Workplace Investigation Report Template
Company Name: [Company Name]
Department: [HR / Compliance / Management / Other]
Report Date: [Date]
Case Number: [Reference Number]
Date Complaint Received: [Date]
Complaint Received By: [Full Name and Title]
Complainant Name: [Full Name]
Respondent Name: [Full Name]
Department or Work Location: [Department / Location]
Type of Complaint:
☐ harassment
☐ discrimination
☐ retaliation
☐ bullying
☐ policy violation
☐ misconduct
☐ other: [Describe]
2. Summary of Allegation
Summary of the complaint or concern:
[Describe the allegation, reported conduct, and relevant context]
Date or period of alleged conduct:
[Date or time period]
Investigator Name: [Full Name]
Title: [Job Title]
Department: [Department]
Date Investigation Began: [Date]
Date Investigation Closed: [Date]
4. Scope of Investigation
The investigation reviewed the following issues:
[Describe the issues reviewed]
The investigation involved the following steps:
[Interviewing parties]
[Interviewing witnesses]
[Reviewing records or messages]
[Reviewing policies]
[Other steps]
5. Persons Interviewed
Person Interviewed 1: [Full Name]
Role: [Complainant / Respondent / Witness / Other]
Interview Date: [Date]
Person Interviewed 2: [Full Name]
Role: [Complainant / Respondent / Witness / Other]
Interview Date: [Date]
Person Interviewed 3: [Full Name]
Role: [Complainant / Respondent / Witness / Other]
Interview Date: [Date]
Additional persons interviewed, if any:
[Insert names and roles]
6. Documents and Evidence Reviewed
The following documents, records, or materials were reviewed:
[Emails or messages]
[Personnel records]
[Attendance records]
[Security footage]
[Policies or handbook provisions]
[Other documents or evidence]
7. Investigation Findings
Summary of relevant facts established during the investigation:
[Describe the facts found based on interviews, records, and evidence]
Credibility or consistency observations, if applicable:
[Insert observations]
8. Conclusion
Investigation conclusion:
☐ allegation substantiated
☐ allegation not substantiated
☐ allegation partially substantiated
☐ inconclusive
☐ other: [Describe]
Relevant policy, rule, or workplace standard involved:
[Insert policy or rule, if applicable]
9. Recommended or Taken Action
Recommended or completed follow-up action:
[Coaching]
[Disciplinary action]
[Policy reminder]
[Training]
[No action]
[Other action]
Additional notes:
[Insert notes]
10. Confidentiality and Recordkeeping
This report is intended for internal review and recordkeeping. It should be shared only with persons who have a legitimate business need to review it, subject to company policy and applicable law.
11. Additional Notes
Additional information relevant to the investigation, decision-making, or follow-up:
12. Signatures
Investigator Signature: __________________________
Name: [Full Name]
Title: [Job Title]
Date: [Date]
HR / Management Reviewer Signature: __________________________
Name: [Full Name]
Title: [Job Title]
Date: [Date]
Additional Reviewer Signature, if needed: __________________________
Name: [Full Name]
Title: [Job Title]
Date: [Date]