From APWU.org.
This form is to be used to report hazards, unsafe conditions, work practice and, in the opinion of the APWU, hostile work environments. You can use this form to report anything that you think could jeopardize your health: Dirty conditions, pests, mold, disturbed or broken building materials (tiles, insulation, etc.)
The form must be readily available and easily accessible to all workers on the workroom floor. You should not have to ask a supervisor for a form—they are not supposed to be locked up in a desk or stored where an employee cannot get them. The form can be submitted anonymously, but if it is you will not receive back a copy of the form that includes management’s actions to abate the problem.
The ELM in Section 824.6 has very clear explanations of how the form is to be used with both supervisor and employee responsibilities listed. The text of ELM 824.6 is below.
Although a fillable PDF form is included here on our website, we recommend that you utilize the 4-copy NCR form provided by the USPS in your workplace so that you can get your copy returned to you. By doing so, you can see what abate actions were completed or ignored. Also, having a copy helps your union representative if they need to file a grievance on the safety issue that is not being addressed.
If you have questions about the form, need help completing one, or can’t find one in your office, contact your local union representative.
Resources
- PS Form 1767 – Report of Hazard, Unsafe, Condition or Practice
- Fact Sheet #2 What You Can Do About Unsafe Conditions – PS Form 1767 & YOU