North Carolina Safety or Health Hazards Report Form

State:
Multi-State
Control #:
US-AHI-287
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is used to report any safety or health hazards that have occurred within a workplace.

How to fill out Safety Or Health Hazards Report Form?

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FAQ

North Carolina operates an OSHA-approved State Plan covering most private sector workers and all state and local government workers.

North Carolina is an OSHA-approved State Plan that covers both private and state and local government workers. With certain exceptions, the N.C. Department of Labor adopts federal OSHA standards verbatim.

Report to the OSH Division within 24 hours of the incident. Call 1-800-625-2267 or 919-779-8560.

File a complaint online. Contact the OSH Complaint Desk by phone at 919-779-8560 or 1-800-NC-LABOR (1-800-625-2267) (in-state only).

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

Submit your complaint online to OSHA. Complete the complaint form or letter, and then fax, mail, or email it back to your local OSHA office. OSHA staff can discuss your complaint with you and respond to any questions you may have. OSHA staff can discuss your complaint with you and respond to any questions you may have.

If you are still worried or feel that your supervisor hasn't taken your concerns seriously, report to your health and safety manager, or directly to your employer. Employers also have health and safety responsibilities. They must make sure that your work can be carried out safely.

A whistleblower complaint filed with OSHA cannot be filed anonymously. If OSHA proceeds with an investigation, OSHA will notify your employer of your complaint and provide the employer with an opportunity to respond.

Region 4 Occupational Safety and Health Administration.

Contact InformationOccupational Safety and Health Division, 111 Hillsborough Street.Raleigh, North Carolina 27601-1092.North Carolina Department of Labor Occupational Safety and Health Division, 1101 Mail Service Center.Raleigh, North Carolina 27699-1101.(919) 707-7806.Josh Dobson, Commissioner.(919) 707-7701.

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North Carolina Safety or Health Hazards Report Form