HR Incident and Investigation Report Form
양식 - Version 1
HR Incident and Investigation Report Form · FORM-31347
- Date Submitted
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Incident report and investigation flowchart
Informal complaint
Formal complaint
Persons involved
- Name of person reporting
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- Phone
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- Mobile ph.
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- Managers’ Name
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- Managers’ ph.
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- Managers’ Email
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- Name of the complainant (if different than person reporting)
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- Complainants’ address (if not a worker)
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- Complainants’ Email
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- The Complainants’ ph.
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- Complainants’ mobile ph.
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- Complainants’ Managers’ Name (if a worker)
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- Complainants’ Managers’ ph.
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- Complainants’ Managers’ Email
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Description of behaviour/incident
- Location
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- Time
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- Date
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- Name of the accused person of the offence (if known)
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Describe incident
- Describe incident
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Describe immediate actions taken
- Describe immediate actions taken
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Was medical attention/first aid required?
- Describe injuries and first aid provided
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Witnesses
Witness 1
- Name
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- Address
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- Contact No
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Witness 2
- Name
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- Address
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- Contact No
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Witness 3
- Name
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- Address
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- Contact No
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Witness 4
- Name
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- Address
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- Contact No
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Follow up
- Reporting person name
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- Sign (reporting person)
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- Supervisor name
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- Sign (supervisor)
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HR Incident and Investigation Report Form · FORM-31347