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Request Written Copies of Air Monitoring Results and Reports [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the [name of the facility] located at [address of the facility]. Pursuant to Occupational Safety and Health Standard, 29 CFR 1910.1020, promulgated by the Occupational Safety and Health Administration, please provide this office with copies of all environmental [workplace] monitoring results and related reports for [a toxic substance—specify name(s) or harmful physical agent e.g., noise] from the last three (3) years, which cover the following departments: [list of all departments]. Our request stems from member complaints about [health effects, any health effects members may have mentioned or complained about in the last three years, e.g. nose, throat and/or lung irritation, skin rashes, eye irritation, etc.] We would appreciate a response to this request within fifteen (15) working days of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and Health Department 25 Louisiana Avenue, N.W., Washington, D.C. 20001 Download text file of this letter | Go back to top of this page Request Written Copies of Hazard Communication Program [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the [Name of the facility] located at [address of the facility]. Pursuant to 29 CFR 1910.1200, the Hazard Communication Standard, promulgated by the Occupational Safety and Health Administration, please provide this office with a copy of the written Hazard Communication Program for this facility. These program materials should detail how compliance with the above mentioned-standard has been achieved, specifically focusing upon the worker training provision, the Material Safety Data Sheets provision and the maintenance of a Chemical Inventory provision. In addition, please forward to this office a copy of the most recent Chemical Inventory. We would appreciate a response to this request within five (5) working days of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page Request Hearing Conservation Standard Compliance Program [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the [Name of the facility] located at [address of the facility]. Pursuant to 29 CFR 1910.95, the Hearing Conservation standard, promulgated by the Occupational Safety and Health Administration, please provide this office with a copy of the written compliance program for this facility. These program materials should detail how compliance with the above-mentioned standard has been achieved, and specifically address the audiometric testing program, selection and use of hearing protectors, recordkeeping procedures, and instruction and training for all affected employees. We would appreciate a response to this request within fifteen (15) working days of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page Request Injury and Illness records [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the (name of the facility) located at (address of the facility). Pursuant to the requirements of 29 CFR 1904, please provide this office with copies of the OSHA 300 Logs for (previous 1-5 years, specify length) including names of all employees listed on the form (except privacy cases). We would appreciate a response to this request within one (1) working day* of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department *The employer must provide to the requester (employees, former employees, and their authorized representatives) one free copy of the OSHA 300 Log(s) by the end of the next business day, (29 CFR 1904.35). Download text file of this letter | Go back to top of this page Freedom of Information Act (FOIA) Request for OSHA Inspection Results [Date] [Agency Head] RE: Freedom of Information Act (FOIA) Request Dear [ _________________ ]: I am requesting under the Freedom of Information Act the items checked below for any inspection [or specify most recent inspection] by your agency of [name of the facility] located at [address of the facility]. __ Air Monitoring of exposure levels in this work area. __ Worker interviews describing illness, hazards (names may be deleted, retain job title if possible) in the work area. __ Your evaluation of the respirator protection program in this area. __ Your evaluation of the local exhaust or other ventilation system for this area, job title. __ Your evaluation of the log of illnesses in this work area. __ Noise levels in this work area. __ Any process flow/production diagrams of this work area. __ Your evaluation of health problems and recommended control measures in this work area, if any. __ Other [ _________________________________________________ ] We would appreciate a response to this request within fifteen (15) working days of receipt of this letter. Please feel free to contact us at [telephone number] if you have any questions. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page [Date] Executive Secretary Re: Secretary of Labor v. [Company] Inspection No. [
________ ] Dear [ _________________ ]: Please be advised that we wish to elect party status in OSHRC Inspection No. [ _______ (and Docket No., if known)], Secretary of Labor v. [Company Name], on behalf of the affected employees. The International Brotherhood of Teamsters and its Local Union [ ____ ] are the authorized bargaining agents for the employees at this establishment. We request that copies of all documents filed in the case be forwarded to us as we wish to participate in the settlement conference or a hearing.. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page Request Written Copy of OSHA Respiratory Protection Standard [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the [Name of the facility] located at [address of the facility]. Pursuant to 29 CFR 1910.134, the Respiratory Protection standard, promulgated by the Occupational Safety and Health Administration, please provide this office with a copy of the written compliance program for this facility. These program materials should detail how compliance with the above-mentioned standard has been achieved, and specifically address the selection and maintenance of appropriate respirators, as well as employee fit-testing procedures, instruction and training. We would appreciate a response to this request within fifteen (15) working days of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page Request Written Copies of Required OSHA Programs [Date] [Company Manager] Dear [ _________________ ]: This Local Union, as designated employee representative, is very interested in the health and safety of our members employed in the [Name of the facility] located at [address of the facility]. Pursuant to Occupational Safety and Health Standards for General Industry 29 CFR 1910 promulgated by the Occupational Safety and Health Administration, please provide this office with copies of all written occupational safety and health-related programs required to be developed in accordance with OSHA regulations. At a minimum please provide the following:
We would appreciate a response to this request within fifteen (15) working days of receipt of this letter. Thank you, in advance, for your consideration of this matter. Sincerely yours, cc: International Brotherhood of Teamsters Safety and
Health Department Download text file of this letter | Go back to top of this page
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