Document 1gyZ3JEOGkZOMYqGkkjaqnxrK

v Occupational Safety and Health Administration Complaint r OS. Department of w&or TVtfotmitpmi*dfarHniminaarao/any cnaaahfnsnrsadii/iof xnWndkd B rcmdauw Iba axchrsWa MW by mttidt a emmp/timt r ha ngkmrmf ^>aIU rttfunumtl of Libor. FomApprawd O-M.0. No. 044A1448 Sac. Sttl (11 of the wailame-Steigar Occupational Safety end Health Act, 2BU.S.C. 051. provides as foUowa: Any employees or raprseanlelive of employees ho Mim thn violation of a aMy or health standard exists that threaten* physical harm, or tint an Imminent danger exists. may request an inaactian by giving notion to the Stcrntnry or Mnnuthoriad rtorttanlativa of aucb violation or dang*. Any Mb notion Ml ba raducad to writing. than tat forth with raaaonabla particularity tha ground* for tha notica. and that! ba signed by the ampioyaaa or rapresaniativa of employaes. and a copy dull ba proaidad the employer or N> agant no latar than at tha lima of impaction, except that, upon taquaat of tha paraon giving Mh notica, hit namaand tha nan* of indhrkhiel employaaa rafarrad to tharain dull not appear in auch copy or on any record published. raiaatad, or mada available purauant to subsection (gj of tMe faction. It upon receipt of auch notification tha Secretary determinea thara ara raaaonabla grounds to believe that auch violation or danger exists, ho diall make a special impaction in accordance with tha provisions of this section as toon as practicable, to determine if such violation or danger exists. If the Secretary determines thara ara no raaaonabla grounds to believe that a violation or danger exists ha shall notify the employees or representative of tha ampioyeas In writing of auch detarmination. NOTt: Section 1 lid of the Act provides explicit protection for employaaa exercising their rights, including making safety and health complaints. Employee O Representative of Empioyaaf O Other faoec/iW ' bdievse that a violation at tha following place of employment of an occupational safety or health standard exists which is a job aafaty or health hazard. Employer's Name UNION CARBIDE CORPORATION_____________________________ ___ Employees Addraas Warned fOty/ Huy. 146 and Hvry 1765____________ ________________________ Wlead tZip Codt) Taiaphona Texas City. TX__________________________ 945-7411_________ t. Kindof business wfo. chemical_____________________________________________ 2. Speedy tha particular building or worksite where tha alleged violationa located, including address. Area share bldg. 119 aaa.______________________________ 3. Speedy tha name and phone number of employer'i agant(i) in charge. Jin Rax, Supervisor Operations A Describe briefly the haaard which arista thara Induding the approximate number of smptoyaas exposed to or threatened by aueh heard. 1. Employee exposure to polyvinyl choride gun while cleaning duspstor buckets. 0ha*7 )Rn. Octniye IQ77I continued dm revchse tioi UCTC 21222 -- rsari-.. .....