Available on

OSHA - Notice of Alleged Safety Violation Mobile App

"OSHA inspections for occupational safety can reveal health hazards and even imminent danger. This mobile app for the complainant can make work and health hazard reporting easier, using federal OSHA report standards, right from a smartphone or tablet.
This digital form, provided for the assistance of any complainant, is not intended to constitute the exclusive means by which a complaint may be registered with the U.S. Department of Labor. It is a helpful digital tool or employees, subcontractor employees and company safety officers to report occupational safety hazards in the OSHA standard, in order for company representatives to take corrective action.
Prevent physical harm with high standards of workplace safety and by reporting potential hazards. Save, share, send and document hazards with the GoCanvas Cloud. "

Government & NGO mobile forms and apps for your team

Convert your inefficient paper Incidents and other forms to mobile versions with GoCanvas.

Want to learn more about GoCanvas?

Request a Demo

Take a Tour

Take a peek inside the OSHA - Notice of Alleged Safety Violation Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

{{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

First Name
Last Name
Email
Current Location
Type of Business:
Site Address
Management Official:
Establishment Name
Mailing Address (if different)
Telephone
Describe briefly the hazards(s) which you believe exist.
Hazard Location Specify the particular building or worksite where the alleged violation exists:
This condition has been brought to the attention of: (Enter all that apply)
I am a(n):
Employee
Federal Safety and Health Committee
Representative of Employees
Other: (specify)
The OSH Act gives complainants the right to request that their names not be revealed to their emp...
Please indicate your desire:
Complainant name
Complainant address
Complainant telephone
Complainant email address
If you are an authorized representative of employees affected by this complaint, please state the...
Potential complainants also should keep in mind that it is unlawful to make any false statement, ...
Public reporting burden for this voluntary collection of information is estimated to vary from 15...
Date
...and More!