Child Safety Assessment / Safety Plan

Update

The Update is to be completed each time a member of the family service team sees the child.

Name of child:

Name of caregiver(s):

Person doing update:	Position:

Type of Contact:

Date of contact:

Purpose of Contact:

Participants (Name & Relationships):

Participant1	Relationship1

Content of Contact:

Observations:

Safety Assessment:

Child remains safe in this situation given the safety plan is followed

Child must be removed from this situation

Facts supporting decision checked above:

6 month child safety assessment / safety plan needs updated to reflect additional observations / concerns

6 month child safety assessment / safety plan does not need updated.

Facts supporting decision checked above:

Caseworker’s Signature	Date:

Supervisor’s Signature	Date:

2

Diakon / FDR – Child Safety Assessment / Safety Plan Update

Placement & Finalization Benchmarks – Benchmark Handbook – 11/02

TEMPLATE

Sue Cohick

2003-07-02

tmg

Dell Computer Corporation