Core Rules
Chapter 296-800 WAC
Contents
Helpful
Tools
Index
Download
Report of a Workplace Hazard
Helpful Tool
This is an optional form that either an employee or employer
can use to report a hazard. Use with WAC
296-800-120 Employee Responsibilities and WAC
296-800-140 Accident Prevention Program.
If you complete this as an employee, give a completed copy to
your employer. If you don't want to include your name on the form,
make sure to give enough details about the hazard so your employer
can recognize and correct it.
Print
the sample form
Sample
form for modifying
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