This form is a sample personal injury complaint alleging defendant's negligence in operating a nail gun resulted in injury to plaintiff.
Indiana Complaint regarding Nail Gun Injury
State:
Multi-State
Control #:
US-PI-0298
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Complaint Regarding Nail Gun Injury?
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FAQ
?Employers must effectively train workers to safely operate dangerous tools such as nail guns,? said Cal/OSHA Chief Juliann Sum.
Nail guns commonly cause injuries, often involving nerves, tendons, blood vessels, joints, bones, or penetration of body cavities. Check for serious injuries with detailed examination, and take x-rays.
Most injuries involve puncture wounds to hands or fingers, but serious, even fatal, injuries are also associated with the use of these tools. A dramatic account of a fatal nail gun injury can be found in a news story in the Sacramento Bee.
Cal/OSHA will decide how to respond based on the information in the complaint, including the description of the hazards. Generally, Cal/OSHA conducts onsite inspections for complaints of serious and imminent hazards.
If you think your job is unsafe and you want to ask for an inspection, you can call 1-800-321-OSHA (6742), or file a "Notice of Alleged Safety or Health Hazards" by clicking here.
Submit your complaint online to OSHA. Complete the complaint form or letter, and then fax, mail, or email it back to your local OSHA office. OSHA staff can discuss your complaint with you and respond to any questions you may have. OSHA staff can discuss your complaint with you and respond to any questions you may have.
When you file a complaint with Cal/OSHA, the safety engineer or industrial hygienist who takes your complaint will ask you to describe the unsafe or unhealthy conditions you are reporting. When filing a complaint, you have the option to give your name or not.
All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.