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View OSHA's Form 1218-0064 Online 
| Agency: |
OSHA |
| Title: |
Notice of Alleged Safety or Health Hazards |
| Form Description: |
Any employees or representatives of employees who believe that a violation of a safety or health standard exists that threatens physical harm, or that an imminent danger exists, may request an inspection by using this form to give notice to the Secretary or an authorized representative of such violation or danger.
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| OMB Control Number: |
1218-0064 |
| OMB Expiration Date: |
Friday, February 29, 2008
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