OSHA Online Complaint Form

En Español



Do Not Report an Emergency Using this Form or Email!

To report an emergency, fatality, or imminent life threatening situation please contact our toll free number immediately:

1-800-321-OSHA (6742)  
TTY 1-877-889-5627

Please fill out sections 1 through 19, but READ THIS FIRST. Items noted with an asterisk (*) are required in order to accept your submission.

Note: In order for OSHA to fully process your complaint, complete and accurate information about the worksite is necessary.

Note: Please select a State first before entering the Establishment City.


Note: Please select a State first and enter a city before selecting a ZIP Code.


The OSH Act gives employees and employee representatives the right to request that their names not be revealed to their employer. Providing your name and address, will only allow OSHA staff to communicate with you regarding your complaint.