Employee Violence Prevention Plan

EMPLOYEE VIOLENCE PREVENTION PLAN

Plan Owner:    Effective Date:

Purpose and Scope

This Employee Violence Prevention Plan establishes procedures and reasonable controls to reduce the risk of workplace violence, to ensure prompt reporting and investigation of incidents, and to provide support to impacted employees. The Plan applies to all employees, contractors, volunteers and visitors at all locations under employer control and to work-related activities conducted off-site.

Definitions

"Workplace violence" includes physical assault, threats, stalking, intimidation, harassment, or possession of a weapon on employer premises or during employer activities. "Supervisor" includes any individual with responsibility for directing work, evaluating performance, or implementing disciplinary actions.

Responsibilities

The employer will designate a Violence Prevention Coordinator and ensure resources for implementation. Supervisors shall enforce procedures, report incidents, and support investigations. Employees must comply with reporting procedures and cooperate with investigations.

Risk Assessment

The employer will conduct an initial and periodic risk assessment to identify roles, locations, tasks and conditions with potential for violence. The assessment will document hazards, likelihood, consequence, and proposed controls.

Identified Hazards (select all that apply):

  Physical assault

  Threats or intimidation

  Domestic violence impacting the workplace

  Stalking

  Presence of weapons

Hazard Controls

Controls will follow the hierarchy of elimination, substitution, engineering, administrative controls, and personal protective equipment (PPE). Controls will be documented, assigned an owner, and tracked to completion.

  Engineering controls (e.g., barriers, locks, lighting)

  Administrative controls (e.g., two-person rule, shift changes)

  Personal protective equipment

Reporting Procedures

Employees must report incidents, threats, suspicious activity, or safety concerns immediately. Reports will be accepted orally, in writing, or electronically. Retaliation against individuals who report in good faith is prohibited.

Incident Investigation

All incidents and credible threats will be investigated promptly. The investigation will document facts, witnesses, corrective actions, and disciplinary recommendations where appropriate. Investigations will be confidential to the extent permitted by law.

Training and Communication

The employer will provide training on violence prevention, reporting procedures, de-escalation techniques and post-incident support. Training will be documented and refreshed regularly.

Employee Support

The employer will offer resources to impacted employees, including referral to counseling, temporary reassignments, and assistance accessing protective orders where applicable.

Recordkeeping and Review

Records of risk assessments, training, incidents, and investigations will be retained in accordance with applicable law and internal retention schedules. This Plan will be reviewed at least annually or following a serious incident.

Non-Retaliation and Confidentiality

The employer prohibits retaliation against any individual who reports a concern or participates in an investigation. Investigative information will be kept confidential to the extent practicable and consistent with the requirements of a thorough investigation.

Appendix — Employee Acknowledgment and Personal Information

Employees shall sign to acknowledge receipt, understanding, and willingness to comply with the Violence Prevention Plan.

Position Information

Employment History (Most Recent)

Dates Employed: From to

Employment History (Prior)

Dates Employed: From to

Education

References (Professional)

Legal Disclosures and Acknowledgments

By checking the boxes below, the undersigned acknowledges receipt of this Plan and the statements set forth.

  I acknowledge the employer's at-will employment policy, where applicable, and understand that this Plan does not alter at-will status unless expressly provided in a signed written agreement.

  I acknowledge the employer's commitment to equal employment opportunity and non-discrimination in the implementation of this Plan.

Authorization: I authorize the employer to contact listed previous employers and references for the purposes of confirming employment history and job-related information in connection with this Plan acknowledgment.

  I authorize background or records checks as permitted by applicable law and consistent with safety-sensitive role requirements.

Applicant Certification

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

I have read and received a copy of the Employee Violence Prevention Plan and agree to comply with the policies and procedures herein.

Sign Now