Nodisa Tool

Your Documentation, Your Control

Document workplace interactions while details are fresh. Organize your account into clear, factual records and receive a professional PDF. You control what happens next—whether that's identifying patterns, preparing for conversations, or processing your experience.

Subject Information

Who is this report about?*

This will be the name that appears on the documentation.

Their title

Relationship to you

What happened?

Describe the incident in your own words*

Write down what you remember. Don't worry about being comprehensive - there's space for more details ahead.

When and where did this happen?

Date

Time

Duration

Location of interaction

How to Use This Form

Fill out at your pace
Complete questions in any order that feels comfortable—no need to go in sequence.

Include helpful details
Take your time and share what you're comfortable with. More specific information creates stronger documentation.

Preview & submit
Review your responses before submitting, then we'll email you a clean, professional PDF.

Nodisa Labs does not store any of your data.

Interaction Details & History

What were the exact words they used?

What behaviors did you witness?

Why were you interacting with this person?

Yes, this has happened before

No, this is the first time

Number of prior incidents

If you are not comfortable estimating a number, leave this blank and add notes below.

What behavioral patterns do you notice?

Your Safety Matters: Workplace documentation is important, but your immediate safety comes first. If you're experiencing physical threats or severe emotional distress at work, please reach out to HR, your Employee Assistance Program (EAP), or other support services. Nodisa provides tools for documentation and strategy, not crisis intervention or immediate safety support.

I have read and understand this safety notice

Your Response

How did you respond during the interaction?

It is completely acceptable to say "I couldn't say anything in the moment" and explain why.

What did you do after the interaction?

It is completely acceptable to say "I couldn't do anything" and explain why. If you did take steps after the interaction, it is important to document them here.

Evidence

Yes, there were witnesses

No, there were no witnesses

Witness names

These people will not be contacted without your knowledge.

Yes, I have proof saved

No, I do not have proof

Types of proof

Word of caution: recording someone without their knowledge and consent can be detrimental to your case (and your job). If you have recordings, make sure they were obtained through appropriate means. Nodisa Labs does not provide consultation on this; reach out to a legal adviser if in doubt.

Proof locations

Pro tip: Create a dedicated folder (digital or physical) for all your workplace documentation—it saves time and stress when you need to reference everything. Note: this question will not appear in the external PDF.

Impact Assessment

Yes, this interaction impacted my work

No, this interaction did not impact my work

How did this impact your work?

Has this interaction affected your well-being? If so, how?

Note: this question will not appear in the external PDF.

Follow-up & Reporting

Have you had additional interactions with this person? If yes, provide some details about what happened

Most recent interaction date

Leave blank if the most recent interaction is what you're documenting.

Yes, I have reported this to someone else

No, I have not reported this to anyone

Who did you report this to?

Note: This report will not be sent anywhere, but you should if you aim to change the other person's behavior.

Additional Information