Safety Orientation for Supervisors Practice Exam

What form is used to report an unsafe or unhealthful working condition?

1. OPNAV Form 5100/11

2. OSHA Form 300

3. DBS Form 2259

4. Incident Report Form

The correct answer is: OPNAV Form 5100/11

The appropriate form used to report an unsafe or unhealthful working condition is the OPNAV Form 5100/11. This specific form is designed for the purpose of identifying and reporting hazards in the workplace, enabling supervisors and safety personnel to take corrective action and ensure employee safety. Using the OPNAV Form 5100/11 helps facilitate the organization’s commitment to maintaining a safe work environment by systematically documenting potential risks, which can then be addressed through proper safety protocols and procedures. This form is particularly relevant in naval environments where adherence to safety regulations is critical for protecting personnel and operational readiness. In contrast, the other forms listed serve different functions. OSHA Form 300 is primarily used for documenting work-related injuries and illnesses rather than directly reporting unsafe conditions. DBS Form 2259 may pertain to specific internal documentation practices but does not specifically focus on reporting safety hazards. An Incident Report Form typically documents incidents that have already occurred, such as accidents or injuries, rather than preemptively addressing unsafe conditions in the workplace.