Get Wa F418-052-000 2018-2025

The WA F418-052-000 form is essential for reporting alleged safety or health hazards in the workplace. This guide provides clear, step-by-step instructions on filling out the form online, ensuring that you can effectively communicate any concerns regarding workplace safety.

Follow the steps to complete the WA F418-052-000 form online.

1. Click ‘Get Form’ button to access the WA F418-052-000 form and proceed to fill it out.
2. Enter the date when the complaint is filled out at the top of the form.
3. Provide the legal name of the employer or establishment in the 'Employer Name' field.
4. Fill in the street address, city, state, and zip code of the worksite where the alleged hazard exists in the 'Site Location' section.
5. If the mailing address differs from the site address, include it in the 'Mailing Address' section.
6. Enter the name of the management or supervisory official in charge of the worksite.
7. Document the business telephone number for the establishment; this could be the management official's number.
8. In the 'Type of Business' field, describe the specific type of industrial activity at the workplace.
9. Thoroughly describe the alleged hazard in the 'Hazard Description' section, including details about who is affected, what the hazard is, and the employer's actions regarding the hazard.
10. Specify the exact location of the hazard in the 'Hazard Location' field.
11. Indicate who else has been informed about the unsafe condition in the provided section, marking the appropriate boxes.
12. Identify if you are a current employee or an employee representative by marking ‘X’ in the correct box.
13. If you wish to receive results from the inspection, complete your full name and contact details in Boxes 13 to 15.
14. Provide your signature in the designated area and also include the date.
15. If applicable, include the details of your organization and title in the 'Authorized Representative' section.
16. After ensuring all fields are properly filled, you may save changes, download, print, or share the form as needed.

Complete your WA F418-052-000 form online today to ensure a safer work environment.