DA Form 4753 Notice of Unsafe or Unhealthful Working Condition

DA Form 4753 Notice of Unsafe or Unhealthful Working Condition

What Is DA Form 4753?

This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 1978. The form, often mistakenly referred to as the DD Form 4753, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 4753?
A: DA Form 4753 is a form used to report unsafe or unhealthful working conditions.

Q: Who can use DA Form 4753?
A: Any individual who is aware of an unsafe or unhealthful working condition can use this form.

Q: How do I fill out DA Form 4753?
A: You need to provide detailed information about the unsafe or unhealthful condition, including its location and a description of the hazard.

Q: Why is it important to report unsafe or unhealthful working conditions?
A: Reporting such conditions helps ensure the safety and well-being of individuals in the workplace and allows for appropriate corrective actions to be taken.

Q: What happens after submitting DA Form 4753?
A: After submitting the form, the appropriate authorities will review the reported condition and take necessary actions to address the issue.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 4753 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 4753 Notice of Unsafe or Unhealthful Working Condition

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  • DA Form 4753 Notice of Unsafe or Unhealthful Working Condition, Page 1
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