If you choose to use this form, you must complete the screens and fields that are marked as "required"; all other screens and fields are optional.
If you file a complaint, OSHA will contact you to determine whether to conduct an investigation.
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OSHA administers more than twenty whistleblower protection laws, including Section 11(c) of the Occupational Safety and Health (OSH) Act, which prohibits retaliation against employees who complain about unsafe or unhealthful conditions or exercise other rights under the Act.
If you have any questions about the complaint filing or investigative processes, please do not hesitate to call 1-800-321-OSHA (6742).
During the course of an OSHA investigation, information contained in an investigative case file may be disclosed to the parties in order to resolve the complaint.
Any such documents will be redacted as appropriate under the FOIA and the Privacy Act.
According to the Paperwork Reduction Act, an Agency may not conduct or sponsor, and no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.
[email protected] to the Directorate of Whistleblower Protection Programs, Department of Labor, Room N4624, 200 Constitution Ave., NW, Washington, DC; 20210; Attn: Paperwork Reduction Act Comment.
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