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If a harassment and violence occurence poses an immediate danger to the health and safety of an employee, or if there is a threat of such an occurence, call 911 or other local emergency number to request emergency services (police, fire and ambulance). If applicable, contact the on-site guard/security.
Before filling out the form, please review the definition of Workplace Harassment and Violence:
The Canada Labour Code defines harassment and violance as: "
any action, conduct or comment, including of a sexual nature, that can reasonably be expected to cause offence, humiliation or other physical psychological injury or illness to an employee, including any prescribed action, conduct or comment.
"
You can submit your Notice of Occurrence in one of two ways:
report the occurrence to your supervisor/manager verbally or report it in writing by submitting the Notice of Occurrence form;
OR report the occurrence to the designated recipient in writing by submitting the Notice of Occurence form to the following email address:
respect@pc.gc.ca
Employee Information
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Type
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=or>3 months =or<6 months
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1155 Lola
125 Sussex
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BUILDING A
Building B
BUILDING C
BUILDING D
BUILDING E
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ground
HERBERGERS
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new building
OLYMPIC STADIUM
ORANGERIE
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Buildings Levels
Basement
Basement 2
Garage 1
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Level 1
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Penthouse 1
Incident Information
LblReportNum
Date
Time of Incident
Area-1
Details
Subject
ASSAULT
Fire
FRAUD
HARASSMENT
loss of equipment
MEDICAL EMERGENCY
theft
workplace violence
Sub-Category
Auto
bob delete sub
Corporate Property
Falls
False Alarm
False Alarm
fire
Folder on desk
Fraud Against Shareholders
Gas
Heart Attack
Information
Internal
Internal Fraud
New Fractures on Target Assessment
New Sub
New SubCategory
Non Patient
Old Sub Cat
Over $1,000.00
Patient
Personal Property
Physical
Plumbing
Real Alarm
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Securities Fraud
Simple Theft No Injurys
Simple Theft with Injuries
Slip and Fall
suba
test2
test99a
test99b
To Company Property
To Personal Property
Under $1,000.00
With items Stolen
Without Items Stolen
Without Items stolen 2
People
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Type
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Date of birth
Date Deceased
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Identifiable ?
Organization Name
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SIN Number
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Employee ID
Details
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Attachments
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ID
Last Name
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