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FORM NLRB501 (218)UNITED STATES OF AMERICA NATIONAL LABOR RELATIONS BOARDCaseCHARGE AGAINST EMPLOYER DO NOT WRITE IN THIS SPACE Date Filed INSTRUCTIONS: File an original with NLRB Regional Director
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Anyone who wants to report a work-related injury or illness in Washington State needs to fill out r - wsna.
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R - WSNA (Report of Worker Safety and Non-Compliance Allegations) is a form used by employers to report safety violations and non-compliance with workplace regulations.
Employers in industries regulated by occupational safety laws are required to file the R - WSNA if they suspect or identify any safety violations.
To fill out R - WSNA, employers must provide details about the alleged safety violations, including the nature of the violations, the date observed, and any measures taken to rectify the issues.
The purpose of R - WSNA is to ensure a safe working environment by documenting and reporting safety issues, thereby helping to enforce compliance with safety regulations.
The R - WSNA must report information such as the type of safety violations, dates of occurrence, names of individuals involved, and any corrective actions taken or planned.
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