Witness statement form template
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Our Witness Statement Form ensures accurate documentation of key details in workplace incidents, supporting fair investigations and maintaining clear records.
Why this form is necessary
The Witness Statement Form is a structured document designed to record statements accurately and fairly during workplace investigations, meeting the standards set by the ACAS guide to workplace investigations. This form ensures witness accounts are documented in a clear, concise, and impartial manner, supporting a thorough and transparent investigation process.
By using this form, organisations can capture key details relevant to the investigation, safeguard against bias, and provide a reliable record that may be used in formal proceedings. It guides witnesses to recount events accurately, promoting consistency and clarity in line with best practices.
Workflow sequence
Guide to conducting a disciplinary investigation
If you are considering conducting a disciplinary investigation, use this guide to help you carry it out it legally and effectively.
Implementation timeline
| Step | Description | Responsibility | Timing |
| 1 | Identify and notify witnesses of the need for a statement | HR / Investigating Manager | 1-2 days before the meeting |
| 2 | Schedule and prepare for the witness statement meeting | HR / Investigating Manager | Within 1 day after notifying witness |
| 3 | Conduct the meeting, complete the Witness Statement Form together, and review for accuracy | HR / Investigating Manager & Witness | Within 3 days of scheduling |
| 4 | Witness reviews and signs the completed form at the end of the meeting | Witness | Immediately at end of meeting |
| 5 | Review the statement, follow up if needed, and inform the witness of next steps | HR | 1-2 days after meeting, ongoing if needed |
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Specifications
5 mins
125 words, 1 page A4
1 November 2024
Witness statement
1. Witness Details
- Name: _______________________________________________
- Job Title (if applicable): _________________________________
- Contact Information (optional): ___________________________
2. Incident Details
- Date of Incident: _______________________________________
- Place of Incident: ______________________________________
- Time of Incident: ______________________________________
3. Statement
Please provide details of what you saw, heard, or know about the incident. Include specific observations, actions, or conversations that are relevant to the case:
4. Reason for Knowledge
Please explain how you were able to see, hear, or know about the incident:
5. Declaration
I confirm that the information provided in this statement is accurate and true to the best of my knowledge.
- Date of Statement: ___________________________________
- Time of Statement: ___________________________________
6. Signature
Witness Signature
Version: [1.0]
Issue date: [date]
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