WORKPLACE RIGHTS & SUPPORT

PS FORM 1767 — REPORT OF HAZARD, UNSAFE CONDITION OR PRACTICE

PS Form 1767 is protected under Article 14 of the National Agreement.

How to Complete the Form

When filling out PS Form 1767:

Provide the specific work location (route, office, or vehicle)
Describe the hazard clearly
Sign and date the form
Include the time
Inform your shop steward immediately

Management must respond within required timelines. If management makes no effort to correct the issue, a grievance may be necessary, and timeliness is critical.

Employees keep the blue copy. Take photos if needed for documentation.

“SAFETY — PS Form 1767 Instructions”

PS Form 1767 — Instructions for Employees, Supervisors, and Approving Officials.”

NALC Branch 595 encourages every carrier to stay informed and proactive about workplace safety. Below are the official USPS forms used to report hazards, vehicle issues, and defective equipment. Each form plays a vital role in maintaining safe working conditions and ensuring timely corrective action.

Official USPS Safety Forms

01

PS Form 1767 — Report of Hazard, Unsafe Condition or Practice

This form allows employees to report any hazard, unsafe condition, or unsafe practice they encounter on the job. It ensures that supervisors and safety officers take immediate action to investigate and correct the issue. Carriers should complete this form whenever they notice a potential safety concern in the office, on the route, or with equipment. Purpose: To document and correct unsafe conditions in compliance with Article 14 of the National Agreement.

02

PS Form 4565 — Vehicle Repair Tag

Used to report mechanical or safety issues with postal vehicles. Carriers complete this form when a vehicle defect is found during inspection or operation. It covers everything from lights and brakes to steering and tires, ensuring that all repairs are tracked and verified. Purpose: To maintain safe, reliable postal vehicles and prevent accidents through timely maintenance.

01

PS Form 1767 — Report of Hazard, Unsafe Condition or Practice

This form allows employees to report any hazard, unsafe condition, or unsafe practice they encounter on the job. It ensures that supervisors and safety officers take immediate action to investigate and correct the issue. Carriers should complete this form whenever they notice a potential safety concern in the office, on the route, or with equipment. Purpose: To document and correct unsafe conditions in compliance with Article 14 of the National Agreement.

02

PS Form 4565 — Vehicle Repair Tag

Used to report mechanical or safety issues with postal vehicles. Carriers complete this form when a vehicle defect is found during inspection or operation. It covers everything from lights and brakes to steering and tires, ensuring that all repairs are tracked and verified. Purpose: To maintain safe, reliable postal vehicles and prevent accidents through timely maintenance.

Your Rights

Federal law and the National Agreement require the Postal Service to:

Provide safe working conditions
Investigate accidents
Maintain records of occupational injuries and illnesses

OSHA – Job Safety and Health: It’s the Law!

“OSHA guarantees every worker the right to a safe workplace.”

EMERGENCY RESPONSE TEAM (ERT)

The Emergency Response Team was created by National President Brian Renfrow, who wanted to ensure that carriers receive support during the most difficult circumstances.

What is the ERT?

The ERT is a team of trained carriers who provide support during crises, including the unfortunate loss of a carrier — whether on duty or off duty. These moments deeply affect the entire postal family, and the ERT ensures no carrier faces them alone.

How the ERT is Activated

Activation occurs when:

A Branch President, or
Any member of the branch

contacts the Business Agent’s Office. The office then coordinates the response and deploys a team to that branch for several days.

The ERT does not arrive unannounced. Behind the scenes, communication occurs with:

The Postmaster
Union leadership
Branch officers

So, the office is aware and prepared.

What the ERT Provides

ERT members are carriers trained to support coworkers through:

Grief
Shock
Emotional distress
Workplace trauma

They are there for us during the most uncomfortable and challenging times we may face on the job.

“Safety is a right, not a request — and every carrier deserves a workplace that protects them.”

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