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Health and Safety Executive
Digital services
Concern Form
Concern Form
You must complete fields marked with a red asterisk
*
About You
Your full name:
E-mail address: i.e. me@myprovider.co.uk
Your daytime contact number:
Your address:
Postcode:
Relating to this concern, are you;
Employer
Self-employed
Employee
Ex-employee
Union representative
Work/Safety Representative
Member of the public
Regulatory body
Other enforcing body
Other
Other - please specify eg family member or friend of person at risk
