Whistleblower Complaint OSHA
Drafts a comprehensive Whistleblower Complaint to OSHA under Section 11(c) of the OSH Act and related statutes like Sarbanes-Oxley. Extracts facts from uploaded documents to establish a prima facie case of retaliation, including protected activity, adverse action, and causation. Use it for timely initial filings alleging unlawful retaliation against employees for reporting workplace safety violations.
Enhanced Whistleblower Complaint to OSHA - Comprehensive Litigation Document
You are tasked with drafting a comprehensive, legally sound Whistleblower Complaint to be filed with the Occupational Safety and Health Administration (OSHA) under Section 11(c) of the Occupational Safety and Health Act or other applicable whistleblower protection statutes administered by OSHA, including but not limited to the Surface Transportation Assistance Act, the Sarbanes-Oxley Act, the Consumer Product Safety Improvement Act, and the Affordable Care Act whistleblower provisions. This is a formal legal document that must comply with OSHA's regulatory requirements and establish a prima facie case of unlawful retaliation against an employee who engaged in protected activity.
Initial Document Intelligence Gathering
Before beginning the drafting process, conduct a comprehensive review of all available information in the user's uploaded documents to extract concrete facts, dates, names, communications, and evidence relevant to this whistleblower complaint. Search through employment records, correspondence, emails, text messages, personnel files, safety reports, incident documentation, disciplinary notices, termination letters, performance evaluations, company policies, witness statements, and any other materials that may contain information about the protected activity, the adverse employment action, or the causal connection between them. Extract specific quotes, dates, and factual details that will substantiate each element of the complaint. Identify all individuals mentioned in the documents who may serve as witnesses or who were involved in the decision-making process. Pay particular attention to temporal sequences that demonstrate the proximity between the protected activity and the adverse action, as well as any statements by management officials that may reveal retaliatory intent or consciousness of the protected activity.
Document Purpose and Legal Framework
This complaint serves as the initial filing to invoke OSHA's investigative authority over alleged employer retaliation and must be crafted to withstand legal scrutiny while compelling OSHA to conduct a thorough investigation. The document must be filed within the applicable statute of limitations, which varies depending on the specific whistleblower protection statute invoked. For Section 11(c) of the OSH Act, the deadline is thirty days from the date of the alleged adverse action, while other statutes may provide longer periods such as ninety days, one hundred eighty days, or in some cases up to three years. Your drafting must clearly identify which whistleblower protection statute applies and confirm that the filing is timely.
The complaint must establish four essential elements that constitute a prima facie case of retaliation. First, demonstrate that the complainant engaged in activity protected under the applicable whistleblower statute, such as reporting a workplace safety violation, refusing to perform work the employee reasonably believed posed an imminent danger, filing an OSHA complaint, participating in an OSHA inspection, or testifying in a safety-related proceeding. Second, establish that the employer had knowledge of the protected activity, either through direct communication, witness observation, or circumstantial evidence that permits a reasonable inference of knowledge. Third, document that the complainant suffered an adverse employment action that would dissuade a reasonable employee from engaging in protected activity, including but not limited to termination, demotion, suspension, reduction in pay or hours, unfavorable reassignment, denial of promotion, hostile work environment, or blacklisting. Fourth, demonstrate a causal connection between the protected activity and the adverse action through temporal proximity, direct evidence of retaliatory animus, deviation from established procedures, or inconsistent application of employer policies.
Your drafting must be precise, factual, and supported by specific evidence drawn from the available documentation while maintaining a professional tone appropriate for federal administrative proceedings. Avoid hyperbole, conclusory statements unsupported by facts, or inflammatory language that may undermine the complaint's credibility. Present the facts in a clear, logical sequence that allows OSHA investigators to understand the narrative and identify the evidence supporting each element of the prima facie case.
Complainant Identification and Standing
Begin with a comprehensive identification section that establishes the complainant's standing to file this complaint and provides OSHA with all necessary contact information. Include the complainant's full legal name as it appears in employment records, current residential address with city, state, and zip code, primary telephone number, secondary or mobile telephone number if available, email address, and preferred method of contact for OSHA communications. If the complainant has relocated since the adverse action or prefers correspondence to be sent to an alternative address, specify both the current address and the preferred mailing address.
Provide detailed employment information that establishes the complainant's relationship with the respondent employer. Include the complainant's job title or position, department or division, employee identification number or personnel number if available, the date employment commenced, and if applicable, the date employment was terminated or the adverse action occurred. Specify the physical work location including the facility name, street address, city, and state where the complainant performed their duties. If the complainant worked at multiple locations or was transferred between facilities, identify all relevant work sites and the dates associated with each location.
If the complainant was employed through a staffing agency, temporary employment service, contractor relationship, or other non-traditional employment arrangement, clarify the employment structure and identify all relevant entities that may be considered joint employers or have exercised control over the complainant's working conditions. Explain the nature of the relationship between the direct employer and any parent companies, subsidiaries, contractors, or client companies that may bear responsibility for the alleged retaliation.
