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Human Resources and Administration Directorate Violence×Harassment Incident Report Form A reportable violent incident should be defined as any threatening remark or overt act of violence×harassment

How to fill out violenceharassment incident report form

How to Fill Out a Violence/Harassment Incident Report Form:

1. Begin by carefully reading the instructions on the form to familiarize yourself with the required information and any specific guidelines provided.
2. Fill in the date and time of the incident. Be as accurate as possible to ensure proper documentation.
3. Provide your personal information, including your full name, contact details, and job title or relationship to the organization. This helps identify you as the reporter.
4. Describe the incident in detail. Start with a brief summary, outlining what happened, where it occurred, and who was involved. Include any relevant dates and times.
5. Use clear and concise language to explain the specific acts of violence or harassment that took place. Include any relevant details such as verbal threats, physical assaults, or unwanted advances. Be as specific as possible, but avoid assumptions or generalizations.
6. Include information about any witnesses to the incident. Provide their names, contact details, and their relationship to the incident. Witnesses can provide crucial testimonies and support your report.
7. If applicable, indicate whether any evidence was gathered or preserved, such as photographs, emails, or messages. This can strengthen the credibility of your report.
8. Describe any immediate action taken, such as contacting authorities or seeking medical attention. Include any relevant details regarding the outcomes of these actions.
9. Sign and date the report form to confirm that the information provided is accurate and truthful to the best of your knowledge.

Who Needs a Violence/Harassment Incident Report Form:

1. Employees: Employees who have experienced or witnessed violence or harassment in the workplace should use this form to report incidents. This can include any form of abuse, discrimination, or mistreatment.
2. Employers: Employers need this form to properly document and address reports of violence or harassment within their organizations. It helps them comply with legal requirements and maintain a safe working environment for their employees.
3. Human Resources (HR) Professionals: HR professionals play a crucial role in handling workplace complaints. They use the incident report form to investigate allegations, take appropriate actions, and provide support to the individuals involved.
4. Legal Authorities: Violence/harassment incident report forms may be required by law enforcement agencies or legal authorities when investigating workplace incidents. These reports can help gather evidence and build a case if necessary.
5. Organizations and Institutions: Organizations and institutions, such as schools or community centers, use these forms to track and address incidents of violence or harassment within their premises. It allows them to take appropriate measures to prevent future incidents and ensure the safety of their members.

In summary, filling out a violence/harassment incident report form involves providing accurate details about the incident, identifying witnesses, documenting any evidence, and signing the form to confirm its accuracy. The form is necessary for employees, employers, HR professionals, legal authorities, and organizations to address and respond to reports of violence or harassment effectively.

For pdfFiller’s FAQs

What is violence/harassment incident report form?

The violence/harassment incident report form is a document used to report incidents of violence or harassment in the workplace.

Who is required to file violence/harassment incident report form?

Employers and employees who witness or experience violence or harassment in the workplace are required to file the report form.

How to fill out violence/harassment incident report form?

The form should be filled out with details of the incident, including date, time, location, description of the incident, and names of individuals involved.

What is the purpose of violence/harassment incident report form?

The purpose of the form is to document and address incidents of violence or harassment in the workplace in order to ensure a safe and respectful work environment.

What information must be reported on violence/harassment incident report form?

The form must include details of the incident such as date, time, location, description, and names of individuals involved.

When is the deadline to file violence/harassment incident report form in 2024?

The deadline to file the form in 2024 is December 31st, 2024.

What is the penalty for the late filing of violence/harassment incident report form?

The penalty for late filing may vary depending on the company policy or regulations, but it could result in disciplinary action or fines.

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