Establishing secure connection…Loading editor…Preparing document…

Employee Violence Policy

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

EMPLOYEE VIOLENCE POLICY AND ACKNOWLEDGMENT

Company Name: Effective Date:

Personal Information

Position Information

Employment History (Most Recent)

Dates Employed: From to

Employment History (Previous)

Dates Employed: From to

Education

References (Professional)

Legal Disclosures

At-Will Employment: Employment with the Company is at-will, which means that either the employee or the Company may terminate the employment relationship at any time, with or without cause or advance notice, unless a written agreement signed by an authorized Company representative provides otherwise.

Equal Opportunity: The Company provides equal employment opportunity without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable law. Discrimination or harassment based on a protected characteristic is prohibited.

I acknowledge I have read and understand the At-Will Employment statement and the Equal Opportunity statement. Acknowledged Acknowledged

Policy Statement

The Company is committed to maintaining a workplace free of violence, threats of violence, harassment, intimidation, and other disruptive behavior. This policy applies to all employees, contractors, vendors, customers, and other persons on Company premises or while conducting Company business offsite.

Definitions

Workplace Violence: Any act or threat of physical violence, harassment, intimidation, coercion, stalking, or damaging behavior occurring on Company property, at Company-sponsored events, or during the course of employment.

Prohibited Conduct

Prohibited conduct includes, but is not limited to: threats of violence; physical assault; intentional destruction of property; carrying or using a weapon on Company property; stalking; bullying; or any other conduct that a reasonable person would perceive as violent or threatening. Retaliation against individuals who report violations in good faith is also prohibited.

Reporting Procedures

Employees are required to report incidents, threats, or suspicious behavior immediately. Reports should be made to the employee's immediate supervisor, Human Resources, or security. In emergency situations where immediate danger exists, employees should contact local emergency services first and then notify the Company.

Investigation and Response

All reports will be taken seriously and promptly investigated. The Company will take appropriate corrective action based on the investigation's findings, which may include disciplinary action up to and including termination, and, where appropriate, referral to law enforcement. The Company will provide interim protections as needed to ensure safety during the investigation.

Confidentiality and Privacy

To the extent practicable and consistent with conducting a thorough investigation, reports and records will be kept confidential. Disclosure of information will be limited to those with a legitimate need to know. The Company will comply with legal obligations to report to law enforcement or other authorities when required.

Non-Retaliation

The Company strictly prohibits retaliation against anyone who reports workplace violence or participates in an investigation in good faith. Any employee who engages in retaliation will be subject to disciplinary action up to and including termination.

Disciplinary Action

Violations of this policy may result in disciplinary measures, up to and including immediate termination of employment and possible criminal prosecution. The Company will consider the nature and severity of the conduct, prior relevant conduct, and other circumstances in determining appropriate discipline.

Emergency Response and Safety Measures

The Company will maintain emergency response protocols, including evacuation plans, communication procedures, and coordination with local law enforcement when necessary. Employees must follow emergency instructions provided by designated safety personnel.

Training and Prevention

The Company will provide training on violence prevention, de-escalation techniques, reporting procedures, and recognizing signs of potential workplace violence. Employees are required to participate in assigned training sessions.

Recordkeeping and Review

Records of reported incidents, investigations, and corrective actions will be maintained in accordance with Company policy and applicable law. The Company will periodically review this policy and make amendments as necessary to address changing conditions or legal requirements.

Applicant Certification and Authorizations

I certify that the personal, employment, and educational information provided on this form is true, complete, and accurate to the best of my knowledge. I understand that false statements or omissions may result in disciplinary action, up to and including termination.

I authorize the Company to contact my former employers and references, to verify any information provided, and to obtain background checks as permitted by law. I understand that my consent is a condition of employment where permitted.

I certify that all information provided is true and complete.

I consent to the Company conducting background checks and contacting previous employers and references as described above.

Employee Acknowledgment

By signing below, I acknowledge that I have received, read, and understand the Company's Employee Violence Policy. I agree to comply with the policy and to report any incidents or concerns promptly in accordance with the procedures described herein. I understand that compliance with this policy is a condition of my continued employment.

Employee Printed Name:

Signature:

Date Signed:

Enter text✕

What an Employee Violence Policy Is and Why It Matters

An Employee Violence Policy is a formal workplace document that defines prohibited behaviors, reporting procedures, prevention strategies, and response protocols related to workplace violence. It identifies roles and responsibilities for employees, supervisors, and human resources; describes risk assessment and mitigation measures; sets procedures for reporting incidents and suspicious behavior; and explains disciplinary actions and support services for victims. The policy helps employers meet legal obligations, protect employee safety, and establish consistent incident-handling procedures aligned with applicable federal and state laws.

