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Workplace violence policy template

Workplace violence policy template

Set clear boundaries, define reporting lines, and communicate behavioral expectations with this template designed to handle workplace threats and incidents.

Use this template
or download pdf
Workplace violence policy template

Set clear boundaries, define reporting lines, and communicate behavioral expectations with this template designed to handle workplace threats and incidents.

Use this template
or download pdf

About the Workplace violence policy template

Workplace conflict can quickly escalate into safety concerns if it goes unchecked. This workplace violence policy template helps you define expectations, standardize reporting, and proactively manage risk in your organization. You’ll be able to outline clear behavioral standards while setting preventive measures to create a safer working environment.

Why you should use a workplace violence policy template 

A workplace violence policy template gives you a ready-made structure to handle serious and sensitive issues, without starting from scratch. It allows you to define rules, outline reporting steps, and put practical protocols in place, all in one accessible document.

You can use a template to standardize your policy across locations or teams, making it easier to keep communication consistent and responsibilities clear. It also saves time during audits or investigations by giving you a documented baseline of your procedures.

This template benefits you by making it easy to update or adjust as laws change or new risks emerge. Instead of reacting to issues after the fact, you stay proactive and organized, with everything documented and ready to go.

How to use the workplace violence policy template effectively

Here’s a quick guide to making the most of this template within your organization:

  1. Customize the template to fit your workplace: Start by editing the template to reflect your company’s structure, roles, and specific risk factors. You can do this directly in the Lumiform app. Feel free to adjust language, add industry-specific scenarios, and tailor reporting channels to match your internal processes.
  2. Assign responsibility to HR or safety leadership: Once ready, assign the policy to the appropriate person, typically someone in HR or compliance, so they can review it with leadership and roll it out across departments.
  3. Roll it out to teams and frontline staff: Use the app to distribute the finalized policy. You can link it to onboarding materials or safety briefings. Add clear instructions so employees understand what behavior is prohibited, how to report issues, and who handles violations.
  4. Connect action tasks to reported incidents: Enable action management so when someone submits a report, the right person gets notified and can follow up directly. This keeps everything tracked and moving forward.
  5. Monitor and update regularly: Use analytics tools in the app to track incidents and policy acknowledgment rates. Adjust the policy as needed when new risks arise or your org structure changes.

Plan and implement safety policies with confidence

Download this template to establish a consistent, professional framework for protecting against and preventing workplace violence. Assign responsibilities, create action items for incidents, and track every step with precision. With this template, you’ll be able to reduce uncertainty and create a transparent policy that you can roll out across your organization. 

Related categories

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Preview of the template
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Page 1
Policy Statement
Our organization is committed to providing a safe and secure work environment for all employees. We have zero tolerance for workplace violence and will take immediate action to address any threats or acts of violence.
Workplace violence is defined as any physical assault, threatening behavior, or verbal abuse occurring in the work setting. This includes, but is not limited to, physical attacks, domestic disputes that spill over into the workplace, threats, harassment, intimidation, and other disruptive or aggressive behavior.
Scope of Policy
This policy applies to all employees, contractors, vendors, and visitors to our organization's facilities and work sites.
It covers acts or threats of violence occurring on our property, as well as in the course of our business off-site.
Prohibited Conduct
Employees are prohibited from making threats or engaging in violent acts. This includes, but is not limited to:
Physical attacks, such as hitting, shoving, or throwing objects
Verbal or written threats
Intimidating, harassing, or coercive behavior
Possession of weapons on company property or while conducting company business
Reporting Procedures
Employees who experience, witness, or become aware of acts or threats of violence must immediately report the incident to their supervisor or the designated security personnel.
All reports will be taken seriously and investigated promptly. Confidentiality will be maintained to the extent possible.
Employees who make false or malicious reports will be subject to disciplinary action.
Disciplinary Action
Employees who violate this policy will be subject to disciplinary action, up to and including termination of employment.
Discipline may also include referral to law enforcement for potential criminal charges.
Preventive Measures
Our organization will implement the following preventive measures to reduce the risk of workplace violence:
Secure access control systems and visitor sign-in procedures
Employee training on recognizing and responding to warning signs of violence
Counseling and employee assistance programs for those experiencing personal issues
Regular review and updating of this policy and associated procedures

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

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Frequently asked questions

Who reviews reports of workplace violence in most companies?

It depends on the size and structure of your organization. Typically, HR or a designated safety officer handles reports, but larger companies may have a specific internal committee. The key is to assign responsibility clearly and include backups in case that person is involved or unavailable.

Can contractors and vendors be covered under the same policy?

Yes, and they should be. Anyone on-site, whether full-time staff, temp workers, or third-party contractors, should fall under the same rules. You can include a separate acknowledgment section for external personnel during onboarding or site briefings to keep accountability consistent.

Is it important to track near misses?

Absolutely. Near misses or situations that could have turned violent are often overlooked but carry valuable insight. Logging these gives your team a clearer picture of behavioral trends, risky environments, or procedural gaps. It’s one of the best ways to improve prevention without waiting for a crisis.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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