1.  Has upper management made the commitment to development of a violence prevention system?

Yes

No

2. Have you developed a multi-disciplinary team that includes that includes representatives from the following functions: security, occupational safety & health, risk management, legal, public relations/corporate communications, human resources and operations management?

3.  Does the company have a written workplace violence prevention policy?

4.  Does the policy include provisions addressing how to deal with domestic violence in the workplace, and bullying behaviors?

5.  Does the company have a written plan describing how the workplace violence prevention plan will be implemented?

6.  Has a pre-established emergency protocol been put in place with local law enforcement and a specific individual (and back up) been designated to contact the police during a critical incident?

7.  Have all managers been trained in workplace violence prevention?

8.  Have all employees been trained in workplace violence prevention?

9.  Does the company have a policy prohibiting the possession of weapons on the company's premises and while an employee is performing their job?

10. Has the company conducted a security risk assessment of all of it work areas?

11.  Does the company have a process and procedure in place for conducting threat assessments?

12.  Has the company pre-identified and pre-qualified an external workplace violence expert and critical incident debriefing team to assist the organization, if needed?