Free Workplace Harassment Incident Report Template
Workplace Harassment Incident Report
I. Reporter Details
Date of Report: May 20, 2050
Reported By: [Your Name]
Position: HR Manager
Department: Human Resources
II. Incident Details
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Date of Incident: May 18, 2050
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Time of Incident: 11:30 AM
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Location of Incident: Break room on the third floor
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Involved Parties:
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Victim: [Name, Position, Department]
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Alleged Perpetrator: [Name, Position, Department]
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Witness(es): [Name, Position, Department]
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III. Description of the Incident
[Victim's Name] reported that on May 18, 2050, at approximately 11:30 AM, [Alleged Perpetrator Name] made several unwelcome comments about her appearance in the break room on the third floor. According to the Victim, these comments have been ongoing for several weeks despite her asking the alleged perpetrator to stop.
IV. Immediate Actions Taken
After the report, the victim was offered the opportunity to take the rest of the day off to recover from the incident. The Human Resources department conducted a preliminary interview with the victim to gather more details and offered access to the Employee Assistance Program for counseling and support. The alleged perpetrator was temporarily reassigned to a different department pending a full investigation.
V. Support for Affected Employees
The company has taken several measures to support the Victim and ensure her concerns are addressed appropriately:
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Counseling Services: The victim has been offered free counseling services through the Employee Assistance Program to help her cope with the emotional impact of the incident.
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Regular Check-ins: HR will conduct regular check-ins with the victim to ensure her well-being and to provide ongoing support.
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Work Environment Adjustment: To ensure a safe and comfortable work environment, the victim has been given the option to relocate her workspace away from the alleged perpetrator.
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Confidentiality Assurance: All information related to the incident is being handled with the utmost confidentiality to protect the victim's privacy.
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Investigation Updates: The victim will be kept informed about the progress of the investigation and any actions taken as a result."
VI. Follow-Up Actions
An internal investigation will be conducted to thoroughly examine the incident. The following steps will be taken:
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Formal Investigation: A formal investigation committee comprising HR personnel and management will be set up to gather facts and evidence related to the incident.
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Interviews: Detailed interviews will be conducted with the victim, alleged perpetrator, and [Witness Name], the witness.
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Review of Policies: The investigation will include a review of existing workplace policies to determine if any were violated.
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Disciplinary Actions: Based on the findings, appropriate disciplinary actions will be taken against the alleged perpetrator if necessary.
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Training and Awareness: Additional training sessions on workplace harassment will be organized to reinforce the company’s zero-tolerance policy on harassment and to educate employees on appropriate workplace behavior.
VII. Conclusion
The organization remains committed to addressing this incident with the seriousness it warrants. We are dedicated to providing a safe and respectful workplace for all employees. Through comprehensive support, thorough investigation, and appropriate actions, we aim to resolve this issue and prevent any future occurrences.
