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Bullying and Harassment Incident Intake Form NOTE: Please return completed form to CROSS Executive Director. Date: Name of person writing this report: Check whether you are the: Check whether you
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How to fill out bullying and harassment incident
How to fill out a bullying and harassment incident report:
Gather all necessary information:
01
Date, time, and location of the incident
02
Names of individuals involved (both victim and perpetrator)
03
Any witnesses present during the incident
04
Detailed description of the incident, including specific actions or behaviors that occurred
05
Any evidence, such as emails, text messages, or photos
Use a standardized incident report form:
Many organizations have specific forms or templates for reporting bullying and harassment incidents. Use the provided form if available, as it may include specific fields and guidelines to follow.
Clearly describe the incident:
When completing the incident report, provide a detailed account of what happened. Include specific dates, times, locations, and any relevant actions or behaviors. Be objective and avoid personal opinions or assumptions.
Provide information about the victim:
Include the name and contact information of the person who experienced the bullying or harassment. If you are not the victim, be sure to obtain their consent to share their information.
Identify the perpetrator:
Include the name and contact information of the person responsible for the bullying or harassment. If there are multiple perpetrators, provide details about each individual involved.
Gather witness statements:
If there were any witnesses to the incident, ask them to provide a statement detailing what they saw or heard. Include their names, contact information, and their relationship to either the victim or the perpetrator.
Attach any supporting evidence:
If there is any physical evidence, such as emails, text messages, or photos, include copies or screenshots with the incident report.
Who needs a bullying and harassment incident report?
01
Human resources department: The HR department typically handles workplace incidents and investigates allegations of bullying and harassment. They need the incident report to initiate the investigation process and take appropriate action.
02
Management and supervisors: Managers and supervisors may need the incident report to address the issue and ensure a safe and inclusive work environment. It helps them understand the specific details of the incident and take appropriate disciplinary actions if necessary.
03
Legal and Compliance teams: In some cases, incidents of bullying and harassment may require legal interventions or compliance measures. Providing them with an incident report can help them assess the situation and take appropriate steps to protect the victim and address any legal implications.
04
The victim and their representatives: The incident report is essential for the victim or their representative to document the incident and seek appropriate support or legal remedies. It serves as an official record for potential future actions or claims.
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What is bullying and harassment incident?
Bullying and harassment incident refers to any unwanted behavior that offends, threatens, humiliates, or intimidates an individual or group.
Who is required to file bullying and harassment incident?
Anyone who witnesses or experiences bullying and harassment incident should report it.
How to fill out bullying and harassment incident?
Fill out a detailed report including the date, time, location, individuals involved, and description of the incident.
What is the purpose of bullying and harassment incident?
The purpose is to address and prevent bullying and harassment in the workplace or community.
What information must be reported on bullying and harassment incident?
Information such as date, time, location, individuals involved, and description of the incident must be reported.
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