Key Advantages of a Clear Employee Violence Policy

A clear Employee Violence Policy reduces workplace risk by defining unacceptable conduct, reporting channels, and response steps. It supports compliance with federal and state obligations, strengthens victim support, and helps managers make consistent decisions during investigations and disciplinary processes.

Key Advantages of a Clear Employee Violence Policy

Who Typically Drafts, Signs, and Uses This Policy

Employers and HR teams use the Employee Violence Policy to set expectations, reporting routes, and accountability across the organization.

  • Human resources and safety staff who develop, maintain, and investigate incidents under the policy.
  • Supervisors and managers who enforce rules, receive reports, and implement interim protections.
  • Employees and contractors required to report concerns, cooperate with investigations, and follow safety measures.

External stakeholders such as security providers and legal counsel may be involved for high-risk incidents or regulatory reviews.

Core Components Every Employee Violence Policy Should Include

A comprehensive Employee Violence Policy combines prevention, reporting, investigation, response, training, and recordkeeping to protect staff and limit employer liability.

Scope

Defines workplaces, employees, contractors, customers, and events covered; clarifies behaviors that constitute violence, threats, harassment, and prohibited weapons or conduct, and scope for off-site events and electronic communications.

Reporting Procedures

Specifies internal reporting channels, anonymous options, emergency contacts, timelines for reporting, how to submit evidence, and obligations for supervisors to escalate imminent threats to law enforcement.

Investigation Process

Outlines steps for collecting statements, preserving evidence, interviewing witnesses, conducting risk assessments, documenting findings, determining corrective action, and timelines for completing investigations while protecting confidentiality.

Preventive Measures

Includes workplace design, access controls, visitor procedures, threat assessment teams, employee training, de-escalation techniques, accommodation policies, and periodic review of security protocols to reduce incident risk.

Response Protocols

Describes immediate safety actions, first-responder coordination, medical care, shelter-in-place and evacuation routes, communication templates for staff and families, post-incident support, and legal notifications.

Recordkeeping

Specifies incident report retention, confidentiality rules, access controls, required notifications for regulatory or criminal reporting, and how records support discipline, training, and risk mitigation analysis.

Required Fields and Key Data to Capture

Employee Name: Full legal name of affected employee.
Job Title: Current job title and department.
Location: Exact location, site, or address.
Date and Time: MM/DD/YYYY and HH:MM with timezone.
Incident Summary: Concise factual description of events.
Witnesses: Names and contact information for witnesses.

Step-by-Step: How to Create and Implement the Policy

Follow these steps to complete and implement an Employee Violence Policy accurately and consistently across your organization.

  • 01
    Assemble team: Include HR, security, legal, and frontline managers for drafting.
  • 02
    Assess risks: Review incident history, facility layout, and high-risk roles.
  • 03
    Draft policy: Define prohibited conduct, reporting, investigations, and disciplinary measures.
  • 04
    Train & test: Communicate policy, run drills, and review feedback regularly.

How to Configure an Online Workflow for the Policy

When using an eSignature platform, configure templates, authentication, and conditional fields to match your Employee Violence Policy workflow.

Field Configuration
Template Name Create a reusable Employee Violence Policy template.
Conditional Fields Show investigator details only when incident reported.
Authentication Use email link or SMS code; consider MFA.
Audit Trail Enable IP, timestamp, and action logs.
Integrations Connect HRIS, payroll, and storage systems.

Where Completed Policies Should Be Filed and Routed

Route completed Employee Violence Policy documents to HR records, legal counsel, and relevant site leadership for filing and compliance review.

  • HR Record: Store signed policy in employee personnel file.
  • Legal: Retain copy for counsel and compliance audits.
  • Site Leadership: Provide site managers and security teams with final version.
  • External Agencies: Share only when required by subpoena or regulatory request.

Distribution and Technical Delivery Options

Use secure channels—email with encryption, intranet posting, and eSignature delivery—for distributing the Employee Violence Policy to staff and stakeholders.

  • Email (Encrypted): Send PDF with encryption and read receipts
  • HR Portal: Publish policy in secure intranet or LMS
  • eSignature: Distribute via eSign platform with audit trail

Timelines and Expected Processing for Rollout and Reporting

Key deadlines for policy rollout, training, incident reporting, and mandatory reviews ensure compliance and timely response to workplace violence incidents.

