Report an Anonymous Workplace Violence Incident
Date of Incident:
Time of Incident:
Location of Incident:
Type of Violence (Select one):
Type 1 violence: Workplace violence committed by a person who has no legitimate business at the worksite and includes violent acts by anyone who enters the workplace or approaches workers with the intent to commit a crime.
Type 2 violence: Workplace violence directed at employees by customers, clients, patients, students, inmates, or visitors.
Type 3 violence: Workplace violence against an employee by a present or former employee, supervisor, or manager.
Type 4 violence: Workplace violence committed in the workplace by a person who does not work there but has or is known to have had a personal relationship with an employee.
Description of Event:
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