This workplace violence incident log template helps organizations consistently document, track, and respond to workplace incidents involving aggression or physical harm. It gives you a clear, systematic way to capture the full story: who was involved, what went down, how it was handled, and what needs to happen next. With this template, you can standardize reports and spot patterns faster before they repeat.
Streamline your incident documentation and keep records clear
This workplace violence incident log template guides every report through a reliable structure. You start with the basics, such as time, place, and people involved, then document the full incident, step by step. Nothing gets skipped, and no one has to guess what’s needed.
You can use the template to clearly separate details about the victim, perpetrator, and response actions. This makes reviews faster and patterns easier to track over time.
It’s available as a PDF, but you can also use it right on the Lumiform app so your team can fill it out right on-site, assign follow-ups, and export records instantly. This kind of structure also supports your legal documentation and compliance processes.
How to use the workplace violence incident log template
This step-by-step approach helps you take immediate action and maintain accurate records with the template:
- Customize the template to fit your environment. Start by tailoring the fields to your workplace setup. You can add specific job roles, location types, or contributing factors relevant to your company. Using Lumiform, it takes just minutes to edit and adapt the template in the app.
- Assign the template to the responsible person. Give clear ownership. Usually, this will be your site manager, safety officer, or HR lead—someone trained to gather incident details calmly and thoroughly.
- Fill it out immediately after an incident. Encourage staff to document while the situation is still fresh. The template helps the assigned person walk through the report systematically, from time and location to actions taken and follow-up steps.
- Attach photos and evidence directly in-app. Use the photo and text fields to upload any visual proof or documentation. This strengthens the record and helps future reviews.
- Track responses and spot trends. Review logs regularly to analyze recurring issues, areas of risk, or policy gaps. Lumiform’s dashboard lets you visualize patterns and supports your next safety steps.
Standardize how your team reports incidents
Download this template to put a reliable process in place for documenting workplace violence. It provides you with a definite structure your team can follow every time. From roles and timelines to injuries and follow-up actions, each report stays consistent and complete. Assign it to managers or team leads and make reviewing incidents more efficient.