S/N

Type

Perpetrator

Rate of Occurrence

Very regular

Regular

Occasional

Rare

(Does not occur)

1.

Workplace Bullying;

a. Verbal abuse

b. Excluding or isolating particular employees

c. Harassment or intimidation

d. Assigning meaningless tasks unrelated to the employee’s job

e. Assigning tasks that are impossible for the employee to successfully complete.

f. Changing work rosters with the deliberate intention of inconveniencing particular employees.

g. Threats of dismissal.

Subordinate □ Boss □

Subordinate □ Boss □

Subordinate □ Boss □

Subordinate □ Boss □

Subordinate □ Boss □

Subordinate □ Boss □

Subordinate □ Boss □