Low-Level Concern Form

A low-level concern is any concern, no matter how small, even if no more than causing a sense of unease or a ‘nagging doubt’ that a person involved in RLSS UK activities may have acted in a way that:

• is inconsistent with the Staff Code of Conduct, and
• does not meet the allegations threshold, or is otherwise not considered serious enough, to make a referral to the LADO or Local Authority.

Where a low-level concern has been identified, this must be reported as soon as possible to the Club or Branch Dedicated Safeguarding Lead in addition to completing this form.

• Where the Club or Branch Dedicated Safeguarding Lead is not available, the information will be reported to the RLSS UK HQ Designated Safeguarding Lead (or Deputy).
• Low-level concerns about the RLSS UK HQ Designated Safeguarding Lead or their Deputy will be reported to the Safeguarding Executive Lead. If the Safeguarding Executive Lead is not available such concerns will be reported to the Chair of the Safeguarding, Equality and Diversity Advisory Group. (providing this is not the Safeguarding Executive Officer or DSL).
• Low-level concerns about the Safeguarding Executive Lead will be reported to the RLSS UK CEO.

Name of Club/Organisation you are reporting the concern about (required)

Your Name (required)

Role (if applicable)

Contact number in case we need to discuss your concern further

E-mail address in case we need to discuss your concern further

Details of the concern: Provide a concise record, including a brief context in which the low-level concern arose, and details which are chronological and as precise and accurate as possible (required)

Date of concern (if remembered)

Time of concern (if remembered)

Once submitted, unless the concern raised is about an RLSS UK member of staff or volunteer, the form will be reviewed and sent on to the designated safeguarding lead of the Club or the ATC/P Co-ordinator of the Organisation where the concern has been raised. If the concern raised is about any of the people within these roles RLSS UK HQ will investigate this.

To complete this Low-Level Concern form, we need to collect and process personal data in line with the UK GDPR and the DPA18. We request the name of the club/organisation you are reporting, your full name, role, contact details, and details of the concern. This information is necessary for us to record, investigate, and communicate with you about the concern. This data collection aligns with Article 6(1)(f) of the UK GDPR, as we have legitimate interest reasons to collect and process this information for the safeguarding of individuals, including children and vulnerable adults. RLSS UK only captures the necessary personal data for this purpose and will only use the captured data for the agreed purpose. If the concern develops into an investigation, safeguarding information can be retained for the lifetime of the individual involved. If the concern is not investigated, information is retained for 7 years for evidence purposes. If the concern involves one of our third parties, we may need to share this information with them so they can assist. Identities will remain confidential in all cases. If you have any queries, please contact [email protected]. If you wish to withdraw your concern, please contact the safeguarding team to discuss, as this will depend on the status of the concern. For further information on how we handle your data, please refer to RLSS UK’s Privacy & Cookie Policy www.rlss.org.uk/privacy-policy

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