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WORKPLACE VIOLENCE REPORTING FORM To be used in a Case of Violence or Threat of Violence against an Alps Worker The Occupational Health & Safety Regulation defines violence as the attempted or actual

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How to fill out workplace violence reporting form

01

Obtain a workplace violence reporting form from your HR department or supervisor.

02

Fill out the form with your personal information, including your name, employee ID number, and contact details.

03

Provide the date and time of the incident, as well as the location where it took place.

04

Write a detailed description of the incident, including the nature of the violence, any weapons involved, and any witnesses present.

05

Indicate if you have reported the incident to any other individuals or authorities.

06

Sign and date the form to certify that the information provided is accurate.

07

Submit the filled-out form to the appropriate personnel or department as specified in the reporting procedures.

Who needs workplace violence reporting form?

01

Anyone who has experienced or witnessed workplace violence needs to fill out a workplace violence reporting form. This includes employees, contractors, visitors, or anyone who is directly affected by or has relevant information about a violent incident that occurred in the workplace.

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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 required to file the workplace violence reporting form.

How to fill out workplace violence reporting form?

To fill out the workplace violence reporting form, you need to provide details of the incident, including date, time, location, description of the incident, and any witnesses.

What is the purpose of workplace violence reporting form?

The purpose of the workplace violence reporting form is to create a record of incidents of violence in the workplace and to ensure that appropriate measures are taken to address and prevent such incidents in the future.

What information must be reported on workplace violence reporting form?

The workplace violence reporting form should include details of the incident such as date, time, location, description, and any witnesses.

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