Workplace Harassment Investigation Form (Page 2 of 2) in pdf

Workplace Harassment Investigation Form Page 2

6. Take detailed notes.

7. Keep the investigation confidential. Instruct the worker who allegedly experienced

workplace harassment, the alleged harasser and witnesses not to talk to others

about the investigation unless it is necessary, for instance, to obtain advice or

counselling.

C. Worker(s) Concerns/Workplace Harassment Allegations

When did the incident(s) occur? Confirm date of first incident and any subsequent

behaviours or conduct. Note that recalling events of harassment can be stressful for the

complainant.

Date of first incident:

Date of last incident:

Date of other incident(s):

D. Alleged Harasser(s) Response

The alleged harasser(s) will likely need details of the allegation of harassment to be able

to respond.

E. Interview Relevant Witnesses

List witnesses. Interview relevant witnesses and make notes.

F. Collected documentation

List the documents collected for the investigation and how or from whom they were

obtained.

G. Investigation Result(s)

The investigator’s summary report should set out who was interviewed, what evidence

was obtained and an analysis of the evidence to determine whether workplace

harassment occurred.

Summary of key evidence:

Recommended next steps:

Report provided to:

Workplace Harassment Investigation Form Page 2