HEALTH MODULE How to Recognize and Stop Sexual Harassment |
APPENDIX E
Worksheet for Resolving
Sexual Harassment
Alleged sexual harassment situation: (be specific when describing the alleged behavior.)
Corrective action requested by the complainant: (even if the complainant does not want any corrective action taken you must ensure that the sexual harassment stops.)
Alleged harasser(s) description of the situation:
Additional fact finding information: (documentation, witnesses, previous situation)
Your appropriate corrective action:
Follow-up action:
Write the names of the internal resource people whom you may contact for additional information or assistance.
Name Office Work Phone
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________