WVPP Incident Log Template for Small Retailers

Published: April 18, 2024 | Last Updated: April 18, 2024

Keep your workplace‑violence incident records comprehensive, consistent, and audit‑ready—so you're always SB 553 compliant without the headache.

Why You Need This Template

California's SB 553 requires every employer to document and investigate workplace‑violence incidents. For small retailers, a single unlogged event can lead to:

Regulatory fines (up to $25,000 per incident)
Liability exposure if documentation is inconsistent
Wasted hours chasing down emails, photos, or handwritten notes

Our WVPP Incident Log Template standardizes incident capture—so you can:

1
Record every detail
Date, location, witnesses, harm level—all in one place
2
Attach evidence
Photos, video, file uploads—directly to the form
3
Trigger workflows
Urgent escalation to managers or legal when needed

What's Inside

Structured Incident Form

• Date, time, and location fields
• Severity rating (Low•Medium•High)
• Witness names + contact info

Evidence Attachment Section

• Drag‑and‑drop photos/videos
• Free‑form notes area for context

Automated Escalation Checkboxes

• Notify HR / Legal / Safety Officer options

Audit Trail Footer

• Timestamp + user signature fields
• Compliance proof for inspections

CSV & PDF Export

• One‑click bundle of all logs
• Ready for Cal/OSHA audits

How to Use This Template

1
Download
Get the free PDF or Excel file below
2
Customize
Add your logo, company info, and escalation rules
3
Assign
Distribute to store managers and supervisors
3
Assign the template to store managers and supervisors. Learn more about remote worker requirements.
4
Log
Record each incident as it happens—on desktop or mobile
5
Export
Generate reports for quarterly reviews or inspections

Benefits for Small Retailers

Time Saved:Cut reporting time by 80% vs. Word docs & email chains

Audit‑Ready:Always have a complete, timestamped log on hand

Consistency:Enforce the same fields & process across all locations

Risk Reduced:Automated alerts ensure no incident goes unnoticed

Peace of Mind:Know you're compliant—even before Cal/OSHA shows up

Get Access to Our Complete SB 553 Compliance Solution

Join our beta program to access not just incident log templates, but our entire suite of SB 553 compliance tools.

Our beta program includes access to all features of SBShield, including customizable incident logs, WVPP templates, training modules, and audit-ready documentation.

Join Beta Program

No credit card required. Beta participants get priority access and special pricing when we launch.

Still Have Questions?

Ready to streamline your SB 553 compliance?

Join our beta program for a complete solution that turns chaotic compliance into a simple, repeatable process.