WORKPLACE VIOLENCE
PREVENTION PLAN
(WVPP)
1 WORKPLACE VIOLENCE PREVENTION PLAN FOR
Town of Yountville
Our establishment’s Workplace Violence Prevention Plan (WVPP) addresses the hazards known to be associated with the four types of workplace violence as defined by Labor Code (LC) section 6401.9.
Date of Last Review: June 17, 2026
Date of Last Revision(s): June 17, 2026
DEFINITIONS
Emergency - Unanticipated circumstances that can be life-threatening or pose a risk of significant injuries to employees or other persons.
Engineering controls - An aspect of the built space or a device that removes a hazard from the workplace or creates a barrier between the employee and the hazard.
Log - The violent incident log required by LC section 6401.9.
Plan - The workplace violence prevention plan required by LC section 6401.9.
Serious injury or illness - Any injury or illness occurring in a place of employment or in connection with any employment that requires inpatient hospitalization for other than medical observation or diagnostic testing, or in which an employee suffers an amputation, the loss of an eye, or any serious degree of permanent disfigurement, but does not include any injury or illness or death caused by an accident on a public street or highway, unless the accident occurred in a construction zone.
Threat of violence - Any verbal or written statement, including, but not limited to, texts, electronic messages, social media messages, or other online posts, or any behavioral or physical conduct, that conveys an intent, or that is reasonably perceived to convey an intent, to cause physical harm or to place someone in fear of physical harm, and that serves no legitimate purpose.
Workplace violence - Any act of violence or threat of violence that occurs in a place of employment.
Workplace violence includes, but is not limited to, the following:
• The threat or use of physical force against an employee that results in, or has a high likelihood of resulting in, injury, psychological trauma, or stress, regardless of whether the employee sustains an injury.
• An incident involving a threat or use of a firearm or other dangerous weapon, including the use of common objects as weapons, regardless of whether the employee sustains an injury. • The following four workplace violence types:
o Type 1 violence - Workplace violence committed by a person who has no legitimate business at the worksite, and includes violent acts by anyone who enters the workplace or approaches employees with the intent to commit a crime.
o Type 2 violence - Workplace violence directed at employees by customers, clients, patients, students, inmates, or visitors.
o Type 3 violence - Workplace violence against an employee by a present or former employee, supervisor, or manager.
o Type 4 violence - Workplace violence committed in the workplace by a person who does not work there, but has or is known to have had a personal relationship with an employee.
Workplace violence does not include lawful acts of self-defense or defense of others. 2 Work practice controls - Procedures and rules that are used to effectively reduce workplace violence hazards.
RESPONSIBILITY
The WVPP administrator, Ken MacNab, Interim Town Manager, has the authority and responsibility for implementing the provisions of this plan for the Town of Yountville. If there are multiple persons responsible for the plan, their roles will be clearly described.
Responsible
Persons
Job
Title/Position
WVPP Responsibility(ies) Phone # Email
Ken MacNab Interim Town
Manager
Overall responsibility for the plan;
Brad approves the final plan and any
major changes.
(707) 948-2614 [email protected]
Ashley Ray Human
Resources
Analyst
Responsible for employee
involvement and training; Ashley
organizes safety meetings, updates
training materials, and handles any
reports of workplace violence.
(707) 948-2611 [email protected]
Celia King Administrative
Services
Director
Responsible for emergency
response, hazard identification,
and coordination with other
employees at Town Hall; Celia
conducts and/or designates safety
inspections, coordinates emergency
response procedures, and
communicates with other employees
about the plan at Town Hall.
(707) 948-2626 [email protected]
Samantha
Holland
Parks and
Recreation
Director
Responsible for emergency
response, hazard identification,
and coordination with other
employees at Parks and
Recreation Facilities; Samantha
conducts and/or designates safety
inspections, coordinates emergency
response procedures, and
communicates with other employees
about the plan at Parks and
Recreation Facilities.
(707) 948-2627 [email protected]
John Ferons Public Works
Director
Responsible for emergency
response, hazard identification,
and coordination with other
employees at the Corp Yard and
other Public Works Facilities;
John conducts and/or designates
safety inspections, coordinates
emergency response procedures,
and communicates with other
employees about the plan at the
Corp Yard and other Public Works
Facilities.
(707) 948-2617 [email protected]
All managers and supervisors are responsible for implementing and maintaining the WVPP in their work areas and for answering employee questions about the WVPP.
