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Online - Use the Online Complaint Form. Fax/Mail/Email - Complete the OSHA Complaint Form En Espanol, or Send a Letter Describing Your Complaint. Telephone - Call Your Local OSHA Office or 800-321-6742 (OSHA) In Person - Visit Your Local OSHA Office.

Brief description of hazard/incident: (Describe the task, equipment, tools and people involved. Use sketches, if necessary. Include any action taken to ensure the safety of those who may be affected.) Where is the hazard located in the workplace?

A hazard is something that can cause harm, e.g. electricity, chemicals, working up a ladder, noise, a keyboard, a bully at work, stress, etc.For example, working alone away from your office can be a hazard. The risk of personal danger may be high. Electric cabling is a hazard.

Introduce the Purpose of the Safety Report. Include Clear, Labeled Diagrams. Include All Relevant Statistics. Write Out All Steps Clearly. Use Clear, Simple Language.

An automated form number. The location of the hazard. The date the hazard was identified. The company involved in identifying or interacting with the hazard.

To notify SafeWork NSW of an incident, call 13 10 50. Brief description of hazard/incident: (Describe the task, equipment, tools and people involved. Use sketches, if necessary. Include any action taken to ensure the safety of those who may be affected.)

Step 1: Know your brief. You will usually receive a clear brief for a report, including what you are studying and for whom the report should be prepared. Step 2: Keep your brief in mind at all times. Executive Summary. Introduction. Report Main Body. Conclusions and Recommendations.

Safety or Health Hazards Report Form

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How do you report safety hazards at work?

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