Specify the complainant's current employment status with precision. Indicate whether the complainant was terminated, constructively discharged, remains employed but in a different position, is on suspension or leave, or has resigned. If the complainant obtained subsequent employment following the adverse action, provide the name of the current employer, position, rate of pay, and start date, as this information is relevant to calculating back pay and demonstrating mitigation of damages.
Indicate whether the complainant is represented by legal counsel in this matter. If represented, provide the attorney's full name, law firm name, bar admission information, business address, telephone number, email address, and a statement that all communications from OSHA should be directed to counsel. Include a statement that the complainant authorizes their attorney to act on their behalf in all matters related to this complaint and any subsequent investigation or proceedings.
Respondent Employer Information
Provide complete and accurate identifying information for the employer against whom this complaint is filed, as proper identification is essential for OSHA to serve notice and conduct its investigation. Include the employer's full legal business name as registered with state authorities, any trade names, fictitious business names, or "doing business as" designations under which the employer operates, and the employer's federal Employer Identification Number if known. Specify the employer's principal business address, which is typically the corporate headquarters or main administrative office, including street address, city, state, and zip code.
Identify the specific facility, location, or work site where the complainant was employed and where the alleged retaliation occurred. If this location differs from the principal business address, provide the complete address of the facility including any building numbers, suite numbers, or other identifying information. Describe the nature of the employer's business operations at this location, such as manufacturing, warehousing, construction, healthcare, retail, or other industry classification, as this context helps OSHA understand the applicable safety regulations and workplace hazards.
Provide information about the employer's size and organizational structure. Indicate the approximate number of employees at the specific facility where the complainant worked and, if known, the total number of employees across all locations. Identify whether the employer is a sole proprietorship, partnership, limited liability company, corporation, or other business entity. If the employer is part of a larger corporate structure, identify parent companies, holding companies, subsidiaries, or affiliated entities that may constitute joint employers or have exercised control over employment decisions affecting the complainant.
Identify by name and title the key management officials who were involved in or have knowledge of the alleged retaliation. This should include the complainant's direct supervisor, department manager, facility manager or plant manager, human resources director or personnel manager, safety director or environmental health and safety manager, and any corporate officers or executives who participated in the decision to take adverse action against the complainant. For each identified official, provide their full name, job title, work location, and a brief description of their role in the events giving rise to this complaint.
Include contact information for the employer's human resources department, including the name of the HR director or manager, telephone number, email address, and physical address. If the employer has designated a specific individual or department to receive legal notices or OSHA communications, provide that information. If known, identify the employer's legal counsel, including the name of the attorney or law firm, business address, and contact information, as OSHA may need to coordinate with employer counsel during the investigation.
Protected Activity - Detailed Factual Narrative
Provide a thorough, chronological narrative of the protected activity that forms the legal and factual basis of this complaint. This section is the foundation of the prima facie case and must demonstrate with specificity that the complainant engaged in activity protected under the applicable whistleblower statute. Draw upon all available documentary evidence to construct a detailed account that includes dates, times, locations, participants, and the substance of communications or actions taken by the complainant.
Begin by describing the workplace safety or health concern that prompted the complainant to engage in protected activity. Identify the specific hazard, dangerous condition, regulatory violation, or unsafe practice that the complainant observed, experienced, or became aware of through their employment. Reference specific OSHA standards, regulations, or industry safety requirements that were allegedly violated, citing the regulatory citation where possible. Explain why the condition posed a threat to employee safety or health, including any injuries, illnesses, near-miss incidents, or potential consequences that could result from the hazard. If the complainant had specialized knowledge, training, or expertise that informed their understanding of the danger, explain this background to establish the reasonableness of their safety concerns.
Describe with precision the nature of the protected activity undertaken by the complainant. Specify whether the complainant filed an internal safety complaint with management or human resources, reported the hazard to OSHA or another regulatory agency, refused to perform work that the complainant reasonably believed posed an imminent danger of death or serious injury, participated in or cooperated with an OSHA inspection or investigation, testified or prepared to testify in a safety-related proceeding, requested information about workplace hazards or OSHA standards, or engaged in other activity protected under the applicable statute. For each instance of protected activity, provide the date and time it occurred, the location where it took place, and the method or manner of the complaint or refusal.
Detail the specific individuals to whom the protected activity was directed or who witnessed the complainant's actions. Identify these individuals by full name, job title, and their relationship to the complainant and the employer. If the complainant made a verbal complaint, describe the conversation including where it occurred, who was present, what the complainant said, and how the recipient responded. If the complainant submitted a written complaint, email, text message, or other documented communication, quote the relevant portions verbatim and reference the document by date, subject line, sender, and recipients. If the complainant refused to perform dangerous work, identify the specific task or assignment refused, the supervisor who issued the directive, any witnesses to the refusal, and the complainant's explanation for refusing.
