Executive Order 192 imposes requirements on every employer-business, non-profit, governmental and educational entities to take steps to prevent the
spread of COVID-19 to employees, customers and others who come into physical contact with its operations. The requirements address such measures as social
distancing, the wearing of face masks, health checks and the cleaning and disinfecting of high touch areas. The full text of Executive Order 192 is available here.
If you believe that an employer has created an unhealthy or unsafe workplace due to its failure to meet any of the requirements of Executive Order 192
you may use this form to file a complaint with the New Jersey Department of Labor and Workforce Development's Division of Public Safety and Occupational
Safety and Health (PSOSH).
It is unlawful for your employer to retaliate
against you for filing a complaint. Your identity and other personally identifiable information shall be kept confidential to the extent practicable except where disclosure is deemed necessary for the enforcement of any State or Federal law.
If you choose to file a complaint anonymously, you will not get status updates about your claim and neither
you nor anyone else will receive any information about the claim.
This form serves workers in the private sector. If you are covered by the Public Employees Occupational Safety and Health Act, please use the existing
intake process reserved for public employees (both state and local). You can choose to file with Department of Health here or with Department of Labor here.
If you have COVID-related concerns that are not about workplace safety and health, please visit: