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WORKPLACE VIOLENCE INCIDENT REPORT: AFFECTED PARTY (s): Department Supervisor: Date of Incident: Time of Incident SPECIFIC Location of Incident: Narrative Description of Incident: If you incurred
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How to fill out workplace violence incident report

How to fill out a workplace violence incident report:
01
Begin by providing your personal information, including your name, job title, and contact details. This will help identify you as the individual reporting the incident.
02
Clearly describe the incident in detail, including the date, time, and location where it occurred. Be as specific as possible, mentioning any witnesses present.
03
Document the individuals involved in the incident, such as the aggressor(s) and any victims or witnesses. Include their names, job titles, and contact information, if available.
04
Provide a detailed account of the events leading up to the incident, as well as the actions taken during and after the incident. It's important to include any relevant communication, such as verbal exchanges or written threats.
05
Use objective language and avoid making assumptions or judgments. Stick to the facts and provide a clear chronology of events.
06
If applicable, attach any supporting documents, such as emails, photographs, or video footage, that can provide additional evidence or context to the incident.
07
Sign and date the incident report to certify its accuracy. Include any other required information specified by your workplace policy or legal requirements.
08
Submit the completed incident report to the appropriate individual or department within your organization, following the established procedures.
Who needs a workplace violence incident report?
01
Human Resources Department: HR departments play a crucial role in addressing workplace incidents, including instances of violence. They need incident reports to investigate, take appropriate disciplinary actions, and implement measures to prevent future occurrences.
02
Employee Assistance Program (EAP): EAPs often work closely with employees who have experienced or witnessed workplace violence. They require incident reports to provide support, counseling, and resources to those affected.
03
Law Enforcement: In serious cases, law enforcement agencies may need access to incident reports to conduct further investigations or take legal action.
04
Occupational Safety and Health Administration (OSHA): OSHA, responsible for enforcing workplace safety regulations, may request incident reports to monitor and assess workplace violence incidents.
05
Legal Team: Once an incident report is filed, an organization's legal team may review it for compliance purposes, potential liability, or assistance in any legal proceedings.
By filling out a workplace violence incident report accurately and promptly, you contribute to a safer and more secure work environment for yourself and your colleagues.
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What is workplace violence incident report?
A workplace violence incident report is a documented account of any violent or threatening behavior that occurs in the workplace.
Who is required to file workplace violence incident report?
Employers are typically required to file workplace violence incident reports.
How to fill out workplace violence incident report?
Workplace violence incident reports are usually filled out by providing details of the incident, including the date, time, location, individuals involved, and a description of what occurred.
What is the purpose of workplace violence incident report?
The purpose of a workplace violence incident report is to document and address incidents of violence or threats of violence in the workplace in order to prevent future occurrences.
What information must be reported on workplace violence incident report?
Information that must be reported on a workplace violence incident report includes details of the incident, individuals involved, witnesses, any injuries sustained, and actions taken in response.
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