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  • Atech Logistics & Distribution Workplace Violence Incident Reporting Form

    Atech Logistics & Distribution Workplace Violence Incident Reporting Form

  • Following the event of a workplace violence incident, to help the company investigate and respond appropriately, please complete this form describing the circumstances of the incident.  Upon submission this form will be sent to the appropriate supervisor, HR personnel or other individual(s) designated to receive such information under the company’s Workplace Violence Prevention Plan. Please be as specific as possible in order to help the company gain an accurate understanding of the incident in order to respond appropriately as part of its ongoing efforts to correct and prevent workplace violence hazards and maintain a safe working environment.

  • Section 1: Information About the Individual Completing Form

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  • Section 2: Information About the Incident

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  • Should be Empty: