Safety, Health and Essential Rights Complaint

Please use this form to file a complaint regarding any of the following areas:

New York State Labor Law Article 21-A requires employers at warehouses and distribution centers (of a certain size and within certain NAICS codes) to provide work speed data to employees, inform them if they are subject to a work quota, and provide other related information. It also requires that the employer establish and implement an “injury reduction program.”
New York State Labor Law Section 27-c requires public employers (ex. State, City, Town, County) to adopt a plan for operations, employee protection in the event of a declared public health emergency involving a communicable disease or other natural or man-made event that disrupts normal operating procedures and delays services to be provided to the public. Federal entities and schools are not covered employers.
New York State Labor Law Section 27-d requires a private sector employer to permit employees to create a workplace safety committee.
New York State Labor Law Section 27-e requires employers of retail stores (a store that sells consumer commodities at retail and which is NOT primarily engaged in the sale of food for consumption on the premises) that employes 10 or more employees to adopt or develop a workplace violence prevention policy, provide it to employees, and train employees on the prevention of workplace violence.
New York State Labor Law Section 218-b, the requirement for Airborne Infectious Disease Exposure Prevention Plan Law, protects private sector employees against exposure and disease during a future airborne infectious disease outbreak by requiring an Airborne Infectious Disease Exposure Prevention Plan (AIDEPP) be developed and adopted.

Click next to complete the following form to file a complaint.

I am filing a complaint because: *This question is required.

I work in a warehouse distribution center that falls in one of the following NAICS codes: 493 (except 493130 - Farm Product Warehousing and Storage), 423, 424, 454110 or 492110 and my employer either has 100 employees at one location or 1,000 employees at warehouses within the New York State. My employer does not have an “injury reduction program” to identify and minimize the risks of musculoskeletal injuries and disorders among workers involved in performing “manual materials handling tasks.”
I work in a warehouse distribution center that falls in one of the following NAICS codes: 493 (except 493130 - Farm Product Warehousing and Storage), 423, 424, 454110 or 492110 and my employer either has 100 employees at one location or 1,000 employees at warehouses within the New York State. I am subject to a quota and was not made aware of it in writing by my employer.
I work in the public sector (not for employees of Federal entities or public schools) and my workplace does not have a written plan for operations in the event of a declared public health emergency.
I work in the private sector (non-governmental) and my employer is not permitting a workplace safety committee to be formed or meet to discuss workplace safety issues.
I work for a retail store (a store that sells consumer commodities at retail and which is NOT engaged in the sale of food for consumption on the premises and my employer does not have a workplace violence prevention policy and/or I have not been provided the policy and/or I have not been trained on workplace violence prevention.
I work in the private sector (non-governmental) and my workplace does not have controls in place to protect me from airborne infectious disease exposure.

Complaint Date: *This question is required. Enter today's date: This question requires a valid date format of MM/DD/YYYY.

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SHER - SH550 (5-25)

Safety, Health and Essential Rights Complaint