EMPLOYEE ACTIVE INVOLVEMENT
3 The Town of Yountville ensures the following policies and procedures to obtain the active involvement of employees and authorized employee representatives in developing and implementing the plan:
• Management will work with and allow employees and authorized employee representatives to participate in:
o Identifying, evaluating, and determining corrective measures to prevent workplace violence Management will have monthly meetings with employees to discuss the identification of workplace violence-related concerns/hazards, evaluate those hazards and/or concerns, and how to correct them. These meetings may involve brainstorming sessions, discussions of recent incidents, and reviews of safety procedures.
o Designing and implementing training
Employees are encouraged to participate in the safety committee meetings to design and implement training programs, and their suggestions will be incorporated into the training materials.
For example, an employee might suggest a new training scenario based on a recent incident. o Reporting and investigating workplace violence incidents. • Management will ensure that all workplace violence policies and procedures within this written plan are clearly communicated and understood by all employees. Managers and supervisors will enforce the rules fairly and uniformly.
• All employees will follow all workplace violence prevention plan directives, policies, and procedures, and assist in maintaining a safe work environment.
Section 9 of the Personnel Rules and Policies has the current Workplace Violence Prevention Policy that the Town of Yountville follows.
• The plan shall be in effect at all times and in all work areas and be specific to the hazards and corrective measures for each work area and operation.
EMPLOYEE COMPLIANCE
Our system to ensure that employees comply with the rules and work practices that are designed to make the workplace more secure, and do not engage in threats or physical actions which create a security hazard for others in the workplace, includes at a minimum:
• Training employees, supervisors, and managers in the provisions of the Town of Yountville’s Workplace Violence Prevention Plan (WVPP),
• Effective procedures to ensure that supervisory and nonsupervisory employees comply with the WVPP.
Supervisors will conduct regular workplace observations to ensure employees are following WVPP protocols. Employees who demonstrate understanding and application of the WVPP will be provided positive feedback, while deficiencies will be addressed promptly through additional coaching or retraining.
• Provide retraining to employees whose safety performance is deficient with the WVPP.
Employees who fail to follow WVPP policies or whose actions create potential hazards will receive targeted retraining focused on the specific areas of deficiency. Retraining will be documented and completed within 30 days of identifying the need.
• Recognizing employees who demonstrate safe work practices that promote the WVPP in the workplace by through company-wide emails, certificates of recognition presented by management, or verbal 4 acknowledgment at the quarterly all-staff meetings.
• Discipline employees for failure to comply with the WVPP.
Employees who do not comply with the WVPP will be subject to the Town of Yountville’s existing disciplinary process, which includes oral reprimands, written reprimands, disciplinary suspension, reduction in pay, demotion, or termination, depending on the severity and frequency of the violation.
• Additional Compliance Measures:
o Anonymous reporting mechanisms will be available for employees to report noncompliance without fear of retaliation.
o Supervisors will include WVPP compliance discussions during annual performance reviews as necessary.
o Quarterly safety meetings with a volunteer safety committee o Quarterly all-staff meetings will reinforce workplace violence prevention strategies and expectations.
COMMUNICATION WITH EMPLOYEES
We recognize that open, two-way communication between our management team, staff, and other employees about workplace violence issues is essential to a safe and productive workplace. The following communication system is designed to facilitate a continuous flow of workplace violence prevention information between management and staff in a form that is readily understandable by all employees, and consists of one or more of the following:
• New employee orientation includes workplace violence prevention policies and procedures. • Workplace violence prevention training programs.
• Regularly scheduled quarterly safety meetings that address security issues and potential workplace violence hazards
• Effective communication between employees and supervisors about workplace violence prevention and violence concerns.
o The Town of Yountville will conduct quarterly all-staff meetings to address security issues and potential workplace violence hazards that were discussed during the safety meeting. o Supervisors will maintain open-door policies, allowing employees to report workplace violence concerns verbally, in writing, or anonymously if preferred. • Posted or distributed workplace violence prevention information. o Workplace violence prevention information, including reporting procedures, emergency contacts, and reminders about safety practices, will be posted in common areas and distributed via email. • How employees can report a violent incident, threat, or other workplace violence concern to the Town of Yountville or law enforcement without fear of reprisal or adverse action. Employees can report a violent incident in the following ways:
o Anonymously report a violent incident, threat, or other violence concern using the Violent Incident Report on GoCo.io and navigating to Spaces, or by clicking here: Violent Incident Log/Report. o Directly to supervisors, Human Resources, or designated safety officers. o In emergencies, by calling 911 from any mobile or desk phone. o The confidential emergency contact list includes internal safety contacts and law enforcement. • Employees will not be prevented from accessing their mobile or other communication devices to seek emergency assistance, assess the safety of a situation, or communicate with a person to verify their safety.
