Workplace Bullying Incident Report

Workplace Bullying Incident Report — Form Fields

This hr template includes 15 fields. Confidential report form for employees documenting workplace bullying incidents. Free to customize and use on ZenBuild.

• Your Name (or Anonymous) (text, optional)
• Email (for follow-up) (email, optional)
• Department (text, required)
• Date of Incident (text, required)
• Time of Incident (text, optional)
• Location of Incident (text, required)
• Type of Bullying (dropdown selection, required) — options: Verbal Abuse, Intimidation, Social Exclusion, Work Sabotage, Spreading Rumors, Excessive Criticism, Unreasonable Demands, Public Humiliation, Cyber Bullying
• Relationship to Alleged Bully (dropdown selection, required) — options: Supervisor, Peer/Colleague, Subordinate, Client/Customer, Contractor, Other
• Ongoing Pattern (multiple choice, required) — options: Yes - Recurring, No - One-Time Incident
• How Long Has This Been Occurring (dropdown selection, optional) — options: First Incident, Less Than 1 Month, 1-3 Months, 3-6 Months, Over 6 Months
• Witnesses Present (multiple choice, required) — options: Yes, No
• Witness Names (if willing to share) (text, optional)
• Detailed Description of Incident (long text, required)
• Impact on Your Work and Well-Being (long text, optional)
• Previously Reported (multiple choice, required) — options: Yes, No