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Introduction
Standard
Guideline

INTRODUCTION

Refer to the Introduction for Workplace Violence for a clear understanding of workplace violence. This document is to clarify what form(s) are used to report incidents of workplace violence. The information within this document supplements and must be used in conjunction with the content of Incident Reporting in the Government of Alberta Occupational Health and Safety Program. This element of the Government of Alberta Occupational Health and Safety Program includes reporting incidents of violence between the public and Government of Alberta employees. The form (s) used to report incidents of workplace violence is based on the outcome of the incident, for example, near miss, first aid treatment, medical aid, lost time or fatality.

Incidents of workplace violence between or among public servants are reported in accordance with the Sexual and Workplace Harassment Directive and Maintaining a Harassment Free Workplace guideline.

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STANDARD

Employees must notify their supervisor of all incidents of workplace violence even if there was no physical injury.

One or more of the following forms must be completed to report a specific type of workplace violence incident.

• A Workplace Near Miss Incident Report is completed to report incidents of threats or attempts of personal injury or behaviour that could have resulted in personal injury.

• A First Aid Record is completed to record treatment to an injured employee as a result of injuries incurred during a workplace violence incident.

• A Supervisor’s Incident Investigation Report is completed to report incidents of workplace violence that resulted in medical aid, lost time or fatality of an employee.

• A Serious Incident, Fatality and Radiation Investigation Report is completed to report the results of a investigation for an incident of workplace violence that resulted in a serious incident or fatality of an employee.

• An Incident Briefing Report Corporate Human Resources is completed to brief the Public Service Commissioner on serious incidents and employee fatalities due to Workplace Violence.

• Additional forms as required in Incident Reporting.

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GUIDELINE

Use the following flow chart to determine the appropriate form (s) to be completed.

Additional forms as required in Incident Reporting.

Departments may have additional internal reporting requirements including forms to complete for incidents of workplace violence. Employees should check with their department Human Resource Services for those reporting requirements.

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About this Standard

Last Review / Update: 2011-11-14