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Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
Notice of Alleged Safety or Health Hazards
OMB: 1218-0064
IC ID: 13971
OMB.report
DOL/OSHA
OMB 1218-0064
ICR 201707-1218-003
IC 13971
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0064 can be found here:
2024-09-03 - No material or nonsubstantive change to a currently approved collection
2024-07-24 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OSHA-7
Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
Form
OSHA-7 OSHA Form 7 Chinese
OSHA Form 7 Chinese.docx
Form
OSHA-7 OSHA Form 7 Eastern Punjabi
OSHA Form 7 Eastern Punjabi.docx
Form
OSHA-7 OSHA Form 7 Korean
OSHA Form 7 Korean.docx
Form
OSHA-7 OSHA Form 7 Nepali
OSHA Form 7 Nepali.doc
Form
OSHA-7 OSHA Form Tagalog
OSHA Form 7 Tagalog.docx
Form
OSHA-7 OSHA Form 7 Traditional Chinese
OSHA Form 7 Traditional Chinese.docx
Form
OSHA-7 OSHA Form 7 Urdu
OSHA Form 7 Urdu.docx
Form
OSHA-7 OSHA Form 7 Vietnamese
OSHA Form 7 Vietnamese.docx
Form
OSHA-7 OSHA Form 7 Western Punjami
OSHA Form 7 Western Punjabi.docx
Form
OSHA-7 Online OSHA Online Complaint Form- Notice of Alleged Safety or
Notice of Alleged Safety or Health Hazards _ Occupational Safety and Health Administration (downloaded 07.06.17).pdf
www.osha.gov/pls/osha7/eComplaintForm.html
Form and Instruction
OSHA-7 Online (Spa OSHA Online Complaint Form- Notice of Alleged Safety or
Aviso de seguridad alegado o Peligros para la salud _ Administración de Segu.pdf
www.osha.gov/pls/osha7/ecomplaintform_sp.html
Form and Instruction
OSHA-7 Notice of Alleged Safety and Health Hazards (paper form)
Notice of Alleged Safety or Health Hazards (paper form) (downloaded 07.06.17).pdf
www.osha.gov/oshforms/osha7.pdf
Form
OSHA-7 (Spanish) Notificación de una Queja en Seguridad y Salud
Notice of Alleged Safety or Health Hazards (paper form, Spanish) (downloaded 07.06.17).pdf
www.osha.gov/oshforms/OSHA7_SPANISH.pdf
Form
OSHA Worker Rights and Protections - How to File a Safety and Health Complaint _ Occupational Safety and Health Administration (downloaded 07.06.17).pdf
How to File a Safety and Health Complaint with OSHA
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
Agency IC Tracking Number:
1218-0064(2017)
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 1903.11
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA-7
OSHA Form 7 Chinese
OSHA Form 7 Chinese.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Eastern Punjabi
OSHA Form 7 Eastern Punjabi.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Korean
OSHA Form 7 Korean.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Nepali
OSHA Form 7 Nepali.doc
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form Tagalog
OSHA Form 7 Tagalog.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Traditional Chinese
OSHA Form 7 Traditional Chinese.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Urdu
OSHA Form 7 Urdu.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Vietnamese
OSHA Form 7 Vietnamese.docx
Yes
Yes
Fillable Fileable
Form
OSHA-7
OSHA Form 7 Western Punjami
OSHA Form 7 Western Punjabi.docx
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA-7 Online
OSHA Online Complaint Form- Notice of Alleged Safety or Health Hazard
Notice of Alleged Safety or Health Hazards _ Occupational Safety and Health Administration (downloaded 07.06.17).pdf
https://www.osha.gov/pls/osha7/eComplaintForm.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA-7 Online (Spanish)
OSHA Online Complaint Form- Notice of Alleged Safety or Health Hazard (Spanish)
Aviso de seguridad alegado o Peligros para la salud _ Administración de Segu.pdf
https://www.osha.gov/pls/osha7/ecomplaintform_sp.html
Yes
Yes
Fillable Fileable
Form
OSHA-7
Notice of Alleged Safety and Health Hazards (paper form)
Notice of Alleged Safety or Health Hazards (paper form) (downloaded 07.06.17).pdf
https://www.osha.gov/oshforms/osha7.pdf
Yes
Yes
Fillable Fileable Signable
Form
OSHA-7 (Spanish)
Notificación de una Queja en Seguridad y Salud
Notice of Alleged Safety or Health Hazards (paper form, Spanish) (downloaded 07.06.17).pdf
https://www.osha.gov/oshforms/OSHA7_SPANISH.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
70,976
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
52 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
70,976
0
0
20,335
0
50,641
Annual IC Time Burden (Hours)
19,258
0
0
5,599
0
13,659
Annual IC Cost Burden (Dollars)
701
0
0
-12,958
0
13,659
Documents for IC
Title
Document
Date Uploaded
How to File a Safety and Health Complaint with OSHA
OSHA Worker Rights and Protections - How to File a Safety and Health Complaint _ Occupational Safety and Health Administration (downloaded 07.06.17).pdf
07/06/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.