How to Report Hazards, Unsafe Conditions or Practices with PS Form 1767-2025

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The document is a report form for employees to report hazards, unsafe conditions, or practices in the workplace. It outlines the process for employees to describe the issue and recommend corrective actions, followed by required actions from supervisors and approving officials to investigate and address the reported hazards. The form includes sections for employee input, supervisor response, approval actions, and maintenance follow-up, ensuring a structured approach to workplace safety.

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In Section I, specify the work location and describe the hazard, unsafe condition, or practice. Include your recommended corrective action. Print and sign your name, then date and indicate your tour.
For Section II, your supervisor will need to investigate the reported hazard during the same tour. They should document any actions taken or recommendations for corrective measures. The supervisor must print and sign their name and date this section.
In Section III, the approving official will check one of the options regarding corrective actions taken. They must print and sign their name, date this section, and notify you about the status of the hazard abatement.
If necessary, Section IV is for maintenance action where the maintenance supervisor will complete their part after addressing the work order. They should print and sign their name before returning it to the approving official.

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Which form should be used to submit a report of unsafe working conditions?

(PS FORM 1767-Report of Hazard, Unsafe Condition or Practice) Officially documents and addresses employees safety hazards or concern in writing. Requires a timely written response during your tour by management consistent with ELM Section 824.632. It is tracked and identifies abatement date.

How do you report hazards and potential hazards?

You should report any actual or potential health and safety hazard immediately to your supervisor. You do not need to wait for an inspection team to come by. In fact, health and safety legislation requires workers to report hazards to their supervisor.

What form should be used to submit a report of unsafe working conditions?

If so, find the nearest PS Form 1767, Report of Hazard, Unsafe Condition or Practice. Fill it out and give it to your supervisor. That way, management will have documentation that there is a safety issue that needs to get fixed.

What is a PS form 1767?

OSHA Online Compliant Form. Occupational Safety and Health Administration.

What is an OSHA 300 form used for?

200. I. Log and Summary of Occupational Injuries and Illnesses. Each employer who is subject to the recordkeeping requirements of the Occupational Safety and Health Act of 1970 must maintain for each establishment, a log of all recordable occupational injuries and illnesses. This form (OSHA No.