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Workplace Conflict Form

A workplace conflict form captures a dispute between two or more colleagues before it turns into a formal grievance or disciplinary case. It records what the disagreement is about, how it is affecting work and which resolution route the employee prefers, such as a facilitated conversation or mediation.

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Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

WORKPLACE CONFLICT FORM

Company:
[Company Name]
Form No.:
[Reference Number]
Date:
[Date]

1. Submitted By

Name[Employee Name]
Employee ID[Employee ID]
Designation / Department
Submitting as: Party to the conflict / Manager / Other

2. Parties Involved

NameDesignationDepartmentWorking Relationship
[Employee Name][Designation][Department][Peer / Reports to / Cross-team]
[Employee Name][Designation][Department][Relationship]

3. Nature of Conflict

  • Workload or task allocation
  • Communication or tone
  • Credit for work
  • Process or priorities between teams
  • Personal working styles
  • Other

4. Description

When did the conflict start?
Key incidents (dates and brief facts)
How is it affecting work or deadlines?
How is it affecting you?
Your view of the issue
What you think the other person's view might be
Steps already tried

5. Preferred Way Forward

  • I would like guidance to resolve it myself
  • Conversation facilitated by our manager
  • Mediation by HR
  • I wish to raise a formal grievance

I confirm that the above is my honest account. I understand this form is confidential and that raising a workplace conflict will not be held against me.

[Employee Name]
Date: [Date]
Received by
[HR Name]
Date: [Date]

What this template includes

  • Parties involved and their working relationship
  • Conflict type such as workload, communication, credit or personality
  • Triggers and history in brief
  • Impact on work, deadlines and wellbeing
  • Space for the reporting employee's view and what they think the other side's view is
  • Preferred route: self-resolution, manager-facilitated talk, HR mediation or formal grievance

When to use it

  • Two team members are in an ongoing disagreement over workload, credit or communication
  • A manager notices tension affecting team output and wants it documented
  • An employee wants help with a colleague but does not want to file a complaint
  • Cross-department friction, such as sales versus operations, is causing delays

How to customise this template

  1. 1Decide whether managers, employees or both can submit this form
  2. 2Add your mediation options and who facilitates them
  3. 3Link the form to your conflict resolution form for the next stage
  4. 4Remove the 'other side's view' question if your culture finds it awkward
  5. 5Set a review date in the HR section

HR tips

  • Use this for interpersonal disputes, not for harassment, discrimination or misconduct
  • Encourage both parties to complete their own form
  • Act early; small conflicts escalate quickly
  • Keep language about behaviour, not personalities

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Frequently asked questions

What is a workplace conflict form?+

A form to document a dispute between colleagues, its impact and the preferred way to resolve it, usually before a formal grievance.

Is a conflict form the same as a complaint?+

No. A conflict form is for disagreements where both sides may share responsibility, while a complaint alleges misconduct by a specific person.

What happens after submitting the form?+

HR or the manager reviews it and usually arranges a conversation or mediation between the parties.