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Form · WRK-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 2E.5
Purpose
Records every incident of violence or aggression against staff, from any source, on the day it happens.
How to complete
- Complete on the day of the incident.
- Describe what happened in facts, not opinions.
- Tick the support offered to each person affected.
Checks
| Check | Entry |
|---|---|
| Date, time and place recorded | Yes |
| Source of the aggression recorded (patient, visitor, staff) | Yes |
| Risk assessment on arrival available | Yes or not done, and why |
| Help called and time recorded | Yes |
| Each person affected offered support | Yes |
| Follow-up review at one week | Date |
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)