Hazardous Conditions Complaints

Hazardous Condition Complaint | Mine Safety and Health Administration (MSHA)

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HAZARDOUS CONDITION COMPLAINT

Hazardous Condition Complaint
Form ID: N/A
Description: 
Use this online form to notify MSHA of a hazardous condition at a mine.

Equipment Approval and
Certification
Resources and Tools
Alliances and MOUs
State Mining Agencies

Complaints can be filed anonymously using this system. Disponible en
español.
Control ID: 1219-0014
Expiration Date: January 31, 2020
Filing Instructions: 
Hazardous condition complaints may be reported by calling 1- 800-746-1553,
or by using the online filing links below.
Report a Hazardous Condition at a Mine
Reportar una condición peligrosa en una mina
Contact Information: 
Questions regarding this form should be directed to the MSHA Help Desk
at (877) 778-6055 or desk.help@dol.gov
Privacy Notice: 
Privacy Notice
Burden Statement: 
Public reporting burden for this form is estimated to average 12 minutes per

https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/hazardous-condition-complaint[12/5/2019 9:06:35 AM]

Hazardous Condition Complaint | Mine Safety and Health Administration (MSHA)

response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed,
and completing and submitting the form. This collection of information is
voluntary. You are not required to respond to this collection of information
unless it displays a valid OMB control number. Send comments regarding the
accuracy of the burden estimate and any suggestions for reducing the burden
to: to the Mine Safety and Health Administration, U.S. Department of Labor,
Office of Standards Regulations and Variances, 201 12th Street South,
Arlington, VA 22202, Paperwork Reduction Project (1219-0014). NOTE: Do not
send your completed form to this address.
Online Filing: 
Report a Hazardous Condition at a Mine

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