MSHA -

Mine Safety and Health Administration

MSHA - Protecting Miners' Safety and Health Since 1978

Hazardous Condition Complaint

Step 1: Contact Information > Step 2: Complaint Information > Step 3: Summary

OMB #1219-0014
Expires 9/30/2010
Public reporting burden for this collection of information is estimated to average 12 minutes per response. Persons are not required to respond to this collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Records Management Branch, Mine Safety and Health Administration, 1100 Wilson Boulevard, Arlington, VA 22209-3939

Step 1: Contact Information

I would like to file an anonymous Hazardous Condition Complaint.
I would like to file a Hazardous Condition Complaint and my contact information is provided below. I understand that my contact information is for use by MSHA only and will be kept strictly confidential.

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