Safety Notification
Safety is one of IES Custom Staffing Core Values. Your safety and the safety of others is important to us. IES cannot be at every job and worksite. We need you, our employees to let us know when they see and unsafe act, attitude or condition. Please complete this quick online notification form to let us know you have a safety concern or comment. You can remain anonymous if you so choose.

Remember: If the job cannot be done safely, DON'T DO IT!

Client's Name *
Your answer
Department (if applicable)
Your answer
Unsafe? *
Please describe *
Your answer
Was this reported to your supervisor? *
Name of the supervisor?
Your answer
Name
Optional. You can remain anonymous. Skip this question, it is not a required field.
Your answer
Contact
Optional. You can remain anonymous. Skip this question, it is not a required field.
Your answer
Employee Protection Notification
Use of this form or other method to report unsafe actions/conditions is protected by law. It is illegal for an employer to take any action against an employee in reprisal for exercising his/her rights to participate in communication involving safety. IES will investigate any report or questions as required by the Whistleblower Protections 29 U.S.C. §
660(c). IES will advise its clients of this notifications. IES and their client will advise the employee who initiated the process or all workers in the affected area of the employer's response.
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