Workplace Violence Reporting Form (Form 733)

NEW Workplace Violence Reporting Form 733 – April 2016 version

This form MUST be used to report any of the violent incident  possibilities as defined in the Ontario Health & Safety Act. The definition is:

Category of Violence

a.  Exercise of physical force that causes or could cause physical injury to the worker.

b.  Attempt to exercise physical force that could cause physical injury to the worker.

 c.  Statement or behaviour that is reasonable for the worker to interpret as a threat to use physical force that could cause physical injury to the worker.

The Act does not differentiate on the basis of any physical, emotional, or cognitive disability.

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