Assignment and operational forms
In this document, “Bina”, “the Company”, “we”, “us” and “our” mean Bina Pathways Ltd (company number 16667031).
BINA PATHWAYS LTD | BP-FORMS-2026-10-30-v1 | 30 October 2026
Use these controlled records with the employment agreement, handbook and governance manual. Complete actual assignment facts before issue. Do not enter a director's name as safeguarding lead, a policy approval or a completed check without the appointment or evidence. Retain the original record and use dated amendments. A blank essential field means the affected activity is not ready for confirmation.
1 Assignment confirmation and safety card
| Required item | Actual agreed record |
|---|---|
| Worker role clearance reference and current restrictions | ________________________________________ |
| Hirer legal entity service address and reporting point | ________________________________________ |
| Start finish dates duration and accepted hours | ________________________________________ |
| Basic pay bank holiday enhancement holiday method and client rate reference | ________________________________________ |
| Actual duties prohibited tasks and person or group reference using minimum necessary identifiers | ________________________________________ |
| Break length paid status genuine relief and cover | ________________________________________ |
| Travel mileage expenses and who approves | ________________________________________ |
| Known risks controls equipment staffing and induction | ________________________________________ |
| Host supervisor and deputy name direct phone and cover hours | ________________________________________ |
| Host safeguarding lead deputy and emergency route | ________________________________________ |
| Bina duty person backup direct phone and actual cover hours | 07337541218 general management route plus named duty arrangement __________________ |
| Local child safeguarding adult safeguarding LADO and out of hours routes verified for this site | ________________________________________ |
| Lone work check in deadline missed contact interval and response owner if relevant | ________________________________________ |
| Required medication clinical intervention or driving authorisation and evidence if relevant | ________________________________________ |
| Cancellation notice and applicable worker minimum pay | Under the standard contract qualifying cancellation under 24 hours pays up to four booked basic hours subject to higher rights |
| Worker acceptance version date and time | ________________________________________ |
| Coordinator and client confirmation | ________________________________________ |
If someone is in immediate danger call 999. Do not wait for an email reply or an unavailable Company contact. Liverpool children's referrals currently use CASS 0151 459 2606, with core hours Monday to Friday 8am to 10pm, verified against LSCP on 30 October 2026. This is not a claim of a 24-hour service. Verify the professional adult, LADO and out-of-hours routes and other localities separately before deployment. The current authority route takes precedence.
2 Charges and expenses schedule
| Disclosure before agreement | Actual record |
|---|---|
| Employee and related KID version | ________________________________________ |
| Item and whether prerequisite required training or optional service | ________________________________________ |
| Provider and actual invoice cost with no mark up | ________________________________________ |
| Amount or precise calculation and any external fee change | ________________________________________ |
| Who must legally bear the cost and legal basis checked by | ________________________________________ |
| Payment timing method and any proposed lawful wage deduction | ________________________________________ |
| Minimum wage and working time assessment including training time | ________________________________________ |
| Acceptable independent alternatives and freedom from work finding conditions | ________________________________________ |
| Cancellation and refund rights including statutory agency service notice where applicable | ________________________________________ |
| Employee information questions specific agreement and date | ________________________________________ |
| Authorised reviewer and attached evidence | ________________________________________ |
Do not charge prohibited work-finding, PPE or employer-funded safety costs. Do not assume advance agreement makes a deduction lawful. No fee is deducted before it has been identified and lawfully authorised. If a fee changes, revise the KID and obtain any necessary agreement. Optional non-work-finding services have their own written terms and statutory cancellation rights, including the applicable five-working-day notice for services such as training and ten working days for accommodation; check the actual service and law before offering it.
| Expense claim | Record |
|---|---|
| Worker assignment dates journey purpose and approved rate | ________________________________________ |
| Mileage route amount receipts and prior approval or emergency reason | ________________________________________ |
| Reviewer tax treatment payment run and payment evidence | ________________________________________ |
3 Role clearance and school checks assurance
| Check record | Evidence result verifier date and restriction |
|---|---|
| Identity and prescribed right to work including follow up | ________________________________________ |
| DBS workforce level barred list eligibility certificate or compatible update check | ________________________________________ |
| Professional references gap explanations and independent verification | ________________________________________ |
| Relevant qualifications registration overseas and role specific checks | ________________________________________ |
| Practical competence health adjustments and specialist authorisations | ________________________________________ |
| Contract KID full policies privacy notice and acknowledgement versions | ________________________________________ |
| Final approver scope date and next review | ________________________________________ |
For school supply attach the written notification of the checks required for the actual role under current KCSIE, including relevant certificate information and sharing where required. Record school receipt, identity check on arrival and school safeguarding induction. Do not treat this generic form as confirmation that any actual check was performed.
4 Incident safeguarding and referral record
| Record field | Factual entry |
|---|---|
| Person reference location event date and time | ________________________________________ |
| Reporter author actual entry time and role | ________________________________________ |
| What was seen or heard including material exact words | ________________________________________ |
| Immediate risk injuries medical help and current safety | ________________________________________ |
| People present witnesses and preserved original evidence | ________________________________________ |
| Action alternatives attempted and any intervention start finish technique and observations | ________________________________________ |
| Host Bina social care LADO police DBS professional or other notifications with times and references | ________________________________________ |
| Consent or other sharing basis and rationale | ________________________________________ |
| Referral recipient receipt confirmed follow up and escalation | ________________________________________ |
| Support debrief outcome action owner and review date | ________________________________________ |
Do not investigate a disclosure through leading questions, backdate the event record or present interpretation as observation. Preserve originals, restrict access and record corrections. A resignation or another authority's referral does not resolve Bina's own DBS duty assessment.
5 Attendance investigation or complaint case record
| Case field | Record |
|---|---|
| Issue type and distinction between conduct capability sickness protected absence or complaint | ________________________________________ |
| Accepted shift and cancellation times if relevant | ________________________________________ |
| Three event trigger accuracy and excluded or adjusted events considered | ________________________________________ |
| Uninvolved investigator decision maker and appeal reviewer | ________________________________________ |
| Safety and suspension alternatives pay welfare contact and review date | ________________________________________ |
| Notice allegations or grievance evidence and preparation time | ________________________________________ |
| Accompaniment adjustments meeting and employee response | ________________________________________ |
| Findings reasons support proportionate outcome and date | ________________________________________ |
| Appeal grounds meeting reviewer outcome and communication | ________________________________________ |
| Retention category legal hold if any and access restriction | ________________________________________ |
6 Data incident request and retention decision
| Record field | Entry |
|---|---|
| Type of request incident or retention decision and receipt or awareness time | ________________________________________ |
| Data systems people and controller or processor role | ________________________________________ |
| Immediate containment identity verification and evidence preserved | ________________________________________ |
| Risk assessment legal threshold and advice | ________________________________________ |
| Statutory deadline notification or response decision and reasons | ________________________________________ |
| Partner contact affected person or ICO notification with times if required | ________________________________________ |
| Deletion category trigger period or criteria legal hold and review date | ________________________________________ |
| Action owner completion evidence and learning | ________________________________________ |
7 Controlled payroll and booking checks
| Scenario to test | Actual result evidence owner and date |
|---|---|
| Twenty standard hours basic £255.20 holiday £30.80 gross £286.00 | ________________________________________ |
| Bank holiday hours at £19.14 basic with eligible separate holiday | ________________________________________ |
| Interrupted break recorded and paid rather than automatically deducted | ________________________________________ |
| Required training and relevant work travel included in time assessment | ________________________________________ |
| Missing client approval and location failure manual review without lost earned pay | ________________________________________ |
| Protected sickness or family leave kept out of automatic misconduct action | ________________________________________ |
| Qualifying short notice client cancellation worker pay separate from client charge | ________________________________________ |
| Prior hirer assignments and usual 12 week equal treatment clock | ________________________________________ |
| Wrong organisation invitation rejected and learner history preserved | ________________________________________ |
| Backup restore preserves original timestamps and accepted records | ________________________________________ |
A written expected result is not a passed test. Use controlled accounts and evidence and do not send real client messages or alter a live staff record merely to simulate a case.