Workplace Violence Incident Report Form

Make this form available to all employees to use when they believe an incident of workplace violence has occurred. Any employee who experiences an incident s/he believes to be threatening or violent should complete this incident report form; and all supervisors should be trained regarding its use. Supervisors should be trained that upon completion of the incident report form, they are to immediately forward the form to the Crisis Management Team, or whatever person or group is responsible in your company for responding to workplace violence concerns. The completion of this form is what launches an investigation.
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