Work incident log
A printable from Discrimination at Work. Fill it in by hand. Nothing you write is collected by this website.
Work incident log
Fill in one row each time something happens. Keep this at home or on your own phone.
| Date and time | What was said or done (exact words if you can) | Who did it | Who saw or heard | What I did after |
|---|---|---|---|---|
Also keep
- Copies of texts, emails or messages
- Schedules and pay stubs from before and after
- Names of coworkers treated differently, and how
- Any report I made at work, and the date
Do not write your immigration status on this sheet.
From Discrimination at Work. Facts checked October 21, 2026. Free information, not legal or medical advice.