Utah Occupational Safety
and Health Division

Rapid Response

Report a situation of imminent danger at a worksite. Please include as much information as you can.

Contact Name

Contact Street

Contact City

Contact State

Contact Zip

Please use the format #####-####

Contact Phone Primary

Please use the format ###-###-####

Contact Phone Secondary

Please use the format ###-###-####

Contact Email

Site Company Name

Site Employer or Supervisor

Site Address

Site City

Site State

Site Zip

Please use the format #####-####

Site Phone Primary

Please use the format ###-###-####

Site Phone Secondary

Please use the format ###-###-####

Site Email

Description Of Hazard

Enter the code from the image