Downloaded from https://www.everyspec.com receipt of an appeal, this official will review the case and reply to the originator with a statement of findings. If the appeal is rejected, the reply will advise the originator of his or her right to further appeal according to 29 CFR 1960 to the DOD-designated occupational safety and health official. f. Although personnel have the right to report hazards directly to DOL, they are encouraged to follow the review levels prescribed in paragraph e above. Reports received directly by DOL will be forwarded to DA for handling in accordance with these procedures. g.
Copies of reports submitted under the Army employee hazard reporting system will be retained at the installation safety office and a Federal Record Retention Center for at least 5 years following the end of the calendar year to which they relate. Legend for Figure 4-1; Instructions for completion of DA Form 4753 Block 1. Enter name of unit, and installation on which hazard was found. Block 2. Enter name of workplace supervisor. Block 3. Enter date of the inspection. Block 4. Enter specific reference to the standard violated (AR, OSHA). Block 5. Enter exact location of the violation. Block 6.
Describe hazardous condition found in terms of physical standards and the Risk Assessment Code (RAC) (chap 3). Block 7. Describe interim safety measures supervisory personnel and employees should maintain until the hazard is abated to an ac- ceptable level. Block 8. Enter name of installation safety and occupational health manager, and his or her office phone number. Figure 4-1. Sample DA Form 4753 17 AR 385–10 • 29 February 2000