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Witness statement form

£7
Word count
Template words
125
Reading time
Reading time
5 mins

Our Witness Statement Form ensures accurate documentation of key details in workplace incidents, supporting fair investigations and maintaining clear records.

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What is a Witness statement form?

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.

Applicable legal jurisdictions
In which jurisdictions can this form be used?
Great Britain & NI (United Kingdom), Worldwide

Sequence

Previous step
Scripts
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Efficiently conduct investigations with our structured meeting script, promoting fairness, consistency, and thoroughness in gathering evidence

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Witness statement form template
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A structured investigation report form template to record findings, evidence, and outcomes from workplace investigations consistently.

Timings

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

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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witness statement form