Report Health and Safety Complaint


Please fill in the details of the health and safety complaint below.
Fields marked with * are mandatory.

Complaint details
Address details

Please provide the address to which the complaint relates or the contact address of the business involved.

Your contact details

Please enter your details so we can contact you. Your details will not be used for any other purpose.

Documents

You may upload up to 5 documents related to this request. Click on the Choose File button to select the file(s) to be uploaded.
Total file size must not exceed 5MB.
File types accepted are .jpg, .png, .bmp, .tif, .gif, .pdf, .zip, .mp4