IMPORTANT: to be completed by the person that has witnessed the injuries themselves to avoid discrepancies. This should not be completed over the telephone.  Where physical abuse has been allegedthe Body Map should be used to document and illustrate visible signs of harm and physical injuries. 

1. Clearly indicate on the body map (overleaf) using the red marker:

2. Provide a description within the ‘Notes’ box such as:

Type of physical harm or injury;

Eg, Red areas; Bruises; Cuts, lacerations and wounds; Scalds and burns; Swellings

3. Always record:

• The  adult’s name
• The date of the record
• The name and designation of the person making the record.

It is important to note that should a crime be committed, these forms may be used as evidence in a criminal investigation.  Please take care in recording details as this will be used as evidence.

NB : Please note all safeguarding adults’ documents are subject to confidentiality and should be password protected where emailing.

step-by-Step Instructions

On Windows (Desktop App)

1. Open the Word document you want to secure.
2. Click File in the top-left corner and select Info from the left-hand menu.
3. Click the Protect Document box and choose Encrypt with Password.
4. Enter your desired password in the pop-up box (note that passwords are case-sensitive).
5. Click OK, re-enter the password to confirm, and click OK again.
6. Click Save to lock the document.

On Mac

1. Open the Word document.
2. Select the Review tab in the top menu ribbon.
3. Click Protect (or Protect Document) to open the password menu.
4. Under the Security section, type a password into the “Set a password to open this document” field.
5. Click OK, re-enter the password to confirm, and click OK again.
6. Save and close the document

Procedure for completing body map manually

1. Print body map

2. Clearly mark the site of harm or injury using a circle

3. Where there are multiple injuries in one area, the circle can be enlarged to accommodate, and a detailed description can be given in the ‘Notes’ section

Notes :      

Name and contact details