Use this form to tell us about a workplace health and safety concern.
If your concern is about something other than a workplace or work activity, please contact the relevant service.
The form will only take a few minutes to complete and to make it simple it is split into the following short sections:
- Section A: About you – we will need your name and email address
- Section B: Your concern
- Section C: Who is doing it and where
- Section D: Disclosure – your details will not be given out when we progress your concern, unless you give your permission.
Once you have started, you must continue to the end and submit the form. Please note that you only have 10 minutes to fill out each page and you will not be able to come back to the form at a later time because your answers will not be saved.
Privacy notice
Read our privacy notice for information about what we do with personal information.
