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WVPP Incident Report (For Administrators)

Nature of incident (Check all that apply)
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Worksite:*
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Gender*
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Worksite:*
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Type of contact:*
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Was the employee alone?*
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Location of incident:*
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What type of incident was it?*
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Were any threats made before the incident occurred?*
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Did the employee(s) ever report to the department that he/she was threatened, harassed, or suspicious that the attacker may become violent?*
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Was a weapon used?*
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Was there any injuries?*
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