Smart Transportation Union

Washington State Legislative Board

 

UNSAFE EQUIPMENT & HAZARDOUS CONDITION REPORT

This form is to report an unsafe condition that currently exists regarding equipment and/or working conditions of transportation carriers.  The following information is needed so that the unsafe condition is documented and can be addressed by our organization.

 

Please file a separate report for each concern or issue.
(This organization may need to contact you for more information and to discuss action needed or taken.)

  • MM slash DD slash YYYY

  • Condition Issue (Check as Applicable)

  • Equipment / Location Identification

  • Practices Issues

  • Please Provide a Description for All Issues Listed Above

  • :
  • Drop files here or
    Accepted file types: doc, pdf, jpg, png, gif, jpeg, bmp, , Max. file size: 20 MB, Max. files: 10.