Document Name Document Type
Form OSHA -7(English do Notice of Alleged Safety or Health Hazards (OSHA-7 Form) Form and Instruction
OSHA -7(English do Notice of Alleged Safety and Health Hazards (downloadabl OSHA 7 Complaint Form_English_8-31-2024.pdf www.osha.gov/oshforms/osha7.pdf Form and Instruction
OSHA -7(English do Notice of Alleged Safety and Health Hazards (downloadabl OSHA 7 Complaint Form_English_8-31-2024.pdf www.osha.gov/oshforms/osha7.pdf Form and Instruction
OSHA -7(Spanish do Notificacion de una Queja en Seguridad y Salud OSHA 7 Complaint Form_SPANISH_8-31-2024.pdf www.osha.gov/oshforms/OSHA7_SPANISH.pdf Form and Instruction
OSHA -7(Spanish do Notificacion de una Queja en Seguridad y Salud OSHA 7 Complaint Form_SPANISH_8-31-2024.pdf www.osha.gov/oshforms/OSHA7_SPANISH.pdf Form and Instruction
OSHA -7(English on OSHA Online Complaint Form - Notice of Alleged Safety an ecomplaintform and Instuctions (ENGLISH) 8-31-2024.pdf www.osha.gov/pls/osha7/eCompliantForm.html Form and Instruction
OSHA -7(English on OSHA Online Complaint Form - Notice of Alleged Safety an ecomplaintform and Instuctions (ENGLISH) 8-31-2024.pdf www.osha.gov/pls/osha7/eCompliantForm.html Form and Instruction
OSHA -7(Spanish on Notificacion de Alegacion de Riesgos a la Seguridad o Sa ecomplaintform and Instuctions (SPANISH) 8-31-2024.pdf www.osha.gov/pls/osha7/ecompliantform_sp.html Form and Instruction
OSHA -7(Spanish on Notificacion de Alegacion de Riesgos a la Seguridad o Sa ecomplaintform and Instuctions (SPANISH) 8-31-2024.pdf www.osha.gov/pls/osha7/ecompliantform_sp.html Form and Instruction
File a Complaint (eng).pdf How to File a Safety and Health Complaint with OSHA IC Document
File a Complaint (eng).pdf How to File a Safety and Health Complaint with OSHA IC Document
OSHA 7 Online Form Rev Apr 2020.docx On-line Form revisions highlighted IC Document
OSHA 7 Online Form Rev Apr 2020.docx On-line Form revisions highlighted IC Document
File a Complaint (eng).pdf Downloadable form revisions highlighted IC Document
File a Complaint (eng).pdf Downloadable form revisions highlighted IC Document
File a Complaint (sp).pdf How To File a Safety and Health Complaint with OSHA (Spanish) IC Document
File a Complaint (sp).pdf How To File a Safety and Health Complaint with OSHA (Spanish) 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(2024)

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 and Instruction	OSHA -7(English downloadable)	Notice of Alleged Safety and Health Hazards (downloadable)	OSHA 7 Complaint Form_English_8-31-2024.pdf	https://www.osha.gov/oshforms/osha7.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OSHA -7(Spanish downloadable)	Notificacion de una Queja en Seguridad y Salud	OSHA 7 Complaint Form_SPANISH_8-31-2024.pdf	https://www.osha.gov/oshforms/OSHA7_SPANISH.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OSHA -7(English online)	OSHA Online Complaint Form - Notice of Alleged Safety and Health Hazard	ecomplaintform and Instuctions (ENGLISH) 8-31-2024.pdf	https://www.osha.gov/pls/osha7/eCompliantForm.html	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA -7(Spanish online)	Notificacion de Alegacion de Riesgos a la Seguridad o Salud	ecomplaintform and Instuctions (SPANISH) 8-31-2024.pdf	https://www.osha.gov/pls/osha7/ecompliantform_sp.html	Yes	Yes	Fillable Fileable

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: 94,529	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 56 %

	Approved	Previously Approved
Annual Number of Responses for this IC	120,183	120,183
Annual IC Time Burden (Hours)	35,783	35,783
Annual IC Cost Burden (Dollars)	1,705	1,705

Documents for IC

Title	Document	Date Uploaded
How to File a Safety and Health Complaint with OSHA	File a Complaint (eng).pdf	09/21/2020
On-line Form revisions highlighted	OSHA 7 Online Form Rev Apr 2020.docx	08/17/2020
Downloadable form revisions highlighted	File a Complaint (eng).pdf	09/21/2020
How To File a Safety and Health Complaint with OSHA (Spanish)	File a Complaint (sp).pdf	09/21/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Notice of Alleged Safety or Health Hazards (OSHA-7 Form)

Notice of Alleged Safety or Health Hazards (OSHA-7 Form)

OMB: 1218-0064

IC ID: 13971

View Information Collection (IC)