Loading...
compliance

Texas Workplace Violence Prevention Addendum (HB 915)

Texas Workplace Violence Prevention Addendum (HB 915) is a healthcare-facility addendum for documenting a workplace-violence prevention plan, reporting incidents, and assigning follow-up actions. Use it to standardize response, training, and recordkeeping for Texas sites.

Trusted by frontline teams 15 years of frontline software AI customization in seconds

Built for: Hospitals And Health Systems · Urgent Care And Outpatient Clinics · Long Term Care And Skilled Nursing · Behavioral Health Facilities

Overview

This Texas Workplace Violence Prevention Addendum (HB 915) template is a policy addendum for healthcare facilities that need a clear, written process for preventing, reporting, investigating, and closing workplace-violence incidents. It is built to sit alongside an existing HR, safety, or compliance policy and gives you the Texas-specific structure needed to assign responsibilities, define incident types, and document follow-up.

Use it when your staff may face threats, verbal abuse, physical assault, stalking, intimidation, or other violence-related conduct from patients, visitors, residents, contractors, or co-workers. It is especially useful for hospitals, clinics, long-term care settings, and behavioral health environments where escalation paths and incident documentation must be consistent across shifts. The template helps you capture who reports, who responds, what gets documented, and how corrective action is tracked.

Do not use it as a generic conduct policy or as a substitute for emergency response, security, or clinical protocols. It is also not meant to cover every workplace hazard outside violence-related events. If your organization operates outside healthcare, or if you need a broader safety program covering all OSHA hazards, this addendum should be adapted rather than adopted as-is. The strongest use case is a Texas healthcare employer that wants a practical, auditable addendum with clear ownership, incident handling, and annual review built in.

Standards & compliance context

  • Align the addendum with OSHA’s general duty clause by documenting a process to identify and address recognized workplace violence hazards.
  • Keep the policy consistent with Title VII and EEOC guidance so reports are handled without discrimination based on protected class status.
  • If an employee requests support after an incident, route the matter through the ADA interactive process and consider reasonable accommodation where appropriate.
  • Do not let reporting or discipline steps interfere with FMLA leave rights, NLRA-protected concerted activity, or FLSA timekeeping obligations.
  • If the incident involves retaliation or whistleblowing concerns, coordinate with any applicable state-law protections, including Texas-specific employment and privacy rules where relevant.
  • Use the policy to support documentation and corrective action, but do not treat it as a substitute for emergency response, law enforcement coordination, or clinical safety procedures.

General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.

What's inside this template

Purpose

Explains why the addendum exists and what workplace-violence risks it is meant to address.

  • This addendum establishes Texas-specific requirements for workplace violence prevention in healthcare facilities, including how employees report incidents, how reports are reviewed, and how the organization responds in a good-faith, documented manner. It is intended to supplement the employer’s broader safety, conduct, and reporting policies.

    This addendum is designed to support compliance with Texas HB 915 and related workplace safety obligations. It does not replace any obligations under OSHA’s General Duty Clause, EEOC anti-discrimination rules, FLSA wage and hour rules, or NLRA Section 7 rights.

Scope

Defines which facilities, workers, and incident types are covered so the policy is applied consistently.

  • This policy applies to all employees, contractors, volunteers, and temporary workers assigned to or working in Texas healthcare facilities operated by the employer.

    Texas healthcare facilities: This addendum applies to patient-facing and non-patient-facing work areas where workplace violence risks may arise, including reception areas, treatment areas, parking areas, and off-site work performed on behalf of the facility.

    This addendum applies in addition to any facility-specific emergency response, security, and incident escalation procedures.

Definitions

Sets shared meanings for terms like workplace violence, threat, incident, and reportable event.

  • For purposes of this addendum:

    • Workplace violence means any act, threat, attempt, or suspicious behavior that creates a reasonable concern for employee safety.
    • Incident report means the written or electronic record used to document a workplace violence event, threat, or suspicious activity.
    • Good-faith report means a report made honestly and based on the employee’s observed facts or reasonable concern.
    • Policy holder means the employer representative responsible for maintaining the addendum and ensuring implementation.
    • Interactive process means the collaborative process used when a safety concern overlaps with an employee accommodation request or medical restriction.

Policy Statement

States the organization’s commitment to prevention, reporting, investigation, and non-retaliation.

  • The employer maintains a zero-tolerance approach to workplace violence and prohibits threats, intimidation, physical assault, stalking, harassment, and possession or use of weapons on company property, except where otherwise required by law.

    Employees must promptly report workplace violence incidents, suspicious activity, threats, or unsafe conditions using the reporting channels described below. Reports will be handled promptly, documented, and escalated as needed to management, HR, security, and law enforcement.

    The employer will not retaliate against any employee who makes a good-faith report, participates in an investigation, requests a reasonable accommodation, or raises a safety concern protected by law.

Procedure

Tells employees and managers exactly how to report, escalate, document, and close an incident.

