Get Behavior Incident Report Form

Completing the Behavior Incident Report Form is essential for documenting incidents of unacceptable behavior in the workplace. This guide will help you navigate each section of the form to ensure a clear and thorough submission.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to retrieve the form and open it for editing.
2. Begin by entering the complainant’s name and job title in the respective fields. This ensures that the report is correctly attributed.
3. Provide the complainant’s home address, home phone number, and work phone number to facilitate communication.
4. Indicate the complainant's department and work location to give context to the report.
5. Record the incident date, time, and location accurately, as this information is crucial for any investigations.
6. Select the type of incident by circling the appropriate option, such as assault, robbery, or harassment.
7. Answer whether there were any injuries sustained during the incident. If yes, specify the injuries and the location of any treatment received.
8. Indicate if police responded to the incident and note the police department involved, along with whether a police report was filed.
9. Confirm whether the complainant's supervisor was notified about the incident and provide the supervisor’s name.
10. Detail any actions taken regarding the incident, including whether the alleged perpetrator was identified.
11. Summarize the incident briefly in the description section, focusing on the key events.
12. Provide information about any witnesses, including their names, departments, and contact details.
13. Answer questions regarding the involvement of weapons and any impact the incident had on the complainant's work attendance.
14. Address whether the violence was directed solely at the complainant and if others were involved, including their details.
15. Reflect on any previous concerns about the potential for such incidents and whether similar incidents have occurred in the past.
16. Consider whether the alleged assailant had prior incidents and discuss any counseling or support received post-incident.
17. Provide recommendations for preventing similar incidents in the future.
18. Specify any measures currently in place to prevent such incidents.
19. Finalize by confirming if any corrective action has been taken and the incident's disposition, circling all applicable options.
20. Complete the comments section to summarize actions taken and any relevant notes. Ensure all signatures and dates are provided before submitting.

Complete your document online for timely and effective reporting.