• All reports will be investigated promptly. Employees who file reports will receive updates on the status, 5 findings, and any corrective actions resulting from the investigation. Updates may be provided via email, direct meetings, or during safety meetings.
• Additional Communication Methods:
o Updates on investigation progress and safety improvements will be shared through email notifications and at monthly safety meetings.
o Quarterly collaboration meetings with other employers at or near the worksite will be held to share updates to the WVPP, review recent incidents, and coordinate joint training sessions. o Training materials and relevant incident summaries will be shared with neighboring employers when necessary to support coordinated safety efforts.
COORDINATION WITH OTHER EMPLOYERS
The Town of Yountville will implement the following effective procedures to coordinate the implementation of its plan with other employers to ensure that those employers and employees understand their respective roles, as provided in the plan.
• All employees will be trained on workplace violence prevention. • Workplace violence incidents involving any employee are reported, investigated, and recorded. • The Town of Yountville will participate in safety coordination meetings on an as-needed basis with other employers at or near the same worksite to discuss the implementation and updates to WVPPs, review recent incidents (if any), and plan collaborative training or preventive measures.
WORKPLACE VIOLENCE INCIDENT REPORTING PROCEDURE
The Town of Yountville will implement the following effective procedures to ensure that:
• All threats or acts of workplace violence are reported to an employee’s supervisor or manager, who will inform the WVPP administrator. This will be accomplished by using the designated incident reporting form or email notification system. If that's not possible or the employee is uncomfortable reporting to their supervisor, employees will report incidents directly to the WVPP administrator, Ken MacNab, Interim Town Manager, (707) 948-2614, [email protected].
• Additional Reporting Methods:
o Human Resources Department: Employees may file a verbal or written report with HR. o Anonymous Hotline: (800) 576-5262 | Org. #: 10152
o Online Reporting Form: GoCo.io and navigating to Spaces, or by clicking here: Violent Incident Log/Report
A strict non-retaliation policy is in place, and any instances of retaliation are dealt with swiftly and decisively. Any employee found to have retaliated against a coworker will be subject to disciplinary action, up to and including termination. All retaliation claims will be investigated promptly and confidentially.
EMERGENCY RESPONSE PROCEDURES
The Town of Yountville has in place the following specific measures to handle actual or potential workplace violence emergencies:
• Effective means to alert employees of the presence, location, and nature of workplace violence emergencies by the following:
o Paging announcements using the intercom system on the desk phones will be used to alert employees of emergencies. To use the intercom system, do the following:
▪ Press “More”
▪ Press “Paging”
▪ Press “1”
6 The alert is an announcement that goes to all desks within the building the page has originated from. When using the intercom system, communicate the presence, location, and nature of the Workplace violence emergency.
• The Town of Yountville has evacuation and shelter-in-place plans that include:
o Clearly posted maps of all evacuation routes and emergency exits in common areas, break rooms, and near main hallways.
o Designated assembly areas outside the building where staff will gather and supervisors will conduct headcounts.
o Shelter-in-place instructions for incidents involving threats outside the building or when evacuation is unsafe. Instructions include securing interior doors, turning off lights, and remaining silent. • How to obtain help from staff or law enforcement.
If there is immediate danger, call for emergency assistance by dialing 9-1-1, hitting the panic button (if available), and then notify the WVPP Administrator.
Workplace Violence Prevention Administrator:
Name: Ken MacNab
Title: Interim Town Manager
Phone: (707) 948-2614
Email: [email protected]
In situations that are not emergencies, employees should contact their immediate supervisor or any of the following people:
Responsible
Persons
Job
Title/Position
WVPP Responsibility(ies) Phone # Email
Ken MacNab Interim Town
Manager
Responsible for emergency
response, hazard
identification, and
coordination with other
employers; Brad conducts
and/or designates safety
inspections, coordinates
emergency response
procedures, and communicates
with other employers about the
plan.
(707) 948-
2614
[email protected]
Ashley Ray Human
Resources
Responsible for employee
involvement and training;
Ashley organizes safety
meetings, updates training
materials, and handles any
reports of workplace violence.
(707) 948-
2611
[email protected]
Celia King Administrative
Services
Director
Responsible for emergency
response, hazard
identification, and
coordination with other
employees at Town Hall;
Celia conducts and/or
designates safety inspections,
coordinates emergency
response procedures, and
communicates with other
employees about the plan at
(707) 948-
2626
[email protected]
7 Town Hall.
Hilary Gaede Communications
Director/Town
Clerk
Responsible for emergency
response, hazard
identification, and
coordination with other
employees; Hilary conducts
and/or designates safety
inspections, coordinates
emergency response
procedures, and communicates
with other employees about the
plan in the
Communications/Town Clerk
Department
(707) 948-
2628
[email protected]
Samantha
Holland
Parks and
Recreation
Director
Responsible for emergency
response, hazard
identification, and
coordination with other
employees at Parks and
Recreation Facilities;
Samantha conducts and/or
designates safety inspections,
coordinates emergency
response procedures, and
communicates with other
employees about the plan at
Parks and Recreation Facilities.
