– Government of Alberta Occupational Health and Safety Program –

Incident Management

Reporting Workplace Violence


Refer to the Introduction for Workplace Violence for a clear understanding of workplace violence.

This document is to clarify what form(s) are used to report incidents of workplace violence. The information within this document supplements and must be used in conjunction with the content of Incident Reporting in the Government of Alberta Occupational Health and Safety Program. This element of the Government of Alberta Occupational Health and Safety Program includes reporting incidents of violence between the public and Government of Alberta employees. The form(s) used to report incidents of workplace violence is based on the outcome of the incident, for example, near miss, first aid treatment, medical aid, lost time or fatality.

Incidents of workplace violence between or among public servants are reported in accordance with the Respectful Workplace Policy and the Understanding Our Respectful Workplace Policy Guidebook.

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Employees must notify their supervisor of all incidents of workplace violence even if there was no physical injury.

One or more of the following forms must be completed to report a specific type of workplace violence incident.

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Use the following flow chart to determine the appropriate form(s) to be completed.

Workplace Violence Image

Additional forms as required in Incident Reporting.

Departments may have additional internal reporting requirements including forms to complete for incidents of workplace violence. Employees should check with their department Human Resource Services for those reporting requirements.

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About this Standard

Authority:   Public Service Act
Occupational Health and Safety Act, Regulation and Code
Application:   Departments, agencies and employees under the Public Service Act
Effective Date:   01 September 2010
Contact:   Workplace Health

Last Review / Update: 2015-02-17

Directive: Occupational Health & Safety

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