Cbp-507(employee report of unsafe conditions) - Local 2595-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by checking whether you are reporting as an employee or a representative. Fill in the name of the facility and its mailing address in section 1(a).
3. In section 1(b), specify the exact location of the alleged violation. This helps ensure that the issue is addressed promptly.
4. Provide your supervisor's telephone number at the site of violation in section 2(a) and indicate whether you have reported this condition to them in section 3.
5. Describe the hazard thoroughly in section 4, including any materials and equipment involved, as well as how many employees may be affected.
6. If applicable, list any standards violated in section 5 and detail any attempts made to correct the condition in section 6.
7. Indicate if anyone has been hurt or if property was damaged due to this condition in section 6(a).
8. Decide whether you want your name revealed by answering section 8. If anonymity is preferred, check 'No'.
9. Finally, fill out your name, address, telephone number, sign the form, and date it before submitting.

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