Template

Workplace Violence Prevention Worksite Analysis

by Edward Boggio, from the Community

40+

This hospital-focused checklist supports The Joint Commission Environment of Care 02.01.01 EP 17 by guiding an annual worksite analysis for workplace violence prevention. It covers initial scoping questions, hazard identification, and assessment of common risks in clinical, counseling, and support areas such as disagreements, intoxication, illegal drugs, unpredictable behaviors, and verbal abuse. Users evaluate risk factors like face-to-face contact, night work, lone working, high-value meds, heavy workloads, delays, prior incidents, layout, lighting, and security measures. The tool records findings, develops and assigns controls, trains staff, and sets timelines, with an annual review cycle and sign-off fields.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Workplace Violence Prevention Hazard Assessment
This workplace violence prevention hazard assessment template helps organizations evaluate risk factors, security measures, and policies that reduce threats at work. It covers operations, security features, staffing patterns, lone work procedures, and authorization protocols. It guides identification of individuals with a history of violence, added protections for affected employees, and the creation and review of prevention programs. The checklist addresses training content, methods, and frequency, reporting processes, incident tracking, post-incident changes, and impacts on morale, productivity, and costs. Use it to find gaps and strengthen safety.
by Joseph Fisco, from the Community
Downloads: 10+
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Template
Workplace Violence Risk Assessment
Based on HSE guidance for assessing the risks of work-related violence, this workplace violence risk assessment template is especially crucial for employers in the hospitality and retail industries. With this workplace violence risk assessment template, employers can do the following: 1) List workplace violence hazards observed or experienced as well as those that are suspected to be happening in the workplace, 2) Specify if known risk factors (aspects of the work that make violence more likely) are present or absent in the workplace, 3) Identify the risk levels of workplace violence risk factors using the risk matrix provided, 4) Develop effective risk control measures while taking into consideration the comments, opinions, and ideas of the staff, and 5) Create an action that reminds them to review the workplace violence risk assessment one year from the time it was completed.
by SafetyCulture
Downloads: 200+
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Template
TJC EOC Standards: Safety and Security
This checklist supports a mock survey of The Joint Commission’s Environment of Care standards focused on hospital safety and security. It covers planning and management of safety and security risks, written plans for safe and secure facilities, fire safety and utility systems, maintaining safe, functional environments, and risk controls during construction or renovation. It also addresses staff roles in environment of care incidents, ongoing monitoring and investigation of incidents, data analysis to resolve environmental safety issues, and continuous improvement actions to strengthen compliance and patient safety.
by Darren Yarbrough, from the Community
Downloads: 10+
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Template
Annual Health and Safety Self Audit
This annual health and safety self audit template helps hospital wards and departments review compliance across key areas. Sections cover policies and local arrangements, COSHH, moving and handling, DSE, electrical and equipment safety, welfare facilities, and emergency readiness. It also addresses violence and aggression, lone working, consultation, stress management, and risk assessments. An action plan and non-clinical risk register are included to track remedial actions and reviews.
by Jason Chambers, from the Community
Downloads: 0
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Workplace Violence Prevention Worksite Analysis

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Workplace Violence Prevention Hazard Assessment

Workplace Violence Risk Assessment

TJC EOC Standards: Safety and Security

Annual Health and Safety Self Audit

You might also like

Workplace Violence Prevention Hazard Assessment

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