Free Racial Employee Discrimination Incident Report Template
Racial Employee Discrimination Incident Report
I. Incident Overview
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Date of Incident: October 4, 2050
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Time of Incident: 2:30 PM
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Location: Main Office, Department of Human Resources
II. Individuals Involved
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Dayton Rohan - Employee (Alleged Victim)
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Ronaldo Glynn - Manager (Alleged Perpetrator)
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John Casper - Witness
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Elisa West - Witness
III. Incident Description
On October 4, 2050, at approximately 2:30 PM, an incident of alleged racial discrimination occurred during a routine team meeting in the Human Resources office. The meeting, attended by several department members, became contentious after Dayton Rohan, a member of the administrative team, presented a report on team performance metrics.
According to Dayton Rohan, Ronaldo Glynn, a department manager, made a racially derogatory comment directed at him following his presentation. Other team members reportedly witnessed this remark, which referenced Dayton Rohan’s racial background, present in the meeting, including John Casper and Elisa West.
Both witnesses, John Casper and Elisa West, have corroborated Dayton Rohan's account. They expressed discomfort regarding the comment and noted a significant shift in the meeting's atmosphere immediately afterward. Their observations suggest a marked tension among the team members following the incident.
IV. Actions Taken Following the Incident
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The incident was formally reported to Human Resources at 4:00 PM on the same day, October 4, 2050.
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Dayton Rohan was immediately offered emotional support and access to counseling services to address any distress caused by the incident.
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An internal investigation was promptly initiated by the Human Resources team.
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Senior management was informed of the situation to ensure transparency and oversight.
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Interviews with witnesses, including John Casper and Elisa West, as well as the alleged perpetrator, Ronaldo Glynn, were scheduled as part of the investigation process.
V. Next Steps
Human Resources will continue to conduct a thorough investigation. This includes:
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Gathering additional statements from all involved parties.
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Reviewing any available video footage, meeting minutes, or other relevant documentation.
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Assessing the workplace environment to ensure the safety and well-being of all employees.
In response to the incident, Human Resources will propose comprehensive bias and sensitivity training for all staff, particularly management. The goal of this training is to promote a more inclusive and respectful workplace culture and to prevent any future occurrences of discriminatory behavior.
Report Compiled By
Name: [Your Name]
Position: HR Specialist
Date: October 5, 2050
