Minnesota Department of Labor and Industry

Minnesota OSHA Workplace Safety Consultation
Hazard Correction Form

Minnesota OSHA Workplace Safety Consultation requires that employers who have had a consultation visit where serious hazards were identified to provide verification information on the abatement of the safety and/or health hazardous conditions.

The observed hazards detailed in the report that was delivered are identified by item number and are referenced to the appropriate OSHA standards.

A Serious hazard is a condition that could result in an injury or illness that causes prolonged or temporary impairment of the body or substantially reduces efficiency on or off the job. Examples of such injuries are amputations, fractures, deep cuts involving significant bleeding, disabling burns, and concussions. Other than serious hazards, as defined by OSHA, are those which do not have the same potential for causing bodily harm, yet may contribute to a decrement in bodily functions or increased bodily stress.

Hazards identified as Serious must be corrected by the correction due date and written notification of how the hazards were corrected must be sent to us by that date. An extension of the time frame set for the correction of the serious hazards may be requested in writing if you have made a good faith effort to correct the hazards, show that the delay was beyond your control, and give assurance that interim safeguards are in use to protect employees from the hazards.

In the event of an OSHA inspection, it is important to remember that the Compliance Officer is not legally bound by the consultant's advice or by the consultant's failure to point out a specific hazard. You may, but are not obligated to, furnish a copy of this report to the Compliance Officer, who may use it to determine your good faith efforts toward safety and health and reduce any proposed penalties. You are, however, required to furnish any employee exposure data from this report as required by 29 CFR 1910.1020.

Please enter the "Visit Number" and "Visit Key" indicated on the Consultation Report.
Visit Number:   
Visit Key:    

Click the "View Hazards" button to enter the hazard corrective action or extension information.
Minnesota Department of Labor and Industry
443 Lafayette Road N., St. Paul, MN  55155 (directions/maps)
Phone:  (651) 284-5005 or 1-800-DIAL-DLI (1-800-342-5354); TTY:  (651) 297-4198
Send comments and questions to Communications at dli.communications@state.mn.us.