(707) 948-
2627
[email protected]
Aaron
Hecock
Planning and
Building Director
Responsible for emergency
response, hazard
identification, and
coordination with other
employees; Aaron conducts
and/or designates safety
inspections, coordinates
emergency response
procedures, and communicates
with other employees about the
plan in the Planning and
Building Department
(707) 948-
2625
[email protected]
John Ferons Public Works
Director
Responsible for emergency
response, hazard
identification, and
coordination with other
employees at the Corp Yard
and other Public Works
Facilities; John conducts
and/or designates safety
inspections, coordinates
emergency response
procedures, and communicates
with other employees about the
plan at the Corp Yard and other
Public Works Facilities.
(707) 948-
2617
[email protected]
• Additional Emergency Procedures:
8 o First aid supplies are located in the break area.
o Managers are responsible for ensuring that all employees, including temporary and contract workers, are familiar with emergency protocols.
o After an incident, counseling services will be offered to affected employees through the Employee Assistance Program (EAP).
WORKPLACE VIOLENCE HAZARD IDENTIFICATION AND EVALUATION The following policies and procedures are established and required to be conducted by the Town of Yountville to ensure that workplace violence hazards are identified and evaluated:
• Inspections shall be conducted when the plan is first established, after each workplace violence incident, and whenever the employer is made aware of a new or previously unrecognized hazard. • Review all submitted/reported concerns of potential hazards. Methods of submission include:
o An online hazard reporting form accessible via GoCo.io and navigating to Spaces, or by clicking here: Workplace Violence Hazard Identification Form
o Dedicated hotline for confidential submissions: (800) 576-5262 | Org. #: 10152 o Direct communication with supervisors, Department Heads, Human Resources, or the Town Manager as appropriate.
• Employee Participation in WVPP
o Employees will be invited to attend inspections and hazard assessments with the safety committee.
o Town-wide training will include guidance on how to recognize, document, and report workplace violence hazards.
o Regular communication updates will share actions taken in response to reports and feedback.
Periodic Inspections
Periodic inspections of workplace violence hazards will identify unsafe conditions and work practices. This may require assessment for more than one type of workplace violence. Periodic Inspections shall be conducted at least quarterly.
Periodic inspections to identify and evaluate workplace violence and hazards will be performed by the following designated personnel in the following areas of the workplace:
Specific Person Name/Job Title Area/Department/Specific location Kyle Batista Town Hall
Garrett Kuehle Parks and Recreation Facilities
Jacob Solis Corporation Yard, Public Works
Mike Quinn Wastewater Treatment Plant
Misty Amblard Yountville Commons
Department Heads Provide backup to the staff listed above Inspections for workplace violence hazards include assessing:
• The exterior and interior of the workplace for its appeal to robbers. • The need for violence surveillance measures, such as mirrors and cameras. 9 • Procedures for employee response during a robbery or other criminal act, including our policy prohibiting employees, who are not police personnel, from confronting violent persons or persons committing a criminal act.
• Procedures for reporting suspicious persons or activities. • Effective location and functioning of emergency buttons and alarms. • Posting of emergency telephone numbers for law enforcement, fire, and medical services. • Whether employees have access to a telephone with an outside line. • Whether employees have effective escape routes from the workplace. • Whether employees have a designated safe area where they can go in an emergency. • Adequacy of workplace security systems, such as door locks, entry codes or badge readers, security windows, physical barriers, and restraint systems.
• Frequency and severity of threatening or hostile situations that may lead to violent acts by persons who are service recipients of our establishment.
• Effectiveness of systems and procedures that warn others of actual or potential workplace violence danger or that summon assistance, e.g., alarms or panic buttons. • The availability of employee escape routes.
• How well our establishment's management and employees communicate with each other. • Access to and freedom of movement within the workplace by non-employees, including recently discharged employees or persons with whom one of our employees is having a dispute. • Frequency and severity of employees’ reports of threats of physical or verbal abuse by managers, supervisors, or other employees.
• Any prior violent acts, threats of physical violence, verbal abuse, property damage, or other signs of strain or pressure in the workplace.
Employees can access the checklist included at the end of the WVPP, located on GoCo.io and navigating to Spaces, or clicking here: Workplace Violence Hazard Evaluation Checklist.
