![]() Public reporting burden for this voluntary collection of information is estimated to be one hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Any such documents will be redacted as appropriate under the FOIA and the Privacy Act.Īccording 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. However, once a case is closed, it is possible that information contained in the complaint or a case file may be released to the public as required by the FOIA. During an investigation, information about the complaining party and the employer will not be released to the public except to the extent allowed under the Freedom of Information Act (FOIA). 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. Once a complaint is filed, the individual's name and information about the allegations of retaliation will be disclosed to the employer. OSHA collects this information in order to process complaints under its statutory and regulatory authority. This form requests personal information that is relevant and necessary to determine whether and how to conduct an investigation. ![]() 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. If you have any questions about the complaint filing or investigative processes, please do not hesitate to call 1-800-321-OSHA (6742) or contact your local OSHA office. Because your complaint may be shared with the employer, do not include witness names or their contact information on this form you will have the opportunity to offer evidence in support of your complaint during the investigation. If OSHA proceeds with an investigation, OSHA will notify your employer of your complaint and provide the employer with an opportunity to respond. ![]() You must respond to OSHA's follow-up contact or your complaint will be dismissed.Ī whistleblower complaint filed with OSHA cannot be filed anonymously. ![]() If you file a complaint, OSHA will contact you to determine whether to conduct an investigation. 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.
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