"In Person" Workplace Safety Report
Submit this electronic 𝗿𝗲𝗽𝗼𝗿𝘁 𝗶𝗳 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲 𝗯𝗲𝗲𝗻 𝗱𝗶𝗿𝗲𝗰𝘁𝗲𝗱 𝘁𝗼 𝗱𝗼 𝘀𝗼𝗺𝗲𝘁𝗵𝗶𝗻𝗴 𝘂𝗻𝘀𝗮𝗳𝗲 at work.
Submit this electronic report if you witness direct violations of the safety requirements articulated by MMSD.
1. Report the concern to your site supervisor.
2. Contact MTI
3. Complete and submit this report.
If there’s unabated health & safety violations staff should send an email to:
for immediate action. The department will investigate the complaint followed by education of the guidelines and compliance. If the problem continues, then a citation will be served.
Your Full Name
Your personal email address
Your Job Title
What are your concerns? What COVID-19 health & safety violations occurred?
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