Harassment Incident Report Template
Collects details about a harassment incident, witnesses, its impact, prior reports, and needed support. For people reporting to an employer, school, or organization.
When to use it
- An employee reports harassment to a manager or HR contact
- A student reports an incident to a school administrator
- An organization gathers details for a follow-up conversation
- Someone needs to document an incident and request support
What it asks
- Your name
- Your email address
- Your phone number
- When did this happen?
- Where did this happen?
- What happened?
- Who was responsible?
- Were there any witnesses?
- How has this affected you?
- Have you reported this before?
- If you reported it before, who did you tell and when?
- What support do you need?
Why it should be encrypted
Reports may include personal contact details, allegations, witnesses, and emotional or physical impacts. Only the intended people handling the report should be able to read the answers.
Tips
- Tell respondents who will review the report and how they can get urgent help.
- Limit access to the people responsible for follow-up.
- Customize the questions to fit your organization's reporting process.