ASB Risk Assessment
Form No. ASB4
Guidance notes can be found on the ASB intranet pages.
Incident No:
Victim’s Full Name:
1. Other than this occasion - how often do
you have problems?
Select
5 - Daily
3 - Most days
2 - Most weeks
1 - Most months
0 - Only occasionally
2 - Yes
0 – No
History
2. Do you think the current incident is
linked to previous incidents? Select
If so why?
3. Do you think that incidents are
happening more often or are getting
worse? Select
4. Do you know the offender(s)?
Select
2 - Yes
0 - No
2 - They know each other well
1 - They are ‘known’ to each other
0 - They do not know each other
6 - Perpetrator or their associates are
currently harassing the complainant.
4 - Perpetrator or their associates have
harassed the complainant in the past.
2 - Perpetrator or their associates have not
harassed the complainant, but have a history
or reputation for harassment or violent
behaviour.
0 - Perpetrator or their associates have no
history or reputation for harassment or
intimidation.
0 - Yes
1 - No
5. Does the perpetrator (or their
associates) have a history of or reputation
for intimidation or harassment? Select
6. Have you informed any other agencies
about what has happened? Select
If yes, are you happy for us to discuss this
problem with them?
Details:
1
ASB Risk Assessment
4 – You
3 – Your Family
1 – Your Community
0 – None
3 - Yes
0 - No
Support
Vulnerability
7. Which of the following do you think that
this incident deliberately targeted? Select
8. Do you feel that this incident is
associated with your faith, nationality,
ethnicity, sexuality, gender or disability?
Select
Details:
9. In addition to what has happened, do
you feel that there is anything that is
increasing you or your household’s
personal risk (e.g. because of personal
circumstances)? Select
Details:
10. How affected do you feel by what has
happened? Select
Details:
3 - Yes
0 - No
0 – Not at all
1 – Affected a little
2 – Moderately affected
3 – Affected a lot
5 – Extremely affected
11. Has your or anyone’s health been
affected as a result of this and any
previous incidents? Select
Details:
12. Do you have a social worker, health
visitor or any other type of professional
support?
If so can we speak to them about this?
Select
Details:
13. Do you have any friends and family to
support you? Select
0 – Not affected
3 – Physical Health
3 – Mental Health
0 – No
1 – Yes
3 - Complainant lives alone and is isolated.
3 - Complainant is isolated from people who
can offer support.
1 - Complainant has a few people to draw on
for support.
0 - Complainant has a close network of
people to draw on for support.
3 – Your family
2 – Local community
1 – Other
14. Apart from any effect on you, do you
think anyone else has been affected by
what has happened?
Select
Details:
Total Score:
High:
30 or more
Form No. ASB4
Medium:
14 to 29
2
/43
Low:
0 to 13
Low
ASB Risk Assessment
Form No. ASB4
Police
 Complete an ASB4 referral to ASB co-ordinator.
 Flag to appropriate SNT with risk matrix assessment score via task on RMS.
 Consider a task to Intel Unit to arrange a higher police presence in the vicinity where
effected linked to daily tasking.
 Advise on a self referral to the charity organisation victim support (0845 0703002).
 Ensure effective probing to satisfy yourself that this ASB incident is not hate crime
motivated. If you have concerns consult with a supervisor.
 Refer to information leaflet.
 THINK EVIDENCE - Consider evidence gathering opportunities from the outset should
ASB issue continue recording this and other suggestions/observations on RMS.
 Consider early intervention to prevent escalation e.g. Mediation
 Consider providing all parties with a document outlining the ascending scale of ASB
outcomes in terms of future punitive measures that will be taken with recurrence.
 Consider environmental factors. Have they caused the ASB e.g. Young people kicking
a ball against a resident’s house because there is glass on the playground? Can we /
partners remove the environmental cause?
Notes:
Medium
Housing Team / ASB Team
Notes:
Neighbourhood Wardens
Notes:
Victim Support / Victim Witness Champion / Other Support Services
Notes:
Police
 Overseen by a Divisional Supervisor of no lower rank than Sector Sergeant.
 Instigate and document regular neighbourhood policing team visits to area.
 Provide victim with relevant emergency out-of-hours contact for identified need.
 Divisional Supervisor to consider a Community Impact Assessment to identify any
raised tension.
 Refer to appropriate partner agencies for early intervention.
 THINK CRIME - Are there any criminal offences apparent? Do we need to exercise
powers to prevent recurrence?
 Key Individual Networks (KINs) to be considered in support of any intended action.

Notes:
3
High
Medium
ASB Risk Assessment
Form No. ASB4
Housing Team / ASB Team
Notes:
Neighbourhood Wardens
Notes:
Victim Support / Victim Witness Champion / Other Support Services
Referral to Victim Support
Notes:
Police
 Complete documented care plan overseen by Divisional Supervisor of no lower rank
than Sector Inspector and refer to Community Tasking Coordinating Group.
 Arrange multi-agency strategy meeting not later than 7 days after report.
Refer to the Force's "Threats to Life" AD316 policy and procedure.
 Consider appropriate security devices, (alarms, CCTV).
 Consider use of Independent Advisory Groups to manage community tensions
 Consider a proactive forensic submission to FRMU tasked through RMS for attention of
Craig Jones 6838."

Notes:
Housing Team / ASB Team
Notes:
Neighbourhood Wardens
Notes:
Victim Support / Victim Witness Champion / Other Support Services
Referral to Victim Support
Notes:
Consent to Information Sharing
I,
, Born on:
Of, (Add full address below)
Consent to agencies obtaining and sharing information as part of the multi-agency work to help
secure my safety and that of my family.
If there are child protection concerns, information will be shared regardless of whether this form
is signed.
Signed:
Dated:
Print name:
Completed by:
Officer Name:
Collar No:
4