NOTIFICATION TO COMPLAINANT

SATISFACTORY EMPLOYER RESPONSE TO LETTER "d" or "m"

CONFIDENTIAL

Date

Name
Address
City State Zip

Dear Complainant:

On date, the Division of Occupational Safety and Health received your complaint (Complaint No. ) of the following hazardous conditions at establishment name and address:

Employer's Name has advised the Division that the hazards you complained about (do not exist or have been investigated and corrected). The employer states that (if a hazard was not found to exist, describe the steps taken by the employer to identify the hazard or if a hazard was found to exist, describe the results of the employer's investigation and hazard corrections). A copy of the employer's response is enclosed.

Based on this information, the Division believes that the complaint can be closed on the grounds that (no hazard exists or the hazardous condition[s] have been identified and corrected). If you do not agree that the hazards you complained about have been satisfactorily corrected, please contact me within ten (10) days of the date of this letter or I will assume that the hazard(s) has been corrected. If I do not hear from you by specify date, I will assume that the hazard has been corrected and will close the complaint. Thank you for your concern about workplace safety and health.

Sincerely,

Name
District Manager or Designee

enclosure(s): Employer response letter(s)