Workplace Violence Report Form

Workplace Violence Report Form

Workplace violence takes many forms, such as a threat or actual physical violence, harassment, intimidation, or other threatening disruptive behaviour. The Workplace Violence Report Form can be used to document a violent incident should it occur in the workplace.

The Form helps capture all necessary details, providing a comprehensive record that can be used for further action if required.

Content Overview

1. Persons Involved: Collects detailed information about the individuals involved in the incident, including the person reporting and the person assaulted.
2. Type of Incident: Identifies the nature of the incident, such as verbal abuse or physical assault.
3. Description of the Incident: Provides a structured format to describe the incident, including the who, what, where, when, and why.
4. Witness Details: Captures contact information and roles of any witnesses present during the incident.
5. Follow-up Actions: Records any immediate actions taken and whether a police report or investigation has been initiated.
6. Sign-offs: Includes sections for signatures from the reporting person and supervisor to validate the report.

Key Benefits of the Workplace Violence Report Form

• Comprehensive Documentation: All aspects of an incident are recorded, aiding in thorough investigations and future prevention strategies.
• Legal Compliance: Helps businesses maintain compliance with workplace safety regulations by providing a formal record of incidents.
• Customisable and Editable: Available in Microsoft Word format, allowing easy customisation to fit specific organisational needs.

Who is it Suitable For?

• Human Resources professionals
• Safety officers
• Managers and supervisors
• Business owners

Ensure your workplace is prepared to handle incidents effectively with the Workplace Violence Report Form. This essential document not only supports compliance but also promotes a safer work environment for everyone.