WORKPLACE VIOLENCE HAZARD CORRECTION
Workplace violence hazards will be evaluated and corrected in a timely manner. The Town of Yountville will implement the following effective procedures to correct workplace violence hazards that are identified:
• If an imminent workplace violence hazard exists that cannot be immediately abated without endangering employee(s), all exposed employee(s) will be removed from the situation except those necessary to correct the existing condition. Employees necessary to correct the hazardous condition will be provided with the necessary protection.
o Applicable Employees: This may include maintenance personnel, law enforcement, or designated emergency response staff.
o Reason for Necessity: These employees are trained and authorized to secure the area, restore safety, or coordinate emergency responses.
o Protective Measures Provided: Necessary protective equipment (e.g., radios, body protection, or panic buttons) will be provided, along with direct communication access to law enforcement. • All corrective actions taken will be documented and dated on the Workplace Violence Hazard 10 Correction Form, included at the end of the WVPP, located on GoCo.io and navigating to Spaces or clicking here: Workplace Violence Hazard Correction Form. o Documentation will include:
• Description of the hazard
• Responsible person(s)
• Correction steps taken
• Date completed
• Corrective measures for workplace violence hazards will be specific to a given work area. Some examples may include:
• Making the workplace unappealing to robbers by:
o Improve lighting around and at the workplace.
o Post signs notifying the public that limited cash is kept on the premises and that cameras are monitoring the facility.
o Utilize surveillance measures, such as cameras and mirrors, to provide information as to what is going on outside and inside the workplace and to dissuade criminal activity. o Install security surveillance cameras in and around the workplace. • Providing workplace violence systems, such as automatic door locks, physical barriers, and emergency panic buttons/alarms by:
o Ensure the adequacy of workplace violence systems
o Post emergency telephone numbers for law enforcement, fire, and medical services o Control, access to, and freedom of movement within the workplace by non-employees, including recently discharged employees or persons with whom one of our employees is having a dispute.
o Install effective systems to warn others of a violent danger or to summon assistance, e.g., alarms or panic buttons and/or paging systems.
• Ensuring employees have access to a telephone with an outside line. Provide employee training/re-training (refreshers) on the WVPP, which could include, but not limited to, the following:
o Recognizing and handling threatening or hostile situations that may lead to violent acts by persons who are service recipients of our establishment. o Ensure that all reports of violent acts, threats of physical violence, verbal abuse, property damage, or other signs of strain or pressure in the workplace are handled effectively by management and that the person making the report is not subject to retaliation by the person making the threat.
o Improve how well our establishment's management and employees communicate with each other.
o Procedures for reporting suspicious persons, activities, and packages. o Provide/review employee, supervisor, and management training on emergency action procedures.
• Ensure adequate employee escape routes.
• Training to increase awareness among employees, supervisors, and managers of the warning signs of potential workplace violence. This training will take place during the all-staff quarterly meetings. • Ensure that employee disciplinary and discharge procedures address the potential for workplace violence. • Any other corrective actions deemed necessary by the WVPP Administrator or safety committee will be implemented based on the nature and context of the hazard identified.
PROCEDURES FOR POST-INCIDENT RESPONSE AND INVESTIGATION After a workplace incident, the WVPP administrator or their designee will implement the following post-incident procedures:
11 • Visit the scene of an incident as soon as safe and practicable. • Interview involved parties, such as employees, witnesses, law enforcement, and/or security personnel. • Review security footage of existing security cameras, if applicable. • Examine the workplace for security risk factors associated with the incident, including any previous reports of inappropriate behavior by the perpetrator.
• Determine the cause of the incident.
• Take corrective action to prevent similar incidents from occurring. • Record the findings and ensure corrective actions are taken. • Obtain any reports completed by law enforcement.
• The violent incident log will be used for every workplace violence incident and will include information, such as: (See attached Violent Incident Log/Report)
o The date, time, and location of the incident.
o The workplace violence type or types involved in the incident. o A detailed description of the incident.
o A classification of who committed the violence, including whether the perpetrator was a client or customer, family or friend of a client or customer, stranger with criminal intent, coworker, supervisor or manager, partner or spouse, parent or relative, or other perpetrator. o A classification of circumstances at the time of the incident, including, but not limited to, whether the employee was completing usual job duties, working in poorly lit areas, rushed, working during a low staffing level, isolated or alone, unable to get help or assistance, working in a community setting, or working in an unfamiliar or new location.
o A classification of where the incident occurred, such as in the workplace, parking lot or other area outside the workplace, or other area.
o The type of incident, including, but not limited to, whether it involved any of the following:
▪ Physical attack without a weapon, including, but not limited to, biting, choking, grabbing, hair pulling, kicking, punching, slapping, pushing, pulling, scratching, or spitting. ▪ Attack with a weapon or object, including, but not limited to, a firearm, knife, or other object. ▪ Threat of physical force or threat of the use of a weapon or other object. ▪ Sexual assault or threat, including, but not limited to, rape, attempted rape, physical display, or unwanted verbal or physical sexual contact.
