Fields marked with an * are required

Please add comments as you feel necessary to provide context and understanding. A useful comment would be as follows; what percentage of ground restraints have been required by certain individuals? For example, five individuals account for over 75% of the ground restraints during a particular period.

An internal verifier is an appropriate senior member of staff within the organisation.

An external verifier is a Governor, local authority representative or appropriate person within the wider organisation.

Start Date *
End Date *

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Totals