Chronology Body Map	Insert School Logo School name
Child’s Name:	Class:
Date of Birth:	Address:
This form must be added to each time an injury is noted on the child by shading and dating the injured area on the body map. Then on page 2 add a very brief description of the injury, the date, bound book reference number and signature of the Designated Safeguarding Lead. Any possible child protection or safeguarding concerns must be: Reported immediately by the person noting the concern. Record the facts and do not make judgements. Record dates, times, places, actual words, what was observed, who was present and questions asked on a new Notice of Concern Form.
Date Bound Book Ref Number Description Signature