Violence Prevention Risk Assessment Form

JEM Violence Prevention Risk Assessment Overview

Purpose

The Violence Prevention Risk Assessment is a proactive tool developed by JEM Wellness Brands to identify and mitigate risks related to workplace violence. It helps evaluate physical environments, work procedures, and team member safety protocols across locations.

How to Use the Form

Instructions:

1. Review each statement under physical environment and work procedures.
2. Check applicable responses and document existing controls.
3. Recommend additional controls or actions needed.
4. Assign responsibility and set a completion date for each action.

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Physical Work Environment

Assesses safety features and vulnerabilities in the workplace:

• Public Access: Is there direct access to the workplace?
• Multiple Entry Points: Are entrances secured?
• Surveillance: Is video monitoring or security present?
• Lighting: Is lighting adequate inside and outside?
• Parking: Are parking areas well-lit and secure?
• Hazardous Objects: Are potentially dangerous items accessible in public areas?
• Cash Handling: Are there controls for cash storage and transport?

Each item includes checkboxes for:

• Existing controls (e.g., locked entrances, visible reception areas)
• Recommended actions (e.g., install surveillance, improve lighting)
• Responsible party and timeline

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Type of Work

Evaluates job-related risks and team member preparedness:

• Emergency Support: Can team members call for help?
• High-Risk Scheduling: Are shifts during early/late hours minimized?
• Working Alone: Are safety protocols in place?
• Client Interaction: Are team members trained to manage aggression?

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Additional Information

Each section includes space to document extra context or site-specific concerns.