Home
Forms Library
Workplace Acts or Threatened Acts of Violence Report - dhs georgia

Workplace Acts or Threatened Acts of Violence Report - dhs georgia 2025

Workplace Acts or Threatened Acts of Violence Report - dhs georgia Preview on Page 1

See details

4 out of 5

30 votes

The document outlines the procedures for reporting acts or threatened acts of violence in the workplace, emphasizing that such incidents must be reported immediately by victims, witnesses, or employees. It includes a detailed reporting form that collects information about the incident, the individuals involved, and any actions taken following the event. The policy aims to ensure a safe work environment by encouraging prompt reporting and preventive measures.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Workplace Acts or Threatened Acts of Violence Report - dhs georgia with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering your name and telephone number in the designated fields. If you wish to remain anonymous, indicate your method of notification.
Fill in the name and location of the affected DHS Organizational Unit, followed by details about the alleged threat maker, including their relationship to the department.
Provide information regarding the victim or potential victim, including their name and relationship to the alleged threat maker.
Detail when and where the incident occurred, along with events leading up to it. Be specific about any threats made and describe the conduct of the threat maker.
List any witnesses along with their contact numbers. Document what happened post-incident and how supervisory staff responded.
Indicate whether local law enforcement was notified and detail any actions taken. Finally, provide suggestions for preventing similar incidents in the future.
Complete your report by filling in your job title, date, and telephone number before submitting it as instructed.

Start using our platform today for free to efficiently complete your Workplace Acts or Threatened Acts of Violence Report!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who should you contact when a workplace conflict turns into a threat?

Contact your manager and supervisor immediately. For Los Angeles County Employees, a Security Incident Report (SIR) must be filled out if there is a threat or act of workplace violence. Report to the Security Operations Unit (SOU) by completing and delivering the SIR within 24 hours.

What is Type 5 workplace violence?

SB 553 addresses workplace violence by requiring employers to implement basic protections to protect employees while at work. This fact sheet is an overview of the California Senate Bill 553 (SB 553), which was signed into law on September 30, 2023.

What are 5 examples of violence in the workplace?

Spreading rumours, swearing, verbal abuse, harassment, pranks, arguments, property damage, vandalism, sabotage, pushing, theft, physical assaults, inflicting psychological trauma, anger-related incidents, , arson, and are all examples of workplace violence.

What are the acts of workplace violence?

Workplace violence is any act or threat of physical violence, harassment, intimidation, or other threatening behavior that occurs at the work site. It ranges from threats and verbal abuse to physical assaults and even homicide. It can affect and involve employees, clients, customers and visitors.

What is the workplace violence policy in Georgia?

Employees are responsible for notifying their supervisors or other authorized officials of all acts or threats of violence. Failure of an employee to report such acts or threats of violence is considered a basis for disciplinary action, up to and including separation from employment.

What is report process in workplace violence?

Notify Supervisor; Immediately report the incident to the Security Guard/Local Law Enforcement; Notify FBI when violence is directed at the job function, normally contacted through/by Security, Solicitor, Inspector General, or OASAM Office; and. Evacuate the area if safety at risk.

What are the 4 types of workplace violence?

Ideological Violence as the 5th Type of WPV Ideological workplace violence, often motivated by violent extremism, is directed at an organization, a particular group of people within the organization, and/or its property for ideological, religious, or political reasons.