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300-AQO-01-IGDO © 2019, Workplace Safety & Prevention Services (WSPS)
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Sexual: (uninvited or
inappropriate touching)
Sexual (implied or explicit
expectation of sexual
favour from someone in a
position of power)
Sexual (unwelcome
comments about sex,
sexual orientation,
gender identity or gender
expression)
4. Regarding the incident(s) you noted in Question 3 above, please provide additional information
below.
Nature of
Incident
Timeframe and Frequency Location
Free Text When
In the past month
2-6 months ago
More than 6 months ago
How Often
A single incident
Several
Ongoing
In the workplace
Outside of the workplace while working (e.g.
mobile workplace or a temporary worksite)
A work related social activity, whether virtual,
like social media, or live, like a festive dinner
Free Text When
In the past month
2-6 months ago
More than 6 months ago
How Often
A single incident
Several
Ongoing
In the workplace
Outside of the workplace while working (e.g.
mobile workplace or a temporary worksite)
A work related social activity, whether virtual,
like social media, or live, like a festive dinner
WSPS.CA