Policy Adoption Deadline:

Set initial adoption date and communicate to staff

Training Completion Window:

Complete training within 60 days of policy release

Incident Reporting Timeline:

Report incidents immediately; formal report within 24–72 hours

Review and Update Cycle:

Review policy annually or after any major incident

Investigation Completion Target:

Aim to close investigations within 30 calendar days

Common Mistakes to Avoid When Preparing This Policy

  • Vague definitions of prohibited conduct that leave managers unsure when to discipline or refer to law enforcement, causing inconsistent enforcement and legal exposure.
  • Failing to specify reporting channels and timelines, which delays emergency responses and undermines evidence preservation and witness recollection.
  • Not addressing off-duty or remote incidents and electronic harassment, leaving gaps where policies may not apply and victims receive no protection.
  • Overlooking documentation practices and retention schedules, increasing risk during audits or litigation and complicating regulatory responses.

Potential Legal and Operational Risks of an Inadequate Policy

Legal Liability: Tort and wrongful termination claims
Regulatory Fines: OSHA or state penalties possible
Criminal Exposure: Failure to report imminent threats
Reputational Harm: Loss of trust and hires impacted
Workers' Comp Claims: Increased injury claims and costs
Litigation Costs: Attorney fees and settlements

Who Typically Signs or Authorizes the Policy

Jane Smith, HR Director

Jane Smith, HR Director: Typically responsible for maintaining the policy, coordinating training, receiving reports, and ensuring personnel records contain signed acknowledgments. The HR Director assigns investigators or refers matters to legal counsel when appropriate.

John Lee, General Counsel

John Lee, General Counsel: Advises on legal compliance, determines when to notify law enforcement, manages privileged communications, and oversees litigation response and external counsel coordination to limit employer exposure and ensure thorough documentation.

Notarization and Witness Steps for Acknowledgments (If Required)

Most Employee Violence Policies do not require notarization; some jurisdictions or agreements may require witness or notarized acknowledgment for personnel records.

01

Signatures Required

All employees should sign and date an acknowledgment of receipt

02

Manager Countersign

Manager or HR countersign where policy requires site-level acknowledgment

03

Witnesses Optional

Two witnesses may be used for higher-assurance acknowledgments

04

Notarization Optional

Notarize only if required by collective bargaining or local rules

05

Electronic Acknowledgment

Use eSignature with audit trail to record acceptance

06

Kiosk Signing

Provide on-site kiosk for employees without email access

07

RON Consideration

Remote notarization allowed where state law permits and requirements met

08

Record Filing

Store signed acknowledgments with personnel files and HR records

How to Update, Revise, or Revoke the Policy

Follow an organized revision process to update the Employee Violence Policy, obtain approvals, and redistribute revised copies with recorded acknowledgments.

01

Propose Changes:

Document proposed revisions with rationale and legal citations
02

Stakeholder Review:

Circulate draft to HR, security, legal, and unions
03

Approval:

Obtain executive or board sign-off where policy impacts operations
04

Communicate:

Announce changes via email, training, and portal postings
05

Re-acknowledge:

Require employees to sign updated acknowledgments within set timeframe
06

Archive Old Version:

Retain prior versions per retention schedule with revision history

How the Employee Violence Policy Differs from Related Documents

Compare Employee Violence Policy to related documents to clarify scope, legal triggers, and operational responsibilities.

Document Type Violence Policy Harassment Policy Emergency Plan Code of Conduct
Primary Purpose prevent/respond prevent/discipline protect life set conduct standards
Typical Trigger violent acts/threats harassment incidents emergencies policy violations
Legal Basis osha/state law eeoc/state law osha/local rules employment/contract law
Required Training de-escalation, reporting anti-harassment training evacuation drills ethics training

Baseline eSignature Vendor Pricing and Feature Comparison

Compare baseline pricing and basic features for common eSignature vendors used to distribute and collect acknowledgments for the Employee Violence Policy.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No envelope cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Supporting Documents to Attach with the Policy

Attach standard forms and resources to the Employee Violence Policy to streamline reporting, investigations, and post-incident support across facilities and remote worksites.

Incident Report Form

Structured form capturing date/time, location, parties involved, witnesses, injuries, property damage, narrative, and attachments such as photos or security footage references for investigation and potential legal use.

Threat Assessment

Checklist and assessment template for evaluating threat level, required security measures, escalation steps, and whether law enforcement or mental health referrals are necessary.

Post-Incident Support

Guidance on victim support, counseling referrals, return-to-work accommodations, confidentiality protections, and follow-up communications with staff and families.

Training Materials

Curriculum summaries, attendance rosters, scenarios for de-escalation training, and evaluation forms to document compliance and effectiveness of training sessions.

Frequently Asked Questions About the Employee Violence Policy

Answers to common questions about creating, implementing, and enforcing an Employee Violence Policy, including legal scope, eSignature use, and retention.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users