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OSHA ONLINE WHISTLEBLOWER COMPLAINT FORM

Notice of Whistleblower Complaint

 

 

EMERGENCY NOTICE: Do Not Report an Emergency Using this Form or Email!    To report an emergency, fatality, or imminent life threatening situation please contact our toll free number immediately:

 

1-800-321-OSHA (6742)

TTY 1-877-889-5627

 

 

 

OSHA Jurisdiction:

 

  • Covers private sector employers

  • Excludes self-employed, family farm workers, and government workers (except in state plan states)

  • Approves and monitors 27 State Plan states which cover private and public sector employees.

  • Assists Federal Agency Programs

 

 

OSHA Inspections:

 

  • Conducted without advance notice

  • On-site inspections, or Phone/Fax investigations

  • Highly-trained compliance officers

 

 

Inspection Priorities:

 

  • Imminent danger

  • Catastrophes / Fatalities

  • Worker complaints and referrals

  • Targeted inspections - high injury/illness rates, severe violators

  • Follow-up inspections

Please fill out sections 1 through 30, but READ THIS first. Items noted with an asterisk (*) are required in order to accept your submission.

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