Recording violent incidents: template and examples
See examples of forms from schools and the Health and Safety Executive, and download our template to add to your existing policies on violent and aggressive behaviour.
Download our template form
You should record incidents of work-related violence that you or your staff experience.
Adapt this form and add as an appendix to your relevant policy.
See an example from the HSE
The Health and Safety Executive (HSE) has an example violent incident report form under 'How should I record incidents of violence?'
There's a section at the end of the form for a manager to record whether the incident needed to be reported to the HSE under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) and, if so, the date when this was followed up.
See school examples
Form for reporting general incidents of violence and aggression
The form asks for