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Free Texas Workplace Violence Prevention Plan Template

A starting-point template for the written, facility-specific workplace violence prevention plan that Texas HSC Chapter 331 requires of covered healthcare facilities. It lays out the six required elements in the order a surveyor reviews them — so you adapt a defensible structure to your facility instead of starting from a blank page.

What you get

  • An editable plan template organized around the six Chapter 331 required elements, ready to tailor to your facility.
  • Drafting prompts in every section — what to write, and what a surveyor looks for — so the plan reads as facility-specific, not generic.
  • A committee charter and appointment-letter stub with the required RN / physician / security-services roles.
  • The primary-source basis for each section (Ch. 331, 26 TAC §505.55, the Joint Commission, OSHA), so every element is defensible.
  • A clear next step: where VIGILO turns the template into the assembled, maintained program of record.

A look inside

What you will see

The six elements your plan must contain

Chapter 331 requires a written, facility-specific plan covering each of the elements below. The template lays them out in the order a surveyor reviews them, with drafting prompts in each section.

  • 01. Facility-specific scope & purpose — Names your facility class, units, patient population, and known risks — so the plan reads as yours, not a generic template a surveyor will spot in seconds.
  • 02. Workplace violence prevention committee — Defines the required membership — an RN providing direct care, a physician providing direct care (if employed), and a security-services employee (if employed) — plus charter, appointments, and meeting cadence.
  • 03. Risk & worksite analysis method — How the committee identifies environment-of-care hazards by area and reviews them at least annually — the basis the Joint Commission and OSHA both expect.
  • 04. Training plan & cadence — Who is trained, on what, and how often — at least annually under Chapter 331, plus orientation and on-change training, with rosters retained for the survey file.
  • 05. Confidential reporting & anti-retaliation policy — How staff report incidents confidentially, the prohibition on retaliation, and explicit language that does not discourage contacting law enforcement.
  • 06. Post-incident response & annual evaluation — Acute treatment and work-assignment adjustment after an incident, plus the annual plan evaluation reported to your governing body — the single most overlooked statutory step.

How to make it facility-specific (the part that matters)

A surveyor can spot a borrowed template in seconds — generic threat language, no named units, no real risk inventory. The template prompts you to name your facility class, your high-risk areas (the ED, behavioral health, after-hours access), and the controls you actually use, so the plan reflects your environment of care rather than a download.

Common deficiencies the template helps you avoid

The recurring Chapter 331 findings are predictable: a committee missing the security-services representative, no documented annual evaluation to the governing body, training that misses night shift or contract staff, and a plan that was written once and never reviewed. Each template section flags the deficiency it is built to prevent.

Get the download

Get the editable Texas WVP plan template emailed to you — the six Chapter 331 required elements with drafting prompts, primary-source-cited throughout.

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We email the resource and confirm scope if you want help applying it. Everything you share is confidential; we do not share your information.

FAQ

Common questions

Is a template enough to comply with Chapter 331?

A template is a starting point, not compliance. Chapter 331 requires a facility-specific plan — adapted to your units, population, and risks — plus a committee, training, a reporting policy, post-incident response, and an annual evaluation to your governing body. The template gives you a defensible structure; the facility-specific content and the surrounding program are what a surveyor reviews.

Will a generic downloaded plan pass a licensure survey?

Rarely. Surveyors are trained to spot a generic template — no named units, generic threat language, no real risk inventory. The plan must reflect your environment of care. This template prompts you to make it facility-specific so it holds up at the survey and in post-incident discovery.

Does Chapter 331 carry a fine if my plan is missing?

No. Chapter 331 has no dedicated fine schedule. The exposure is a deficiency at your licensure survey and, after a serious incident, a discovery item in litigation — where your written plan, committee minutes, and training records become evidence.

Primary sources

TX HSC Chapter 331 (SB 240, 2023); 26 TAC §505.55; HHSC PL 2024-10; The Joint Commission Workplace Violence Prevention requirements (National Performance Goal #2a; effective Jan. 1, 2022 for hospitals, relocated under Accreditation 360 eff. Jan. 1, 2026); OSHA General Duty Clause §5(a)(1) and Publication 3148.

Want this applied to your facility, not just emailed?

A flat-fee Survey-Readiness Audit turns this resource into a scored, prioritized gap report against every standard your facility must meet.

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