This form is intended for SMART-TD members to report unsafe conditions at work.
This report will be automatically forwarded to your General Chairperson's office of jurisdiction
and applicable State Legislative Director for their records, review, and handling, if necessary.
Note: It is strongly encouraged that the proper carrier officer receives notification of
any unsafe hazard, even if they do not have a process for reporting. Equally it is important that your
local legislative representative and officers receive a copy of anything reported to the carrier.