    1. Immediate danger: If there is an immediate threat, employees must contact emergency services, security, or onsite leadership first.
    2. Reporting: Employees must report incidents as soon as practicable to a supervisor, HR, security, or the designated reporting hotline/email.
    3. Documentation: The receiving manager or HR representative must document the report, preserve relevant evidence, and record the date, time, location, persons involved, witnesses, and actions taken.
    4. Assessment: The employer will assess the report, determine whether interim protective measures are needed, and decide whether law enforcement or other external reporting is appropriate.
    5. Follow-up: The policy holder or designee will communicate the outcome to the extent appropriate, maintain confidentiality, and track corrective actions to closure.
    6. Escalation: Repeated incidents, credible threats, or serious injuries must be escalated immediately to senior leadership and security.

    Texas employees: Any required workplace violence notice or reporting information will be posted or distributed in accordance with Texas law and facility practice.

Roles & Responsibilities

Assigns ownership for intake, investigation, corrective action, training, and recordkeeping.

  • Employees must report incidents promptly, cooperate in investigations, and follow safety instructions.

    Supervisors and managers must receive reports, ensure immediate safety measures, preserve evidence, and escalate serious concerns.

    HR must maintain incident records, coordinate investigations, support anti-retaliation enforcement, and ensure required notices and acknowledgements are tracked.

    Security / safety personnel must respond to threats, assist with de-escalation, and coordinate with law enforcement when necessary.

    Policy holder must review trends, approve corrective actions, and ensure the addendum is updated at least annually or sooner if legal requirements change.

Compliance / Discipline

Explains how violations, non-reporting, or retaliation are handled and what corrective action may follow.

  • Failure to report a known workplace violence incident, falsification of an incident report, retaliation against a reporting employee, or violation of safety directives may result in corrective action up to and including termination, subject to applicable law and any collective bargaining agreement.

    Discipline will be applied in a documented, good-faith manner and will not interfere with rights protected by the NLRA, FMLA, ADA, EEOC laws, or other applicable employment laws.

    Employees may raise concerns about discipline, safety, or retaliation through the normal HR escalation process without fear of reprisal.

Review & Revision

Sets the annual review cadence and the trigger points for updating the addendum.

  • This addendum will be reviewed at least annually and whenever there is a material change in Texas law, facility operations, incident trends, or security risks.

    The policy holder is responsible for maintaining the current version, documenting revisions, and ensuring that employees receive updated notice when required.

    Where this addendum conflicts with a more protective legal requirement, the employer will follow the applicable law.

How to use this template

  1. 1. Add this addendum to your existing Texas healthcare policy set and fill in the effective_date, version, applicable_jurisdictions, applicable_roles, and review_frequency fields before rollout.
  2. 2. Assign the policy holder, incident intake contact, investigator, and approving leader so every report has a named owner from intake through closure.
  3. 3. Map the reporting procedure to your actual hotline, form, email alias, security desk, or case-management tool so employees can report incidents without guessing.
  4. 4. Train supervisors and frontline staff on what counts as a reportable incident, how to preserve evidence, and when to escalate threats, injuries, or repeat behavior.
  5. 5. Review each incident for corrective action, documentation completeness, and any needed accommodation, leave, or discipline decision before closing the case.
  6. 6. Reassess the addendum annually and after any serious event, then update site-specific contacts, training references, and response steps.

Best practices

  • Define reportable conduct in plain language, including threats, intimidation, physical contact, stalking, and repeated disruptive behavior.
  • Name the exact reporting channels and backup contacts for after-hours and weekend incidents.
  • Require immediate documentation of the incident, witnesses, location, and any injuries before details fade.
  • Separate the response to violence from the discipline decision so the investigation stays fact-based and consistent.
  • Include a confidentiality statement that limits access to incident records to need-to-know personnel.
  • Train supervisors to recognize when an incident may also trigger leave, accommodation, or retaliation concerns.
  • Use site-specific appendices for emergency departments, behavioral health units, and remote or home-health staff.
  • Review patterns by location and shift so repeat hazards are addressed as workplace risks, not isolated complaints.

What this template typically catches

Issues teams running this template most often surface in practice:

No clear definition of what counts as a workplace-violence incident.
Missing named owner for intake, investigation, and closure.
Reports are accepted verbally but never documented in a consistent form.
No timeline for follow-up, corrective action, or employee communication.
Training is referenced but not assigned to a role or schedule.
Confidentiality and retaliation protections are not addressed in the reporting workflow.
Site-specific hazards such as emergency departments or behavioral health units are not separately addressed.
The addendum conflicts with the organization’s incident reporting tool or security escalation process.

