U. S. Department of Labor Occupational Safety and Health Administration Notice of Alleged Safety or Health Hazards For the General Public: This form is provided for the assistance of any complainant and is not intended to constitute the exclusive means by which a complaint may be registered with the US. Department of Laborthe Williams-Steiger Occupational Safety and Health Act, 29 U.S.C. 651, provides as or representative of employees who believe that a violation of a safety or health standard exists that threatens harijnfalar that an imminent danger exists, may request an inspection by giving notice to the Secretary or his authorized representatiyg of Isiiq'o'?fviolation or danger. Any such notice shall be reduced to writing, shall set forth with reasonable particularity the groundsJor thqinotice, and shall be signed by the employee or representative of employees, and a copy shall be provided the employer or his agent?njo? later than at the time of inspection, except that, upon request of the person giving such notice, his name and the names of inrdividiialzeinployees referred to therein shall not appear in such copy or on any record published, released, or made available pursuant to subsection of this section. If upon receipt of such noti?cation the Secretary determines there are reasonable grounds to believ" hat suph? {violation or danger exists, he shall make a special inspection in accordance with the provisions of this section as as practicable to determine if such violation or danger exists. If the Secretary determines there are no reasonable grounds to believe that a violation or danger exists, he shall notify the employees or representative of the employees in writing of such determination. NOTE: Section 11(c) of the Act provides explicit protection for employees exercising their rights, including making safety and health complaints. For Fed eral Employees: This repoxt format is provided to assist Federal employees or authorized representatives in registering a report of unsafe or unhealthful working conditions with the US. Department of Labor. The Secretary of Labor may conduct unannounced inspection of agency workplaces when deemed necessary if an agency does not have occupational safety and health committees established in accordance with Subpart F, 29 CFR 1960; or in response to the reports of unsafe or unhealthful working conditions upon request of such agency committees under Sec. 1-3, Executive Order 12196; or in the case of a report of imminent danger when such a committee has not responded to the report as required in Sec. INSTRUCTIONS: Open the form and complete the ??ont page as accurately and completely as possible. Describe each hazard you think exists in as much detail as you can. If the hazards described in your complaint are not all in the same area, please identify where each hazard can be found at the worksite. If there is any particular evidence that supports your suspicion that a hazard exists (for instance, a recent accident or physical of employees at your site) include the information in your description. If you need more space than is provided on the form, continue on any other sheet of paper. After you have completed the form, return it to your local OSHA office. NO TE: It is unlaw?il to make any false statement, representation or certi?cation in any document ?led pursuant to the Occupational Safety and Health Act of 1970. Violations can be punished by a ?ne of not more than $10,000. or by imprisonment of not more than six months, or by both. (Section l7(g)) Public reporting burden for this voluntary collection of information is estimated to vary from 15 to 25 minutes per response with an average of 17 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and persons are not required to respond to the collection of information unless it displays a valid OMB Control Number. Send comment regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Directorate of Enforcement Programs, Department of Labor, Room Nil] 19, 200 Constitution Ave.. NW, Washington, 20210. OMB Approvalf! 1218-0064; Expires: 11-30-2020 Do not send the completed form to this Office. 9/93) U. S. Department of Labor Occupational Safety and Health Administration Notice of Alleged Safety or Health Hazards Complaint Number Establishment Name Tallahassee Site Address 501 Capital Circle NE. Tallahassee. FL 32301 Site Phone 850-878-2173 Site FAX Mailing Address 501 Capital Circle NE, Tallahassee, FL 32301 Mail Phone I 850-878-2173 Mail FAX Management Of?cial Scott Jewell I Erica Strong Telephone Type of Business HAZARD Describe brie?y the hazard(s) which you believe exist. Include the approximate number of employees exposed to or threatened by each hazard. Specify the particular building or worksite where the alleged violation exists. See attached Has this condition been brought to the [ZEmployer 1] Other Government Agency(specify) attention of: Please Indicate Your Desire: l:lD0 NOT reveal my name to my Employer name may be revealed to the Employer The Undersigned believes that a violation of (Mark in ONE box) an Occupational Safety or Health standard [jFormer Employee exists Which is ajob safety or health hazard Current Employee Federal Safety and Health Committee at the establishment named on this form. [?Representative 0f Employees El Other (313601130 Complainant Name Ray Coleman, Jr lTelephone 601?408-8240 Address(Street, City, State, Zip) 3852 Magellan Ct, Tallahassee, FL 32301 Signature Date 26 . If you are an authorized representative of employees affected by this complaint, please state the name of the organizatlon that you represent and your title: Organi ation Na e: Your Title: 0?70 1 2 3/96) The Federal Bureau of Prisons is in violation of The General Duty Clause, 29 CFR 1960.8, Occupational Safety and Health (OSH) Act of 1970, Section 5 (1) 29 USC 654(a)(1), which requires employers to furnish to each worker ?employment and a place of employment, which are free from recognized hazards that are causing or are likely to cause death or serious physical harm.? As a matter of record, this complaint is elevated to and considered an Imminent Danger Report, pursuant to OSHA of 1970, Executive Order 12196, 29 CFR 1960.8, Agency?s Responsibilities, BOP Program Statement 1600.011. The agency?s actions described herein are proliferating the spread of a known and deadly contagion both within our prison system and to our surrounding communities. The agency?s actions and inactions are expected to result in death and severe health complications and/or possible life?long disabilities. The Bureau of Prisons has failed to introduce workplace controls to mitigate or prevent exposure or further exposure to the virus. They have not implemented engineering controls such as high efficiency air filters or air scrubbers to minimize the airborne nature of this virus or otherwise improved the ventilation rates in the environment. OSHA's Personal Protective Equipment (PPE) standards, 29 CFR Subpart I, 29 CFR 1910.132, 29 CFR 1910.133, 29 CFR 1910.134, and 29 CFR 1910.138, 29 CFR 1910.1030, Bloodborne Pathogens, which require using gloves, and face protection, and respiratory protection, when respirators are necessary to protect workers, employers must implement a comprehensive respiratory protection program in accordance with the Respiratory Protection standard (29 CFR 1910.134). While the Agency has followed or implemented fit testing protocols, the Agency has failed to provide the proper masks to staff who are transporting and have custodial control inmates exposed or potentially exposed to COVID19. N95 Masks have not been issues to employees who are charged with the 24/7 monitoring of the quarantine and isolation of nearly 70 inmates. Instead the agency, is forcing staff to dispose of N95 after fit testing. Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. In this issue the agency is guilty of violating 29 CFR 1960.08 were the agency failed to furnish employment and a place of employment which were free from recognized hazards that are causing or are likely to cause death or serious physical harm to employees. Employees have seen shortages at DC Tallahassee, where employees are exposed to and have a shortage of N95 respirators or an equivalent. We noti?ed the agency of the shortages on several occasions in or around March 13, 2020, and have not received the necessary PPE. Additionally, the agency is fit testing staff with a different brand, style and mask than those it states it want to issue to staff. Again a stand Violation.