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300-AQO-01-IGDO © 2019, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | wsps.ca
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
5. If you experienced or witnessed harassment in the workplace, did you report it?
Yes, I reported it to someone inside my organization (go to Question 6)
Yes, I reported it to someone outside my organization (skip to Question 8)
No (skip to Question 7)
6. To whom, in the workplace, did you report the harassment (select all that apply)?
Manager/Supervisor
Co-worker
Owner
Human Resources
Union
Joint Health and Safety Committee (JHSC) Member/Health and Safety Representative (HSR)
Workplace healthcare professional (e.g. company nurse)
Other person associated with my workplace – please specify (optional)
7. If you answered "no" to Question 5, why did you not report the harassment (select all that apply)?
Although I felt uncomfortable, I wasn't sure the incident was harassment
I didn't know I was supposed to report it
I didn't know how to report it
I didn't know who to report it to
I felt I would put my job at risk
WSPS.CA
