Figure 3-2.-Navy Employee Report of Unsafe or Unhealthful Working Condition.
responsibility. They may use OPNAV 5100/11 (fig. 3-2)
to report hazards. Employees should find blank copies
of such forms and posted procedures for their use in
areas convenient to all workplaces. Employees who
wish to remain anonymous should say so on the form.
Upon receipt of a hazard report, the OSH office
should contact the originator by telephone to
acknowledge receipt of the form and discuss the
seriousness of the reported hazard. The OSH office
should investigate all reports brought to its attention.
Investigations of alleged imminent danger situations are
made within 24 hours. Potentially serious situations are
investigated within 3 days.
Forces afloat use the Safety Hazard Report
(OPNAV Form 3120/5) (fig. 3-3). Personnel my submit
a handwritten report that simply states the nature of the
condition and its location. An originator who desires that
his or her name not be revealed should state so in the
report. All personnel should have access to these forms;
make sure you educate your personnel in their use.
Upon receipt of a report, the safety officer contacts
the originator to acknowledge receipt and discuss the