Document jm0rx8gRBjZMVpkwLvEk2VK2N
FILE NAME: Goodyear (GY) DATE: 1973 DOC#: GY092 DOCUMENT DESCRIPTION: Anonymous OSHA Complaint
F0001036P
G Y -0 15681
GY08-002248
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________________ __ c o m ? l a :x v ___________________________________________________________________________________________________________________ !______________________ !____________________________________________________
This form is provided for the ossisrar.ee of any complainant sad is r.ot intended :o cons titu:e die exclusive means
ay which a complaint may bo registered with the U.S. Department of Labor.
The undersigned (ckccl: cr.c)
; Employee [ 5 Representative or' employees Q Other (specify)_________________________________________________ __
believes that a violation at the following place or employment of an occupational safety or health standard exists j
which is a job safety or health hazard.
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Does this hazard(s) immediately threaten death or serious physical harm? d j Y e s E N'o
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; Employer' s Name:____________ C m - . - ; - , *.--v'-p-QA
Address
(Street
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1h>ng) Vnnrr-' T in r Tr.-'i' , , r, r
.
I . Kind a : business'______________n ln ^ t h c r -.V -ifr c t'e r f-r ." '
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2. Snectry the oa.-tiiGar building or worksite where the alleged violation is located, including address.________________________
* ~_______ 3___________ :________________________ ___
5. sp e cify the r.a=e"ar,d phone number o: employer's sgcr.tfs) in charge.
____________________________
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4. Describe b.-iefijr the hazard which exists chore including the approximate number or employee, exposed to or threatened by
| such hazard. '
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j T a lle u lr c r area, rravoo oafeT O ast ami tames._______________________________________________________________________
: ; 92A a?.?$&, bncibury mistin'; carets)has imodenyaho vcr.~slla.hiom (mat arm farm s).__________ ^____________
; .'.sbanuos used in ecr.csumdlm.g rcor. - shelter out o f car edgy_____________________________________________________
; To crcrsurb aysli<n hr. palletd-eer' room visare r.era put uro c o lo r s ._______________________________________________
(Continue o:. ,v ; i r i <t s : J c i f
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See. SvfJii) o: th rW illiaas-Ssci'cr O cccpuiioaal Sofcty zzd Koaltr. A ct, 29 U .S .C . 651, provides zs follow*: Aav
ploycvs or :cprcAc.'.:mvw` o: employees who believe that - viol;do.- o; a b i.v .y oc hc.;i:l; s:zi\dz: culsut C;.;:
p;.y*,;e. -rra, or `.ar-ar. .uacac danger ciu sw , zizy *v^uc: a icip e c tu u by
r.orleo to u*.e S z su tM y or hi* ..echo;*
zed rcprc-catutivc oi~.such violation or archer, Any such notice hall be reduced :o writ;;*;, hull * e : forth wlu; :,:a..v.ablc
pu r;lc-Ia:l;y u.e "t-une* :c : :ho notice, and lir.il be igaed by die employees or rep:e.ser.:.::ivc o: r-:;>ioyee*, /.r.d a copy
eh-U be prvvieeu. the employer or hi ageae no laser shc.r. at she drac or if.speerloa, euce;>; iha:, upoo reeae*: j ; r...- pcocr.
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-c l. ac.dce, Ms r.a,*ae and u e
o f individual employee** referred ro :*veio lu.il no:
in . e.\ .v *v.
. -ay reco.-t p u bi.vbcJ, rele-^ed, or made available pur*uor.c to subseedoo (jd or s jc ti.s.i. It irvu rveeip; of
. . . . . . . ,e..
| :.u.a che Secret-.y cert.-a.;i.e:. there a:e :cuiO,'.ab;o Ltouads believe ch.-.c ueh Y u l.ia .u or J.;a.;er r*w :<, be
.. >e a
I -pec--* M'.pcctiwi. ia^ccore-nce vl:l, die provudona of side eection ha -on *>..erlw*..*i.e, *o de.vr.al.'.e i* .>,..el. v.el. or d-.T/c; fu .L '.L . .; d*c ^c.-c:rM;y Jccerrolnce d.ere arc no reasonable 1;our.di xo be.leve a*.: viol-Uo.; oc el....,;er e:., ... ,.e
-*" .* not.fy a*e c.'-ploycej. or f<.-jbr*ssr.satve of j employee* v . * i o f ue:i deie.*--lanclon.
GY08-002249
G Y -0 1 5682
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w) *o yov.r '.v.ovtrlcJjc h.;* ch., vio.icioa buon considered previously by .vr.y G.ver.*...err agor.cyh
v'b) I ;s o , piense szUi ;ho tur.se o: rivo agency
U) r.r.i, :he j ?^ l'i.t.jw dure :r we.s o considered.
7. (a) Is rids oornpl.Yhst, o: o compie.In: alleging n similar vlol-clon, boir.j riled wich sr.y other Govern;,iene agency?
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^______ j :___________-- ____ ______________________________ j?
(b) Ir so, give cho'nunso ur.J udoccss or each.
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S. (o) To your knowledge, hes chis violation been rise u b;et: o; any ur.lGr./rr.naapcmen: grievance or have you (or anyone you kr.ouj ocnenvise called it to rise accensin o f, or discussed ; with, rise employer or any representative chcreo:?
lo) I: so, pcese jiv e else results choreo:, including any errores by rr.ar.agcicen; co corree: che violation,
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p. Please Indicare your desire:
gr_, i do noe wane my nasse revealed ;o the employer.
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; _ j My name cu y be revealed to che employer.
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GY08-002250
G Y -0 1 5683