Workplace Harassment Incident Log (Free PDF)

Document each hostile or harassing incident with dates, witnesses, and follow-up so you can share a clear record with HR, a union, or an attorney.

Employment details

Add your basic employment info and then record each incident below.

Employee name

Job title

Employer name

Department

Time period

Summary notes

Document each incident with details and follow-up.

Date

Time

Location

People involved

Witnesses

Reported to

What happened

How you responded

Follow-up status

This log is for your personal documentation only and does not create an HR report or legal advice.