Recording violent incidents: template and examples

See examples of forms from schools, and download our template to add to your existing policies on violent and aggressive behaviour.

Last reviewed on 1 September 2022
School types: All · School phases: All
Ref: 13594
  1. Download our template form
  2. See school examples

Download our template form

You should record incidents of work-related violence that you or your staff experience.

Adapt this form and add as an appendix to your relevant policy.

See school examples

Form for reporting general incidents of violence and aggression

St Giles' and St George's Primary School in Staffordshire has a policy on restrictive physical intervention. It includes an incident report form (appendix 12, page 17 to 18).

The form asks for information on: 

  • The member of staff reporting the incident 
  • The person assaulted
  • The abuser
  • Any witnesses
  • The events leading up to the incident
  • What happened after the incident
  • What's been done to reduce the risk of a similar incident 

The policy also has a follow-up action checklist (page 19 to 21).

Noadswood Secondary School in Hampshire has a violent incident management and reporting policy that includes a link to the