SAMPLE NOTIFICATION TO EMPLOYER ABOUT ALLEGED ETS EXPOSURE
Certified Mail Return Receipt
Date
Employer Name
Address
City, CA ZIP
Dear Employer:
Recently, the Division of Occupational Safety and Health received
a complaint concerning exposure to Environmental Tobacco Smoke in
your establishment at the following location:
Name of Establishment
Street Address
City, CA ZIP.
The specific nature of the complaint is as follows:
Employees are being exposed to secondhand tobacco smoke, also
called Environmental Tobacco Smoke or ETS. ETS is a substance
which has been found to cause lung cancer as well as other health
problems. Specifically, the complaint alleges that [describe
alleged ETS exposure conditions and location with enough
specificity so that the employer can effectively address the
problem].
The Division does not intend to conduct an inspection at this
time. However, you are requested to investigate the complaint of
alleged ETS exposure and make any necessary corrections or
modifications at your establishment to eliminate ETS exposure.
The complainant has been advised of this preliminary response to
the complaint of ETS exposure and is being furnished a copy of
this letter.
Also, the complainant is being notified that California law
protects any employee who makes a complaint about workplace
safety or health hazards from being treated differently,
discharged or discriminated against in any manner by their
employer. If a complainant believes he or she has been
discriminated against, it is their right to file a complaint with
the Division of Labor Standards Enforcement within 6 months of the
discriminatory action.
Employer's Name
Date
Page 2
The Division of Occupational Safety and Health offers
consultation services free of charge to assist employers in
resolving any occupational safety or health issue which they may
face.
To request consultation services, call or write the Consultation
Service at:
Nearest Cal/OSHA Consultation Area Office
Street Address
City, CA 92111
Telephone Number
If you have any questions concerning this matter, please contact
me at [enter District Office Telephone Number].
Your personal support and interest in the safety and health of
your employees is appreciated.
Sincerely,
District Manager
C-48, Attachment A (1/1/00)