Employee Safety Suggestion Form

 

You are required to report unsafe conditions and near misses observed on site without fear of reprisal. These may include health and safety risks, unsafe driving practices, fire safety issues, security issues, environmental concerns, and indoor air quality concerns.

Employees are advised that use of this form or other reports of unsafe conditions or practices are protected by law.  It would be illegal for the employer to take any action against an employee in the form of reprisal for exercising rights to participate in communications involving safety.

The employer will investigate all reports or questions as required by the Injury and Illness Prevention Program Standard (Title 8, CCR 3203).  The employee will be advised of the employer’s response.