Conflict Resolution Form

Purpose: This form is designed to document workplace conflicts in order to ensure transparent communication, facilitate resolution, and record steps taken toward a constructive outcome. It helps HR professionals and managers track incidents objectively and determine follow-up actions.

Basic Information

Date of Report: {reportDate}

Reported By: {reporterName}

Department: {department}

Individuals Involved

Incident Overview

Date of Incident: {incidentDate}

Location: {location}

Description:

{incidentDescription}

Impact Assessment

{incidentImpact}

Resolution Steps Taken

{#steps}

• {stepTitle}: {stepDescription}

{/steps}

Agreements or Outcomes

{resolutionOutcome}

Follow-Up Actions

{#followUps}

1. {followUpAction}

{/followUps}

Additional Notes

{additionalNotes}

Confidentiality Agreement

{#signedAgreement}

All parties have signed the confidentiality agreement and agree not to disclose details related to this matter.

{/signedAgreement}

{^signedAgreement}

The confidentiality agreement has not been signed by all parties.

{/signedAgreement}

HR Representative

Name: {hrName}

Signature: ____________________

Date: {hrDate}