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PS Form 1767 Report of Hazard, Unsafe Condition or Practice
What Is PS Form 1767?
PS Form 1767, Report of Hazard, Unsafe Condition or Practice, is a form used to report any unsafe conditions or practices which can do harm at the working place. The employment office is obligated to create a safe work environment. If something is disturbing, can hurt employees or cause their illness, this should be reported and fixed. PS Form 1767, also known as USPS Form 1767, is designed for that purpose.
A supply of PS Form 1767 fillable copies must be available at the workplace at any time. They are required to be in hard copy, not electronic. The form comes in four colors: white, pink, yellow, and blue. The blue copy is kept by the employee. The white original and yellow copy are for the approving official, and the pink one goes to the Safety office.
PS Form 1767 was issued by the United States Postal Service (USPS) on February 1, 2014 . Download a PDF version of the form down below or find it on the USPS website.
USPS Form 1767 Instructions
- An employee must complete Section 1 in order to report any kind of unsafe work conditions. They should describe the issue in detail and provide a location of the problem. They can also provide their recommendations for fixing the issue. The form should be signed and dated before submitting it to the immediate supervisor. If the employee wants to stay anonymous, it should be reported to the Safety Office. The name will be deleted from the form.
- After receiving the information about unsafe conditions, the supervisor must do their best to solve this problem. The supervisor must make an investigation into the situation and conduct a corrective action. All the undertaken actions should be described by the supervisor in Section 2. Any recommendations for further corrective actions should be provided as well. The supervisor signs and dates PS Form 1767 and sends yellow and white copies to the approving official. The pink copy is sent to the Safety office. The blue one is kept by the employee. If the reported problem is not solved within 7 calendar days from the report, the supervisor is obligated to inform the reporting employee about the abatement status every 7 days.
- Section 3 is completed by the approving officials. They make a decision about undertaking corrective actions and describe those actions. If they think there are no reasonable grounds to believe the hazard exists, they should inform the employee in writing within 15 calendar days.
- Section 4 is signed by the maintenance supervisor, if applicable. The maintenance supervisor signs the form and provides the date when the hazard was abated.
PS 1767 Related Forms:
- PS Form 1769/301, Accident Report, is used to report about an accident that occurred at the workplace.
- PS Form 1772, Accident Log, is used to keep records of all accident reports received.
- OSHA Form 300, Log of Work-Related Injuries and Illnesses is used as a summary of work-related injuries and illnesses that occurred within a calendar year. This form must be completed by all Postal Service installation and establishment heads.
Download PS Form 1767 Report of Hazard, Unsafe Condition or Practice
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