Internal Investigation Report Template printable pdf download

Internal Investigation Report Template

Draft or Final Report

Date: _______

Matter # ______

Category: ___________

Business Name /Location: ______________

Investigator(s): __________________________

Was the allegation or concern Substantiated? Y/N

Is it significant:

(If yes, indicate if any of the following have been notified)

__ Chief Ethics & Compliance Officer

___ Chief Legal Counsel

__ Chief Financial Officer

___ Chief Executive Officer

__ Internal Audit

___ Board of Directors

__ Others: (including local, state and federal authorities. Describe below.)

Identify disciplinary actions taken:

___None

___ Verbal Warning

___Written Warning (1

, 2

, 3

)

___ Suspension w/without pay

___ Deduction of Bonus

___ Termination

___Deduction of Bonus

___Other (describe)

Describe any corrective actions taken:

___None

___Policy Revision

___Education/Training

___Other (Briefly Describe)

Other known actions taken by reporter, complainant or accused:

___ Lawsuit

___Union Action (Briefly Explain)

___ Other (Briefly Describe)

___Government Agency (e.g. EEOC, Dept of Labor, State HR Commissions, Govt. Hotlines)

Investigation Summary:

(Briefly describe the actions taken in conducting the investigation.)

(Please list the name(s) of the individual(s) who were involved in the investigation. If an outside source

involved, please note.)

Internal Investigation Report Template