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300-BXB-01-IGDO © 2025, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | www.wsps.ca
There are three parts to the Workplace Violence Assessments:
1. General Physical Environment Assessment
2. Risk Factor Selection Tool
3. Assessments for Specific Risks
You only need to fill out the Assessments for Specific Risks that are relevant to your workplace or to specific jobs or
locations.
Before you start to use the assessments:
• Decide who will fill out the assessment(s). Think about the knowledge this person should have. Your health and
safety association may be able to help provide training for the assessor, or may be able to help your workplace
to complete the assessments.
• Decide with whom you will consult to fill out the assessments.
• Decide whether there one set of assessments will be filled out for the entire workplace, or if there will be
separate assessments for different jobs, tasks, or locations:
• Smaller employers, such as variety stores, may only have one workplace, so they would need only one
assessment.
• Larger employers may wish to divide the operations into workplaces or tasks that have similar risks of violence.
For example, a debt collection operation may divide its staff into those who deal with customers personally and
those who perform administrative support functions with no customer contact. In this way, violence prevention
efforts can be focused on those areas where they are most needed.
When you are filling out the assessments:
• At the top of the assessments, identify the job/department/location, the name of the person filling it out, and the
date.
• Check the boxes as accurately as possible, being sure to put a mark opposite each question.
• If the answer to any of the questions is in a shaded column, fill in the information about controls that already
exist at your workplace. When filling in recommended controls, take into consideration the protection of all
workers in the workplace, including those who may be more vulnerable to violence.
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Developing Workplace Violence and Harassment Policies and Programs: A Toolbox
Workplace Violence Assessments
You are encouraged to involve workers, supervisors, joint health and safety committees, health and
safety representatives, and/or unions in this process. Your workplace violence policy and program
will be the better for it.
WSPS.CA