Workplace Violence Prevention Program

Establish a practical approach to identifying, preventing, and responding to workplace violence with this editable Workplace Violence Prevention Program from Team Libertas.

Workplace violence can involve threats, intimidation, stalking, physical assaults, and other conduct that creates safety concerns. These risks may arise from customers, visitors, current or former employees, individuals with personal relationships to employees, or people with no legitimate connection to the workplace.

This written program provides a framework for evaluating workplace violence risks, establishing reporting procedures, implementing preventive measures, assessing threats, and coordinating emergency response. It addresses both physical security and the organizational practices needed to identify concerns early and respond appropriately.

The program covers:

• Management, supervisor, employee, and threat assessment responsibilities
• Types of workplace violence and associated risk factors
• Employee participation, reporting procedures, confidentiality, and nonretaliation
• Worksite hazard assessments and corrective action planning
• Physical security, administrative controls, and de-escalation
• Visitor management, access control, and lone or remote work
• Prohibited conduct, weapons policies, and workplace expectations
• Threat reporting, initial triage, assessment, and management
• Domestic and personal violence affecting the workplace
• Emergency response and law enforcement coordination
• Incident reporting, investigation, and corrective action
• Post-incident employee support and operational recovery
• Employee training, drills, and communication
• Contractor coordination and shared-worksite considerations
• Recordkeeping, confidentiality, and program evaluation

What's included:

An editable Microsoft Word (.docx) program with supporting forms, checklists, and planning resources:

• Implementation Checklist
• Workplace Violence Hazard Assessment
• Workplace Violence Concern or Threat Report
• Immediate Threat Triage Checklist
• Threat Assessment and Management Record
• Individual Workplace Safety Plan
• Visitor and Access Control Assessment
• Lone and Field Work Safety Plan
• Incident Response Checklist
• Workplace Violence Incident Report
• Training and Communication Record
• Program Review Record

Designed for customization

The program can be adapted to workplaces with varying levels of public interaction, security concerns, staffing arrangements, and operational risks. Employers can establish their reporting contacts, assess site-specific hazards, assign responsibilities, develop emergency procedures, and incorporate applicable employment and security policies.

Important information:

Federal OSHA does not have one workplace violence prevention standard applicable to all private employers. OSHA's General Duty Clause may apply to recognized serious workplace violence hazards, and certain states and industries have additional requirements.

This template must be reviewed and customized to address applicable federal, state, and local requirements, workplace conditions, and organizational policies. It does not replace site-specific hazard assessments, employee training, emergency planning, or qualified threat assessment when needed. Purchasing the program does not, by itself, establish regulatory compliance.

Format: Editable Microsoft Word (.docx), delivered as a digital download.

License: For internal use by the purchasing organization. The document may be edited, customized, reproduced, and distributed internally. Resale, external redistribution, public posting, or commercial inclusion is prohibited.

Need assistance? Team Libertas can assist with workplace violence risk assessments, program customization, employee training, and implementation. Learn more about our services.