Assessor Information

Assessor

Email

Phone

Date of Assessment

[Michael Lockhart]

[michael@email.com]

[222 555 7777

[10/25/2050]

Key Areas for Assessment

Evaluation Criteria

Compliant?

Comments/

Notes

Yes

No

Workplace Violence Policy

Is there a clear policy in place?

[Policy is clear, but periodic reminders to employees may enhance awareness.]

Prevention Programs

Are preventive measures implemented?

[Any positive comments or notes for improvement]

Reporting Procedures

Are procedures for reporting incidents clear and accessible?

Physical Security

Are access points secure?

Surveillance Systems

Are surveillance systems in place and functional?

Visitor Control

Are there controls for visitor access?

Training Programs

Have employees received training on recognizing and preventing workplace violence?

Emergency Response Training

Are employees trained for emergency response in violent situations?

Communication Channels

Are communication channels for reporting concerns effectively communicated?

Incident Reporting and Investigation

Is there a protocol for reporting and investigating incidents?

Documentation

Are incidents documented appropriately?

Follow-up Actions

Are corrective actions taken promptly?

Work Environment

Is the workplace designed to minimize stress and conflict?

Communication

Are communication channels open and transparent?

Mental Health Support

Are mental health support services available?