Safety, Health, Environment & Risk Management
WORKPLACE VIOLENCE RISK ASSESSMENT
Please review the risk factors provided below and determine if any are associated with positions under your area of responsibility.Submit a risk assessment form for positions that have one or more risk factor(s) associated with their duties. One form may be completed for a group of positions possessing similar duties and comparable risks i.e. faculty members, parking attendants, administrative assistants.
If you wish to submit additional information to support this form, please forward it to:Donna Kubica, email@example.com (Please reference the position the violence risk assessment was completed for in your email.)
For further information, refer to the Workplace Violence Prevention Program or contact SHERM.
ALL INFORMATION RECEIVED REGARDING PAST OCCURRENCES OF VIOLENCE WILL BE KEPT CONFIDENTIAL.
updated June 27/17