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Change Document Font SizeWV130 +1Check SpellingWorkplace Violence Restraining Order After HearingEmail Form Save Former stamps date here when form is filed. Petitioner (Employer) a. Name: Lawyer for
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Provide accurate details about the workplace violence incident, including the date, time, and location.
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Describe the nature of the incident, what happened, and who was involved.
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If there were any witnesses, provide their names and contact information.
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Explain any actions taken or measures implemented to address the incident.
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WV-130 workplace violence editable is a form used to report incidents of workplace violence, allowing organizations to document occurrences and take necessary actions to improve workplace safety.
Employers and designated safety officers are required to file the WV-130 form whenever an incident of workplace violence occurs within their organization.
To fill out the WV-130 form, you need to provide specific details about the incident, including the date, time, location, individuals involved, nature of the violence, and any actions taken in response.
The purpose of the WV-130 form is to formally document instances of workplace violence, which helps organizations to analyze patterns, improve safety protocols, and ensure compliance with legal requirements.
The information that must be reported on the WV-130 includes details of the incident, such as date, time, location, people involved, description of the incident, and any witnesses or follow-up actions.
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