Workplace Investigation Report Examples – Pdf | Examples Within Hr Investigation Report Template

Posted on

PROTOCOL COMPLIANT INVESTIGATION REPORT

***Example A is the initial investigation report used in training. Read through it first, note questions you would have if you were reviewing this report based on Appendix A requirements, and then read through Example B. Bold portions of Example B show the improveinents.

  1. ALLEGATION

Residential Support Staff (RSS) Rashad Greene reported that co-worker Tony Steward forcefully shoved individual Jesse Drew to the floor, causing Drew to strike his head against a chair. Greene reported that Steward also yelled at Drew, but was not sure what he said. Steward was attempting to make Drew pick up grapes that Drew had thrown on the floor. Drew would not pick up the grapes, instead throwing a grape at another individual. Drew then started stepping on the grapes. Finally, Drew stuck his finger in Steward’s face. Steward pushed Drew to the floor at that point. RSS Rachel O’Leary intervened and walked Drew back to his room. Nursing staff observed that Drew had redness and a small scratch on the side of his head upon examination following the incident. The redness soon faded away. YCBDD reported the incident to the Cumberland Police Department. CPD declined to conduct a criminal investigation since no significant injury resulted.

  1. DOCUMENTS REVIEWED
  2. ITS MUI Report 2010-092-0262
  3. Best Care Inc. UIR, J. Drew, 6/21/10, 1:30 PM (RSS R. Greene)
  4. Behavior Support Plan, Jesse Drew
  5. FINDINGS OF INVESTIGATION

Best Care Program Director Laurna Lawrence

On 6/22/10 at 9:00 AM I contacted Best Care Program Director Laurna Lawrence to initiate the investigation. Ms. Lawrence noted that Mr. Drew’s behavior was very unpredictable. He often became physically aggressive toward staff Ms. Lawrence was not present at the home when the incident occurred. She received a telephone call from Mr. Greene describing the incident. Ms. Lawrencenstructed Mr. Greene to fill out an incident report and placed PPI Steward on administrative leave pending the investigation.

Ms. Lawrence noted that Mr. Steward has been a good employee for Best Care over the past 2 years. Other staff often sought Steward’s assistance when Mr. Drew’s behavior got out of control. Lawrence felt Drew’s behavior support plan was ineffective in addressing his problem behaviors. She felt the gist of this incident was that Drew initiated aggression toward Steward. She did not believe Steward would intentionally harm Drew or any resident of the home.

Incident Reporter/RSS Rashad Greene

Download Workplace Investigation Report Examples

Download PDF: Click Here

Download Word: Click Here

Related posts of "Workplace Investigation Report Examples – Pdf | Examples Within Hr Investigation Report Template"

Heart Pop Up Valentine Card – Heart Pop Up Card Template Free

A step by step guide to how to make a heart pop up card. You will love these easy to make DIY Heart Pop Up Valentine Cards. They are also wonderful for Mother’s Day or as a Wedding Day card. These 3d Heart Cards, make a great alternative Explosion Card – as they are nice and...

D&d 5E Spell Card Template – Amscan Imprintable Place Card Template

Disclaimer: These recordsdata comprise each spell out there within the D&D Fifth Version SRD, and are printed beneath the Open Gaming License. The SRD solely permits spells from the Gamers Handbook. If you would like spell playing cards for non-SRD spells or customized content material, use the form-fillable Customized doc. Updates 1. A single PDF...

Free Printable Valentine’s Day Scavenger Hunt Kids & Adults With – Clue Card Template

So it’s humorous. I truly created this scavenger hunt for my oldest son, however you possibly can simply use it for a boyfriend, husband, or vital different as nicely. There’s nothing actually that makes it child particular so be happy to make use of it for whoever for Valentine’s Day! I believe it’s enjoyable to...

Cover Letter: Cover Letter Sample For Job Application – Job Application Template Word

After weeks of heavy job search, you’re nearly there! You’ve perfected your resume. You’ve short-listed the good jobs you need to apply for. You’ve even had a good friend practice you for each single interview query on the market. However then, earlier than you possibly can ship your software and name it a day, you...