Notice of Alleged Safety or Health Hazards (OSHA 7) at a glance
What it is: U.S. Department of Labor Occupational Safety and Health Administration Notice of Alleged Safety or Health Hazards.
Where and when to file: After you have completed the form, return it to your local OSHA office, found at https://www.osha.gov.
A filled-in Notice of Alleged Safety or Health Hazards (OSHA 7) example: a current employee reports a blocked exit
How to fill out Notice of Alleged Safety or Health Hazards (OSHA 7), box by box
Establishment Name, Site Address and Type of Business
Fill in Establishment Name, Site Address, Site Phone, Site Fax, Mailing Address, Mail Phone, Mail Fax, Management Official, Telephone and Type of Business.
HAZARD DESCRIPTION/LOCATION
Under HAZARD DESCRIPTION/LOCATION, describe briefly the hazard(s) which you believe exist and on what date you last observed the hazard(s).
Include the approximate number of employees exposed to or threatened by each hazard. Specify the particular building or worksite where the alleged violation exists.
Complete the front page as accurately and completely as possible. Describe each hazard you think exists in as much detail as you can. If the hazards described in your complaint are not all in the same area, please identify where each hazard can be found at the worksite. If there is any particular evidence that supports your suspicion that a hazard exists (for instance, a recent accident or physical/health symptoms of employees at your site) include the information in your description. If you need more space than is provided on the form, continue on any other sheet of paper.
Has this condition been brought to the attention of Employer or Other Government Agency
Has this condition been brought to the attention of: Employer, Other Government Agency (specify):
Do NOT reveal my name to my Employer
Sec 8(f)(1) of the Williams-Steiger Occupational Safety and Health Act, 29 U.S.C. 651, provides as follows: Any employees or representative of employees who believe that a violation of a safety or health standard exists that threatens physical harm, or that an imminent danger exists, may request an inspection by giving notice to the Secretary or his authorized representative of such violation or danger. Any such notice shall be reduced to writing, shall set forth with reasonable particularity the grounds for the notice, and shall be signed by the employee or representative of employees, and a copy shall be provided the employer or his agent no later than at the time of inspection, except that, upon request of the person giving such notice, his name and the names of individual employees referred to therein shall not appear in such copy or on any record published, released, or made available pursuant to subsection (g) of this section. If upon receipt of such notification the Secretary determines there are reasonable grounds to believe that such violation or danger exists, he shall make a special inspection in accordance with the provisions of this section as soon as practicable to determine if such violation or danger exists. If the Secretary determines there are no reasonable grounds to believe that a violation or danger exists, he shall notify the employees or representative of the employees in writing of such determination.
The OSH Act gives employees and employee representatives the right to request that their names not be revealed to their employer.
Please Indicate Your Desire: Do NOT reveal my name to my Employer, or My name may be revealed to the Employer.
Providing your name and address will only allow OSHA staff to communicate with you regarding your complaint.
Complainant Name, Former Employee, Current Employee and Signature
The Undersigned believes that a violation of an Occupational Safety or Health standard exists which is a job safety or health hazard at the establishment named on this form.
Mark "X" in ONE box: Former Employee, Current Employee, Representative of Employees, Federal Safety and Health Committee, Other (specify).
Fill in Complainant Name, Telephone, Address (Street, City, State, Zip) and Email Address.
Sign on the Signature line and fill in the Date.
It is unlawful to make any false statement, representation or certification in any document filed pursuant to the Occupational Safety and Health Act of 1970. Violations can be punished by a fine of not more than $10,000. or by imprisonment of not more than six months, or by both. (checked November 8, 2026)
Organization Name and Your Title
If you are an authorized representative of employees affected by this complaint, please state the name of the organization that you represent and your title: Organization Name, Your Title.
More rules for Notice of Alleged Safety or Health Hazards (OSHA 7)
This form is provided for the assistance of any complainant and is not intended to constitute the exclusive means by which a complaint may be registered with the U.S. Department of Labor.
Section 11(c) of the Act provides explicit protection for employees exercising their rights, including making safety and health complaints.
If your situation is different
You are a Federal employee
This report format is provided to assist Federal employees or authorized representatives in registering a report of unsafe or unhealthful working conditions with the U.S. Department of Labor.
Common questions about Notice of Alleged Safety or Health Hazards (OSHA 7)
Where do I file it?
After you have completed the form, return it to your local OSHA office, found at https://www.osha.gov.
Sources
[1] Notice of Alleged Safety or Health Hazards (OSHA 7), U.S. Department of Labor, Occupational Safety and Health Administration (the Official source link on this page).