Common use cases

Hospital HR and security coordination
A hospital uses the addendum to route threats, assaults, and disruptive visitor incidents from the bedside to HR, security, and risk management. The policy clarifies who documents the event, who interviews witnesses, and who closes the case.
Long-term care shift supervisor reporting
A skilled nursing facility uses the template to standardize how aides and nurses report resident aggression, visitor threats, and repeat incidents across shifts. It helps supervisors escalate patterns quickly and document corrective measures.
Behavioral health unit incident follow-up
A behavioral health facility adapts the addendum to reflect higher-risk interactions and more frequent de-escalation events. The template supports clear reporting, post-incident review, and staff support after an event.
Multi-site clinic rollout
A health system deploys the same core addendum across outpatient clinics while allowing each site to list local contacts, security resources, and reporting tools. This keeps the policy consistent while preserving operational differences.

Frequently asked questions

Which employers should use this Texas HB 915 addendum?

This template is intended for Texas healthcare facilities that need a workplace-violence prevention addendum tied to their internal policy set. It is most useful where staff interact with patients, visitors, residents, or the public and need a documented reporting and response process. If your organization is not a healthcare facility, this addendum may not fit your operations without significant tailoring. Review the scope carefully before adopting it across non-clinical sites.

What does this addendum actually cover?

It covers the core pieces a healthcare workplace-violence prevention plan needs: definitions, reporting steps, investigation and corrective action, roles, training, and recordkeeping. It is designed to sit alongside your main HR or safety policy and make the Texas-specific expectations easy to follow. The template also helps you document escalation paths when an incident involves patients, visitors, contractors, or co-workers. It is not a substitute for emergency response procedures or clinical security protocols.

How often should the policy be reviewed?

Review it at least annually, and sooner if your facility has a serious incident, a pattern of repeated threats, a change in operations, or a legal update affecting Texas healthcare employers. Annual review helps keep reporting channels, responsible roles, and training references current. If you have multiple facilities, review each site’s incident trends separately so local risks are not missed. Update the addendum whenever the underlying prevention plan changes.

Who should own and run this process?

The policy holder is usually HR, safety, risk management, or compliance, with operational support from nursing leadership, facilities, security, and site management. In a healthcare setting, the person who receives reports should know how to preserve evidence, notify leadership, and trigger the interactive process if an employee needs a reasonable accommodation after an incident. The addendum should clearly identify who investigates, who approves corrective action, and who tracks closure. Without named owners, reports often stall.

How does this relate to OSHA and other employment laws?

This template should align with OSHA’s general duty clause by documenting a process to identify and address recognized workplace hazards. It should also avoid conflict with Title VII, ADA, FMLA, NLRA, FLSA, and ADEA obligations, especially when an incident involves leave, protected activity, accommodation, or discipline. If an employee reports violence or threats, the response should not interfere with concerted activity protected by the NLRA. State-law overlays may also affect reporting, leave, privacy, and retaliation handling.

What are the most common mistakes when using a workplace-violence addendum?

Common mistakes include vague reporting instructions, no named escalation contact, no follow-up timeline, and no distinction between threats, harassment, and physical incidents. Another frequent gap is failing to document corrective action or leaving out training responsibilities for supervisors and employees. Some employers also forget to address confidentiality and retaliation concerns, which can discourage reporting. A good addendum makes the process specific enough that staff can use it during an actual incident.

Can this template be customized for different Texas facilities?

Yes. You can tailor it by site type, such as hospital, clinic, long-term care, emergency department, or behavioral health unit, and by local security resources. You should also customize reporting channels, after-hours contacts, and any facility-specific incident categories. If you operate multiple locations, keep the core policy consistent while allowing site addenda for local hazards and response teams. That approach makes rollout easier and keeps audits cleaner.

How should this connect to incident reporting tools or HR systems?

The addendum should point employees to the actual reporting form, hotline, case-management system, or ticketing workflow used by your organization. It should also identify where records are stored and who can access them, especially if reports include medical or sensitive personal information. If your HRIS or EHS platform tracks incidents, the policy should match the fields and approval steps in that system. The goal is to make the written policy and the operational workflow say the same thing.

Go deeper on the topic

Related concepts
  • An SOP (standard operating procedure) hub is the single, owned place where a company's step-by-step procedures live — how to handle a return, how to close a...
  • Training is the practice of building the skills and knowledge employees need to do their jobs — onboarding, compliance, product, safety, leadership. The...
  • Succession planning is the practice of identifying, developing, and tracking potential successors for critical roles across the organization — so that when a...
  • A standard operating procedure (SOP) is a documented, step-by-step procedure for a repeatable task — the written version of "how we do this here." Good SOPs...
Related guides

Ready to use this template?

Get started with MangoApps and use Texas Workplace Violence Prevention Addendum (HB 915) with your team — pricing built for small business.

Ask AI Product Advisor

Hi! I'm the MangoApps Product Advisor. I can help you with:

  • Understanding our 40+ workplace apps
  • Finding the right solution for your needs
  • Answering questions about pricing and features
  • Pointing you to free tools you can try right now

What would you like to know?