"Internal Investigation Report Template"

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Internal Investigation Report Template
Draft or Final Report
Date: _______
Matter # ______
Category: ___________
Business Unit/Location: ______________
Was the allegation or concern Substantiated? Y/N
Significant:
(If yes, indicate if the following have been notified)
__BU Legal Counsel
__Textron Legal Counsel
__ Chief Financial Officer
__Textron Ethics & Compliance
__Textron Audit Services/Controller
Describe any disciplinary actions taken:
___None
_ __Verbal Warning
st
nd
rd
___Written Warning (1
, 2
, 3
)
___Termination
___Suspension without pay
___Deduction of Bonus
_ _Other (describe)
Describe any corrective actions taken:
___None
___Policy Revision
___Training
___Other (Briefly Describe)
Other Action Taken by Reporter or Complainant:
___ Lawsuit
___Union Action (Briefly Explain)
___ Other (Briefly Describe)
___Government Agency (e.g. EEOC, Dept of Labor, State HR Commissions, Call to a Government
Hot Line)
Investigation Summary:
(Briefly describe the actions taking in conducting the investigation.)
(Please list the name(s) of the individual(s) who were involved in the investigation. If an outside source
involved, please note.)
Internal Investigation Report Template
Draft or Final Report
Date: _______
Matter # ______
Category: ___________
Business Unit/Location: ______________
Was the allegation or concern Substantiated? Y/N
Significant:
(If yes, indicate if the following have been notified)
__BU Legal Counsel
__Textron Legal Counsel
__ Chief Financial Officer
__Textron Ethics & Compliance
__Textron Audit Services/Controller
Describe any disciplinary actions taken:
___None
_ __Verbal Warning
st
nd
rd
___Written Warning (1
, 2
, 3
)
___Termination
___Suspension without pay
___Deduction of Bonus
_ _Other (describe)
Describe any corrective actions taken:
___None
___Policy Revision
___Training
___Other (Briefly Describe)
Other Action Taken by Reporter or Complainant:
___ Lawsuit
___Union Action (Briefly Explain)
___ Other (Briefly Describe)
___Government Agency (e.g. EEOC, Dept of Labor, State HR Commissions, Call to a Government
Hot Line)
Investigation Summary:
(Briefly describe the actions taking in conducting the investigation.)
(Please list the name(s) of the individual(s) who were involved in the investigation. If an outside source
involved, please note.)
Internal Investigation Report Template
Investigator(s):
Who was Interviewed(s):
(Describe who was interviewed during the investigation include full name and title along with date of
interview.)
If matter involves/reports alleged issues with an employee, has employee been named in prior
reports over the past year? Y/N
N/A
If yes, please provide summarize prior incidents noting if matter reports same issue with employee.
This investigation was conducted to answer the following:
Summarize the Investigation:
Conclusion:
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