonymity: Explain how you will handle names of people who report, protecting their identity if they ask, as far as it is safe to do so.

Recording and Checking

What to write down: Include the exact details of the event, the setting or context, and what actions were taken next.

Safe storage: Keep all notes in a locked or secure digital folder that follows data rules like GDPR.

Looking for patterns: Review the notes regularly to see if the same person has small issues happening more than once, which might mean a bigger problem

Logging a concern

All information about the suspected abuse or disclosure, or concern about radicalisation, will be recorded on the Logging a ‘my concern’ form as soon as possible after the event. The record should include:

Date of the disclosure, or the incident, or the observation causing concern, date and time at which the record was made, name and date of birth of the child involved, a factual report of what happened. If recording a disclosure, you must use the child’s own words, name, signature and job title of the person making the record.

The record will be given to the School/County CPO/DSL who will decide on the appropriate course of action.

For concerns about child abuse, the CPO/DSL will contact Social Care. The CPO/DSL will follow up all referrals to Social Care in writing within 48 hours. If a member of staff thinks that the incident has not been dealt with properly, they may contact Social Care directly.

For minor concerns regarding radicalisation, the CPO/DSL will contact the Local Authority Prevent Co-ordinator. For more serious concerns the CPO/DSL will contact the Police on the non-emergency number (101), or the anti- terrorist hotline on 0800 789 321. For urgent concerns the CPO will contact the Police using 999.

Allegations against staff

If anyone makes an allegation of child abuse against a member of staff:

The allegation will be recorded on an Incident record form. Any witnesses to the incident should sign and date the entry to confirm it.

The allegation must be reported to the Local Authority Designated Officer (LADO) and to Ofsted. The LADO will advise if other agencies (eg police) should be informed, and the Club will act upon their advice. Any telephone reports to the LADO will be followed up in writing within 48 hours.

Following advice from the LADO, it may be necessary to suspend the member of staff pending full investigation of the allegation.

If appropriate, the Club/provision will make a referral to the Disclosure and Barring Service. Promoting awareness among staff

The Club/provision promotes awareness of child abuse and the risk of radicalisation through its staff training. The Club/provision ensures that:

The club leaders and employees have relevant experience and receives appropriate training in safeguarding and the Prevent Duty and is aware of the ‘my concern logging procedures’.

Staff training is refreshed every year or when the training expires, (some are every 2 years).

Safe recruitment practices are followed for all new staff.

All staff have a copy of this Safeguarding policy, understand its contents and are vigilant to

signs of abuse, neglect or radicalisation

All staff are aware of their statutory duties with regard to the disclosure or discovery of child

abuse, and concerns about radicalisation.

All staff are made aware of setting clear behavioural boundaries and their importance as an adult in a position of trust.

All staff receive basic safeguarding training, and safeguarding is a permanent agenda item at all

staff meetings

Lead staff receive basic training in the Prevent Duty

The Club’s/provision’s procedures are in line with the guidance in ‘Working Together to Safeguard Children

(2018)’ and staff are familiar with ‘What to Do If You’re Worried a Child Is Being Abused (2015)’. The Policy is regularly reviewed according to KCSIE 2025 Government website.

Use of mobile phones and cameras

Photographs will only be taken of children with their parents’ permission. Only the club business mobile will be used to take photographs of children at the Club, except with the express permission of the manager. Neither staff nor children nor visitors may use their mobile phones to take photographs at the Club or provision.

Child-Centred Principle

Core Policy Commitments

Please be aware that at Super Scientists/Esgate. Education the child’s welfare and safety come first in every decision.

We aim to create safe spaces where children feel confident to express their views, wishes, and feelings.

We take a child’s needs into account which may mean adjusting communication methods for children with special educational needs, disabilities, or language barriers.

All our staff understand the balance between listening to a child's wishes and taking mandatory protective action if they are at risk of significant harm as staff are in the highest position of trust and as such must act professional at all times, following the clear procedures laid out in the policy.

Practical Procedures to Include

Active Listening: Require staff and volunteers to listen without bias, record the child’s actual words where possible, and avoid leading questions.

Age-Appropriate Communication: Explain how you will inform children about what is happening in a way they can understand, respecting their developmental stage.

Balancing Wishes and Safety: Clarify that while a child’s expressed wishes are vital, confidentiality cannot be promised if sharing information is necessary to protect them from harm.

Feedback and Involvement: Detail how children will be updated on the actions taken following a concern, ensuring they feel heard throughout the process.

Key Steps in the Referral Process

Identify Concern: Any staff member witnesses, hears, or suspects a safeguarding issue (abuse, neglect, or harm).

Report to DSL: Staff must report concerns to the Designated Safeguarding Lead (or deputy) immediately.

Record: Detailed, factual, and timely records are made using the school's/provision’s system, including the 4Rs (Recognise, Respond, Report, Record).

DSL Assessment: The DSL decides if the case meets the threshold for external referral.

Low-level/No-threshold: Early help or internal monitoring.

High-level: Referral to Children’s Social Care (Local Authority) or Police (in emergencies).

External Referral (MASH/Children's Services): The DSL makes a formal referral to the Multi-Agency Safeguarding Hub (MASH) or similar body, often bringing together police, health, and education representatives. Use the Multi-Agency Referral form.

Outcome/Feedback: The school receives feedback from social care to update the child’s record and plan further support.

Attendance

Registers will be taken every session, and any missing children will be reported to a member of staff for them to follow up the child’s whereabouts.

Contact numbers

Police: 101 (non-emergency) or 999 (emergency)

Anti-terrorist hotline: 0800 789 321

NSPCC: 0808 800 500

Ofsted: 0300 123 1231

Multi-Agency Safeguarding Hub/Northamptonshire MASH: 300 126 7000. Out of hours number is the same.

This policy was adopted by: Super Scientists

Date: October 2018. Reviewed 11/01/25

To be reviewed again 12/01/26

LADO (Local Authority Designated Officer), contact details: Rutland: 01572 758454, Leicestershire: 0116 305 0005 or 0116 305 999, Northamptonshire: MASH, Multi agency safeguarding hub 0300 126 7000, out of hours is 999 or 112.

Signed: K Esgate-Green

Written in accordance with the Statutory Framework for the Early Years Foundation Stage (2017): Safeguarding and Welfare requirements: Child Protection [3.4-3.8] and Suitable People [3.9-3.13] and KCSIE 2025 Gov website.

For logging a concern, please see the form below:

My Concern logging form

Name and DOB	Date and time of disclosure	Observation of concern and factual report for CPO.

Signature and job title of person making the record: ……………………………………………………………………………………………………