USACE Europe District Safety

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US Army Corps of Engineers

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Report a Safety Hazard

This form is provided to assist in reporting hazards in your workplace. You can also report hazards directly to your supervisor or to the Safety Office at DLL-CENAU-SO-SafetyOffice@usace.army.mil.

Employees may report hazards anonymously by excluding name and contact information from this form.

Individual Reporting (Include email and phone number)

What (short hazard description)

Where (office and location)

When (time and date)

Why (describe why the condition is occurring)

Is the condition immediately dangerous?

YES
NO

Are you reporting this anonymously?