| - RISK DECISION # 3 - |
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| Page 717 f4 ============= |
| === RISK ASSESSMENT MODEL === for Child Protection in Ontario |
| - THE THEORY - |
| - SAFETY ASSESSMENT FORMS - ( Form # 4 ) |
| Cont'd from Page 717 f3 |
| SAFETY DECISION |
| No child/children requires immediate safety intervention Child/children requires immediate safety invervention |
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| IMMEDIATE SAFETY INVERVENTION PLAN : |
| NAME OF WORKER COMPLETING SAFETY ASSESSMENT : ___________________________ DATE SAFETY ASSESSMENT FORM COMPLETED : ___________________________________ NAME OF SUPERVISOR CONSULTED : ______________________________________________ DATE OF SUPERVISORY CONSULTATION : _________________________________________ |