Report of a Workplace Hazard

Document Information
  How to complete a fillable form.
Title Report of a Workplace Hazard (English)
Document number F417-277-000
Document type Form
How to get this document
Check for alternate languages of this document
Valid dates 05/2017
Contact information DOSH Education and Outreach

End of main content, page footer follows.

Access Washington official state portal

   © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve