Recording violent incidents: template and examples

See examples of forms from schools and the Health and Safety Executive, 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 an example from the HSE
  3. 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 an example from the HSE

The Health and Safety Executive (HSE) has an example violent incident report form under 'How should I record incidents of violence?'

There's a section at the end of the form for a manager to record whether the incident needed to be reported to the HSE under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) and, if so, the date when this was followed up.

See school examples

Form for reporting general incidents of violence and aggression

The form asks for