▪ Animal attack.
▪ Other.
o Consequences of the incident, including, but not limited to:
▪ Whether security or law enforcement was contacted, and their response. ▪ Actions taken to protect employees from a continuing threat or from any other hazards identified as a result of the incident.
▪ Information about the person completing the log, including their name, job title, and the date completed.
12 • Reviewing all previous incidents.
• Other post-incident procedures may include:
o Referrals to counseling or Employee Assistance Programs (EAP) o Temporary job reassignment, schedule modification, or time off if necessary o Open conversation to discuss safety concerns and improvements Ensure that no personal identifying information is recorded or documented in the written investigation report. This includes information that would reveal identification of any person involved in a violent incident, such as the person’s name, address, electronic mail address, telephone number, social security number, or other information that, alone or in combination with other publicly available information, reveals the person’s identity.
TRAINING AND INSTRUCTION
All employees, including managers and supervisors, will have training and instruction on general and job-specific workplace violence practices. These sessions could involve presentations, discussions, and practical exercises.
Training and instruction will be provided as follows:
• When the WVPP is first established.
• Annually, to ensure all employees understand and comply with the plan. • Whenever a new or previously unrecognized workplace violence hazard has been identified, and when changes are made to the plan. The additional training may be limited to addressing the new workplace violence hazard or changes to the plan.
The Town of Yountville will provide its employees with training and instruction on the definitions found on page 1 of this plan and the requirements listed below:
• The employer’s WVPP, how to obtain a copy of the employer’s plan at no cost, and how to participate in the development and implementation of the employer’s plan. • How to report workplace violence incidents or concerns to the employer or law enforcement without fear of reprisal.
• Workplace violence hazards specific to the employees’ jobs, the corrective measures the Town of Yountville has implemented, how to seek assistance to prevent or respond to violence, and strategies to avoid physical harm.
• The violent incident log and how to obtain copies of records pertaining to hazard identification, evaluation, and correction, training records, and violent incident logs. • Opportunities the Town of Yountville has for interactive questions and answers with a person knowledgeable about the Town’s plan.
• Other training and instruction may include:
o Strategies to avoid/prevent workplace violence and physical harm, such as:
o How to recognize workplace violence hazards, including the risk factors associated with the four types of workplace violence.
o Ways to defuse hostile or threatening situations.
o How to recognize alerts, alarms, or other warnings about emergency conditions and how to use identified escape routes or locations for sheltering.
o Employee routes of escape.
o Post-event trauma counseling for employees desiring such assistance.
Note: Employers must use training material appropriate in content and vocabulary to the educational level, 13 literacy, and language of employees.
EMPLOYEE ACCESS TO THE WRITTEN WVPP
The Town of Yountville ensures that the WVPP plan shall be in writing and shall be available and easily accessible to employees, authorized employee representatives, and representatives of Cal/OSHA at all times.
This will be accomplished by:
• Whenever an employee or designated representative requests a copy of the written WVPP, we will provide the requester with a printed copy of the WVPP, unless the employee or designated representative agrees to receive an electronic copy.
• We will provide unobstructed access through the Town of Yountville website, employee portal, or SharePoint, which allows an employee to review, print, and email the current version of the written WVPP.
Unobstructed access means that the employee, as part of their regular work duties, predictably and routinely uses the electronic means to communicate with management or co-employees.
RECORDKEEPING
The Town of Yountville will:
• Create and maintain records of workplace violence hazard identification, evaluation, and correction for a minimum of five (5) years.
• Create and maintain training records for a minimum of one (1) year and include the following:
o Training dates.
o Contents or a summary of the training sessions.
o Names and qualifications of people conducting the training. o Names and job titles of all people attending the training sessions. • Maintain violent incident logs for a minimum of five (5) years. • Maintain records of workplace violence incident investigations for a minimum of five (5) years. o The records shall not contain medical information per subdivision (j) of section 56.05 of the Civil Code.
• All records of workplace violence hazard identification, evaluation, and correction; training, incident logs and workplace violence incident investigations required by, shall be made available to Cal/OSHA upon request for examination and copying.
