Use of Force Form – Young People

Part 2 to be completed by every member of staff involved in the use of force incident

Reference

ESTABLISHMENT

/

UOF ID

/

INCIDENT DATE

DD / MM / YY

Young person’s details

SURNAME

/

FORENAME(S)

/

YOUNG PERSON ID

Arrival

PLEASE PROVIDE DETAILS OF YOUR ARRIVAL AT THE INCIDENT AFTER CONSIDERING THE FOLLOWING STATEMENTS

  • Why were you there?
  • How many members of staff were present/did you see?
  • Were there other people/ young people in the area?
  • What was the initial reason for the contact with the young person?

Approaching the Incident

PLEASE PROVIDE DETAILS OF YOUR APPROACH TO THE INCIDENT AFTER CONSIDERING THE FOLLOWING STATEMENTS

  • What did you see?
  • Where were you positioned?
  • Proximity and positioning of other members of staff (if present)
  • Describe if you or others were in/ perceived to be in imminent danger
  • What was the young person(s) doing upon your arrival? e.g. threatening/ fighting/ stood over someone/ running away/ escaping, etc
  • Did you see a weapon and if so, what type?
  • Did you issue any verbal communication? What impact, if any did that have on the young person?
  • What was your perception of what would have happened if you had not intervened?
  • What did you do to de-escalate the situation?

Prior knowledge

PLEASE PROVIDE DETAILS OF YOUR PRIOR KNOWLEDGE OF THE YOUNG PERSON AFTER CONSIDERING THE FOLLOWING STATEMENTS

  • Was the behaviour displayed by the young person common place or out of character?
  • Were you aware if alcohol or drugs were an impact factor?
  • Were you aware of any particular fighting skill that the young person held, or of recent, well known volatile history/ infamy?
  • Were you aware of any mental impairment/ personality disorders of the young person?
  • Details of any briefing given by the Supervising member of staff (planned incident)
  • Quote any verbal responses made by the young person, if possible
  • Describe any non verbal signs e.g. clenched fists/teeth/change of stance/staring/ intimidators & body posture etc
  • Was there any increase in physical actions/ state of aggression?
  • Their size, strength and presence compared to yours
  • Was the young person in your or other’s personal space/ reactionary gap?
  • How hostile were they and what level(s) of resistance were displayed?

Involvement

PLEASE PROVIDE DETAILS OF YOUR INVOLVEMENT IN THE INCIDENT AFTER CONSIDERING THE FOLLOWING STATEMENTS

  • Describe your part in the use of force
  • What restraint techniques did you apply?
  • How the incident was finally resolved

Certification

CERTIFICATION BY MEMBER OF STAFF COMPLETING THE FORM

I CONFIRM THAT THE ABOVE DETAILS ARE CORRECT

NAME

/

GRADE

/

STAFF ID

/

DATE LAST REFRESHED IN MMPR

DD / MM / YY

ETHNICITY

Asian or Asian British Black or Black British Mixed Other ethnic groups White /

GENDER

Male Female

DATE

DD / MM / YY /

TIME

HH : MM /

SIGNED

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