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Free Workplace Discrimination Incident Log PDF

Download a free workplace discrimination incident log PDF to document what happened, when, and who was involved.

Published November 28, 2025

A detailed log makes it easier for HR, a union, the EEOC, or a lawyer to understand what happened and when. Use this template to capture discriminatory comments, actions, witnesses, and how the employer responded.

When to use this

  • You need a dated record of discriminatory comments, jokes, or actions at work.
  • You are preparing to file an internal complaint, EEOC charge, or talk with a lawyer.
  • You want to document the employer’s response or lack of response to reported incidents.

How to do it (fast)

  1. Open the workplace discrimination incident log tool below.
  2. Add your employment details and the types of discrimination you are experiencing.
  3. Log each incident with the date, what was said or done, witnesses, and who you reported it to.
  4. Download the PDF to share privately with HR or legal counsel.

Why this helps

  • Creates a clear timeline that shows patterns and frequency of discrimination.
  • Captures witnesses and documentation references so HR or counsel can follow up quickly.
  • Records the employer’s responses to reports, which can be critical for retaliation or failure-to-act claims.

Related tools

Not legal advice. Courts set their own rules. Keep your original records.

What to record in your discrimination log

Include the date, time, and location of each incident, what was said or done, who was involved, and any witnesses. Note whether you reported it, the date you reported it, and what follow-up occurred. If you have documentation like emails or screenshots, reference where they are stored.

How a written log supports complaints and legal advice

A contemporaneous log helps HR or a lawyer see patterns and whether the employer responded appropriately. It also shows the impact on your work environment and can back up EEOC charges or retaliation claims if your hours, schedule, or duties change after you report issues.

How to use this free online log

  1. Open the workplace discrimination incident log tool.
  2. Select the types of discrimination you’re experiencing and enter your employer details.
  3. Add each incident with dates, witnesses, what happened, and any reports made.
  4. Generate and download the PDF to share with HR or an attorney.

Open the incident log

Document discriminatory incidents with dates, witnesses, and follow-up.

Open the Workplace Discrimination Incident Log

Last updated November 28, 2025