EMPLOYEE ACCESS TO RECORDS
The following records shall be made available to employees and their representatives, upon request and without cost, for examination and copying within 15 calendar days of a request:
• Records of workplace violence hazard identification, evaluation, and correction. • Training records.
• Violent incident logs.
REVIEW AND REVISION OF THE WVPP
The Town of Yountville WVPP will be reviewed for effectiveness:
• At least annually.
• When a deficiency is observed or becomes apparent.
• After a workplace violence incident.
• As needed.
Review and revision of the WVPP will include the procedures listed in the EMPLOYEE ACTIVE INVOLVEMENT section of this WVPP, as well as the following procedures to obtain the active involvement of employees and authorized employee representatives in reviewing the plan’s effectiveness:
14 • Review of the Town of Yountville’s WVPP should include, but is not limited to:
o Review of incident investigations and the violent incident log. o Assessment of the effectiveness of security systems, including alarms, emergency response, and security personnel availability (if applicable).
• Review that violence risks are being properly identified, evaluated, and corrected. Any necessary revisions are made promptly and communicated to all employees. These revisions could involve changes to procedures, updates to contact information, and additions to training materials.
EMPLOYER REPORTING RESPONSIBILITIES
As required by California Code of Regulations (CCR), Title 8, Section 342(a). Reporting Work-Connected Fatalities and Serious Injuries, the Town of Yountville will immediately report to Cal/OSHA any serious injury or illness (as defined by CCR, Title 8, Section 330(h)), or death (including any due to Workplace Violence) of an employee occurring in a place of employment or in connection with any employment.
SIGNATURES
The Town of Yountville is committed to positive changes to Town operations and overall health and safety as it relates to workplace violence prevention.
Approval: ___________________________________________ Effective Date:
______________________________________
Interim Town Manager
Resolution No. ______________________________________
Violent Incident Log/Report
This log must be used for every workplace violence incident that occurs in our workplace. At a minimum, it will include the information required by LC section 6401.9(d).
The information that is recorded will be based on:
• Information provided by the employees who experienced the incident of violence. • Witness statements.
• All other investigation findings.
All information that personally identifies the individual(s) involved will be omitted from this log, such as:
• Names
• Addresses – physical and electronic
• Telephone numbers
• Social security number
Date of Incident: ____________________________________________ Time of Incident: ________________________________ a.m./p.m. 15 Location(s) of Incident Workplace Violence Type (Indicate which type(s) (Type 1, 2,3,4)
Check which of the following describes the type(s) of incident, and explain in detail:
Note: It’s important to understand that “Workplace Violence Type” and “Type of Incident” have separate requirements. For this part of the log, “Type of Incident” specifically refers to the nature or characteristics of the incident being logged. It does not refer to the type of workplace violence. • Physical attack without a weapon, including, but not limited to, biting, choking, grabbing, hair pulling, kicking, punching, slapping, pushing, pulling, scratching, or spitting. • Attack with a weapon or object, including, but not limited to, a firearm, knife, or other object. • Threat of physical force or threat of the use of a weapon or other object. • Sexual assault or threat, including, but not limited to, rape, attempted rape, physical display, or unwanted verbal or physical sexual contact.
• Animal attack.
• Other.
Explain: Please provide a detailed description of the incident and any additional information on the violence incident type and what it included. Continue on a separate sheet of paper if necessary. ___________________________________________________________________________________________________ _____________________
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16 The Town will offer support services to affected employees, which may include:
• Referrals to counseling or Employee Assistance Programs (EAP) • Temporary job reassignment, schedule modification, or time off if necessary • Open conversation to discuss safety concerns and improvements Do you require any of these services? Yes / No
Workplace violence committed by: For confidentiality, only include the classification of who committed the violence, including whether the perpetrator was a client or customer, family or friend of a client or customer, stranger with criminal intent, coworker, supervisor or manager, partner or spouse, parent or relative, or other perpetrator.
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Circumstances at the time of the incident: Write/type what was happening at the time of the incident, including, but not limited to, whether the employee was completing usual job duties, working in poorly lit areas, rushed, working during a low staffing level, isolated or alone, unable to get help or assistance, working in a community setting, or working in an unfamiliar or new location.
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Where the incident occurred: Such as in the workplace, parking lot or other area outside the workplace, or other area.
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17 ___________________________________________________________________________________________________ _____________________
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Consequences of the incident, including, but not limited to:
• Whether security or law enforcement was contacted, and their response. • Actions taken to protect employees from a continuing threat or any other hazards identified as a result of the incident.
