Use this online form to notify MSHA of a hazardous condition at a mine. Complaints can be filed anonymously using this system. Disponible en español.
Questions regarding this form should be directed to the MSHA Help Desk at (877) 778-6055 or email@example.com
Public reporting burden for this form is estimated to average 12 minutes per 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.