Clinical Safety ToolkitStaffordshire Training Hub

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    Templates

    Seven documents to read, print or download, each with a blank version and one filled in for Oakfield Surgery.

    How the documents fit together

    The supplier · DCB0129

    Their hazard log
    Their safety case report

    Ask for these. They are your starting point.

    Your practice · DCB0160

    Once for the practice

    Technology register
    Clinical risk management system: how we do clinical safety here

    For each tool

    Plan
    Hazard log
    Safety case report

    In use

    Incident log

    Every incident is checked against the hazard log

    Keep them together in one folder: your clinical risk management file.

    The templates

    Seven documents, written for this toolkit. The DPIA template is on the DPIA page, and all eight are together on the templates page. Pick one to read it here, open it in its own tab, or download it as Word or Excel to fill in. Each has a blank version and one filled in for Oakfield Surgery: use the switch at the top of the document.

    1. PrepareTechnology registerOpen ↗
    2. PrepareClinical risk management systemOpen ↗
    3. PrepareClinical risk management plan (CRMP)Open ↗
    4. AssessHazard workshop packOpen ↗
    5. AssessHazard logOpen ↗
    6. ApproveSafety case reportOpen ↗
    7. MonitorIncident logOpen ↗

    These are example drafts. Your documents need to be reviewed by a Clinical Safety Officer. NHS England also has draft versions of several documents available. Adapt them to your practice, and make sure the work is your own, based on your local operating procedures and team protocols.

    Supplier templates

    Your supplier may also provide a DCB0160 starter template for their product, in addition to their DCB0129 documents. Use it as a starting point, and make sure the final version describes your practice, not just the product.

    Templates for data protection impact assessments are in the information governance section.

    Sources on this page last checked 9 November 2026.