Report a Hazard

The image encourages individuals to speak up and report hazards using a megaphone symbol.

See Something Say Something!

According to OSHA, one of the "root causes" of workplace injuries, illnesses, and incidents is the failure to identify or recognize hazards that are present, or that could have been anticipated. So, what should you do if you notice a hazard?

As an employee, all health and safety hazards should be immediately reported to your Supervisor, Safety Committee or Human Resource Office. In fact, OSHA requires employees to report workplace hazards to their supervisor and promotes open communication about workplace hazards. Coos County believes that safety is everyone’s responsibility and encourages anyone to report all potential safety or health hazards.

All hazards reported using this webform are entered into a secure database. This procedure allows for prompt reporting and proactively assists Coos County Safety & Risk Management Program to control hazards and implement preventative measures to protect our employees.

Please note: reports entered via this webform DOES NOT count as part of emergency communications to triage an incident while it is happening. This online hazard reporting process is SOLEY intended to provide a platform for Coos County Employees and Residents to report hazardous conditions or practices when they are noticed.

Notifications may be submitted anonymously.

Describe the Hazard (Please give as many details about the hazard such as equipment or chemicals used, specific work process, time of day, how long has the hazard been occurring, or if the hazard is no longer present – when did it last occur.)

How or Why is this a Hazard? (Please explain why you think this is a Hazard?)

Is the Hazard likely to cause injury or illness? (required)

Yes

Location of the Hazard (Please describe location of where the hazard(s) is occurring such as the specific room/location, building or area of business.)

Suggestions for Corrective Action? (Please provide suggestions on how you think the hazard can be corrected)

About You (Do you want to keep your identity confidential?) (required)

Yes: If you select ‘yes’ to the question, “keep your identity confidential”, the information below will not be provided to the Safety Committee

No: If you select ‘no’ to the question, “keep your identity confidential”, the information below will be provided to the Safety Committee

Contact Information (Please note: the Safety Committee will not be able to contact you or keep you informed unless you provide contact information below.)

Name

Phone

Please select your affiliation with the County (required)

Department/Division: (required)

If this was previously reported, who did you report it to? (required)

Supervisors Name:

Upload Files (Please upload any photo's or documentation to support this report)

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