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Vote Canada Inc. WORKPLACE VIOLENCE REPORTING FORM Part 1 Employee Information (to be completed by employee) Name Department Date and time of incident Date and time incident reported to: Location

How to fill out workplace violence reporting form

How to fill out a workplace violence reporting form:

1. Obtain the correct form: Start by obtaining the workplace violence reporting form from your employer or human resources department. This form is specifically designed to document incidents of workplace violence.
2. Provide personal information: The form will typically ask for your personal information, such as your name, job title, employee ID, and contact details. Ensure that you fill out this section accurately and completely.
3. Describe the incident: Next, you will need to provide a detailed description of the workplace violence incident. Include relevant information such as the date, time, and location of the incident, as well as the individuals involved. Be as specific as possible and provide any relevant evidence or supporting documents.
4. Indicate witnesses: If there were any witnesses to the incident, make sure to include their names and contact information on the form. Witnesses play a crucial role in corroborating your account of the incident.
5. Describe the impact: Use this section to describe the impact that the workplace violence incident has had on you. This could include physical injuries, emotional distress, or any other negative effects. Providing a clear account of the impact helps management understand the seriousness of the incident.
6. Suggest actions: Depending on the form, there may be a section where you can suggest actions or recommendations for preventing future incidents of workplace violence. Take the opportunity to share any ideas or solutions you may have to address the issue.

Who needs a workplace violence reporting form:

1. Employers: Employers need workplace violence reporting forms to ensure that incidents of violence in the workplace are properly documented and addressed. It allows them to investigate, take appropriate action, and implement preventive measures.
2. Employees: Employees who have witnessed or experienced workplace violence should utilize the reporting form to report incidents promptly. It helps protect their rights, ensures appropriate support, and prevents further occurrences.
3. Human resources departments: Human resources departments are responsible for managing workplace violence incidents within an organization. They use the reporting form as a tool to gather information, conduct investigations, and implement proactive measures to maintain a safe working environment.

In conclusion, filling out a workplace violence reporting form requires providing personal information, describing the incident, indicating witnesses, describing the impact, and suggesting actions. Both employers and employees need this form to address workplace violence incidents effectively. Human resources departments play a crucial role in managing such incidents and utilizing the information received through the reporting forms.

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What is workplace violence reporting form?

The workplace violence reporting form is a document used to report incidents of violence or threats of violence that occur in the workplace.

Who is required to file workplace violence reporting form?

Employers are typically required to file the workplace violence reporting form when an incident of workplace violence occurs.

How to fill out workplace violence reporting form?

The workplace violence reporting form can usually be filled out online or through a paper form provided by the employer. It typically requires information about the incident, the individuals involved, and any actions taken in response.

What is the purpose of workplace violence reporting form?

The purpose of the workplace violence reporting form is to document incidents of workplace violence, ensure appropriate actions are taken in response, and improve safety measures to prevent future incidents.

What information must be reported on workplace violence reporting form?

Information such as the date, time, location, individuals involved, a description of the incident, and any witnesses or evidence should be reported on the workplace violence reporting form.