Confidential Equality Related Incident Report
(Please see Guidance on page 2 for how and when to use this form.)
Name of setting
Details of incident
Description of incident
Initial response to incident
Ideas for long term actions
Initially dealt with by
Incident witnessed by
Signed by ENCO/Manager
Page 1 of 3
Page 2 of 3
Guidance for completing this form
What is this form for?
This is a template to record equality related incidents. It has been produced
following requests from staff attending ‘Role of the ENCO’ and ‘Developing Equality’
courses. If you already have a process for recording this kind of incident you do not
need to complete this form as well.
When to use this form
This form should be used to record incidents that relate to equality issues. Incidents
should be recorded as soon as possible after they have happened.
Who should use it?
Any member of staff who witnesse