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Investigation: Incident Report

The company encourages you to resolve any problem or issue informally with the individuals involved. However, if you have a concern or experience a problem that affects you or your co-workers, we ask that you complete this form and return it to Human Resources within five working days after the incident or problem occurred. The company will then provide you with a written response to your issue.

Employee Information

Name of Employee claiming incident: _________________________________

Employee's Job Title: _____________________________________________

Incident Information

Date/Time of Incident:________________________________________________________

Location of Incident:________________________________________________________

Description of Incident:

Witnesses to Incident:________________________________________________________

In your opinion, was this problem / incident in violation of a company policy? Yes No

If yes, specify which policy and how the incident violated it.

What ideas do you have for remedying the situation?

Is there any other information you feel is relevant to this situation?

Signature of person preparing report: ______________________________________________________________

Date: __________________________________________________________


​An organization run by AI is not a futuristic concept. Such technology is already a part of many workplaces and will continue to shape the labor market and HR. Here's how employers and employees can successfully manage generative AI and other AI-powered systems.