Include information on what the consequences of the incident were. ___________________________________________________________________________________________________ _____________________
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Were there any injuries? Yes or No. Please explain below: Please provide a description of the injuries. ___________________________________________________________________________________________________ _____________________
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Were emergency medical responders other than law enforcement contacted, such as a Fire Department, Paramedics, or was on-site first aid administered by certified personnel? Yes or No. If yes, explain below:
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Did the severity of the injuries require reporting to Cal/OSHA? If yes, document the date and time this was done, along with the name of the Cal/OSHA representative contacted. ___________________________________________________________________________________________________ _____________________
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A copy of this violent incident log needs to be provided to the employer. Indicate when it was provided and to whom.
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This violent incident log was completed by:
Name of person completing this log:
___________________________________________________________________________ Job Title of person completing this log:
_________________________________________________________________________ Date this log was completed:
_________________________________________________________________________________ Signature of person completing this log:
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Workplace Violence Hazard Identification Form
Use this hazard reporting form to alert staff to a potential unsafe condition or hazard Name (Optional): ________________________________ Department (Optional):
__________________________________
Title (Optional): __________________________________ Today’s Date:
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Date hazard was observed: ____________________________________________ Time hazard was observed: ________________________________ a.m./p.m.
Location(s) of Hazard Potential Hazard Type/description of unsafe condition or hazard (Indicate which type(s)
(Type 1, 2,3,4) – see below for examples
• Potential threat of violence - Any verbal or written statement, including, but not limited to, texts, electronic messages, social media messages, or other online posts, or any behavioral or physical conduct, that conveys an intent, or that is reasonably perceived to convey an intent, to cause physical harm or to place someone in fear of physical harm, and that serves no legitimate purpose. • Work practice controls not being utilized properly - Procedures and rules that are used to effectively reduce workplace violence hazards.
• A potential incident involving a threat or use of a firearm or other dangerous weapon, including the use of common objects as weapons, regardless of whether the employee sustains an injury. • Potential of the following four workplace violence types:
o Type 1 violence - Workplace violence committed by a person who has no legitimate business at the worksite, and includes violent acts by anyone who enters the workplace or approaches employees with the intent to commit a crime.
o Type 2 violence - Workplace violence directed at employees by customers, clients, patients, students, inmates, or visitors.
o Type 3 violence - Workplace violence against an employee by a present or former employee, supervisor, or manager.
o Type 4 violence - Workplace violence committed in the workplace by a person who does not work there, but has or is known to have had a personal relationship with an employee.
What changes would you recommend to correct the condition or hazard? ___________________________________________________________________________________________________ _____________________
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20 Workplace Violence Hazard Evaluation Checklist
To be conducted: Upon plan establishment, after incidents, and at least quarterly Inspection Item Yes No N/A Notes / Corrective Action
The exterior/interior of the
building is assessed for its
appeal to robbers.
Surveillance systems (e.g.,
mirrors, cameras) are
present and functional.
Emergency response
procedures are in place for
robberies or criminal acts.
Employees (non-security)
are instructed not to
confront violent persons.
Suspicious
persons/activities reporting
procedures are clearly
posted and understood.
Emergency/panic buttons
and alarms are well-located
and functional.
Emergency contact
numbers for police, fire, and
EMS are posted and visible.
Employees have access to
a phone with an outside line
in all areas.
Effective escape routes are
available from all key work
areas.
A designated safe area is
established, and employees
are aware of its location.
Security systems (locks,
access codes, badge
readers) are functioning
and are appropriately used.
There is a system for
evaluating the
frequency/severity of
threats from the public.
Employees who interact
with the public are trained
to manage hostile behavior.
Warning and response
systems (alarms, intercoms,
21 panic buttons) are tested
and operational.
Escape route maps and
shelter-in-place instructions
are posted and up to date.
Internal communication
among staff is open, timely,
and effective.
Building access is restricted
for non-employees, exemployees, and persons in
personal disputes.
Employee reports of threats
or abuse (verbal/physical)
from coworkers or
supervisors are reviewed.
Records of prior threats,
assaults, or acts of violence
are maintained and
reviewed for trends.
Inspection Conducted By: ________________________________ Date: _______________________
Department / Location: __________________________________ Signature: __________________________________
22 Workplace Violence Hazard Correction Form
Name of person investigating hazard:
_____________________________________________________________________ Title of person investigating hazard:
_______________________________________________________________________ Date hazard was observed: _______________________ Date checklist was completed:
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Results of Investigation (What was found? Was the condition unsafe or a hazard?) ___________________________________________________________________________________________________ _____________________
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Action to be taken to correct the hazard.
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Attach the Workplace Violence Hazard Evaluation Checklist to this form, if necessary.
Signature of investigating party: ________________________________________________ Date Completed: _____________________________________