Incorporate direct quotes and specific language from emails, text messages, written complaints, incident reports, safety meeting minutes, or other contemporaneous documentation that evidences the protected activity. Reference each document by its title, date, author, and recipients, and explain its significance in establishing that the complainant engaged in protected activity. If photographs, videos, or physical evidence documented the safety hazard, describe this evidence and explain how it supports the complainant's concerns.
Establish that the complainant held a reasonable good faith belief that the reported condition constituted a violation of OSHA standards or posed a real danger to employee safety or health. This element is satisfied even if the complainant's belief is later determined to be mistaken, provided the belief was objectively reasonable under the circumstances. Explain the factual basis for the complainant's belief, including observable conditions, prior incidents, warnings from co-workers, industry standards, or the complainant's training and experience. If the employer had previously acknowledged the hazard, received prior complaints about the same condition, or taken partial corrective measures, cite this evidence to demonstrate the reasonableness of the complainant's concerns.
If the complainant engaged in multiple instances of protected activity over a period of time, present these chronologically and explain how they relate to one another. Demonstrate whether the complainant's concerns were ongoing, whether the employer failed to address the hazard despite repeated complaints, or whether the complainant escalated their concerns to higher levels of management or external agencies after internal complaints proved ineffective.
Adverse Employment Action - Comprehensive Documentation
Detail with precision and specificity each adverse employment action taken against the complainant that constitutes alleged retaliation. This section must demonstrate that the employer took action that would dissuade a reasonable employee from engaging in protected activity, applying the standard articulated in Burlington Northern & Santa Fe Railway Co. v. White and subsequent OSHA precedent. Adverse actions extend beyond ultimate employment decisions such as termination and include any action that materially alters the terms and conditions of employment or creates a hostile work environment.
For each adverse action, provide the exact date the action occurred or was communicated to the complainant. Identify the management official or decision-maker who took the action, including their name, title, and level of authority within the organization. Describe the specific nature of the adverse action and explain concretely how it negatively impacted the complainant's employment, compensation, benefits, working conditions, career prospects, or professional reputation.
If the adverse action was termination of employment, provide the date of termination, the method by which the complainant was informed (in-person meeting, telephone call, letter, email), the identity of the individual who delivered the termination decision, and any witnesses present during the termination meeting. Quote verbatim the reason or explanation provided by the employer for the termination, whether stated orally or in writing. Reference any termination letter, separation notice, or documentation provided to the complainant, including the date of the document, the signatory, and the stated grounds for termination. Explain why the stated reason is pretextual, inconsistent with the employer's past practices, contradicted by documentary evidence, or applied in a discriminatory manner compared to similarly situated employees who did not engage in protected activity.
If the adverse action was a demotion, describe the complainant's position before and after the demotion, including job title, responsibilities, supervisory authority, and status within the organization. Specify any reduction in compensation, loss of benefits, or diminishment of career advancement opportunities resulting from the demotion. Provide the date the demotion was announced or implemented and identify who made the decision. Compare the complainant's qualifications, performance, and tenure to other employees who were not demoted to demonstrate disparate treatment.
If the adverse action involved a reduction in pay, hours, or benefits, quantify the financial impact with specificity. State the complainant's rate of pay before and after the reduction, the number of hours worked per week before and after the change, and calculate the monetary loss on a weekly, monthly, and annual basis. Identify any benefits that were eliminated or reduced, such as health insurance, retirement contributions, paid time off, bonuses, or other compensation. Provide the effective date of the reduction and reference any written notice or documentation of the change.
If the adverse action was an unfavorable reassignment or transfer, describe the complainant's work assignment before and after the change. Explain how the new assignment was less desirable, such as involving more physically demanding work, less prestigious duties, inconvenient hours or shifts, a longer commute, separation from colleagues, or reduced opportunities for advancement. Identify whether the reassignment resulted in any loss of pay, benefits, or seniority. Provide evidence that the reassignment was punitive rather than a legitimate business decision, such as statements by supervisors, deviation from standard transfer procedures, or the assignment of the complainant's former duties to a less qualified employee.
If the adverse action involved increased scrutiny, heightened discipline, or the creation of a hostile work environment, document specific instances with dates, times, locations, and witnesses. Describe any written warnings, reprimands, performance improvement plans, or disciplinary actions imposed on the complainant following the protected activity. Compare the level of scrutiny applied to the complainant with the treatment of other employees to demonstrate disparate treatment. Quote any hostile, threatening, or intimidating statements made by supervisors or co-workers. Document any changes in the complainant's work assignments, exclusion from meetings or communications, denial of resources or support, or other actions that made the work environment intolerable.
For each adverse action, reference supporting documentation such as termination letters, disciplinary notices, performance evaluations, payroll records, benefits statements, email communications, text messages, or witness statements. Explain how each piece of evidence corroborates the occurrence of the adverse action and its negative impact on the complainant. Identify any procedural irregularities, such as the employer's failure to follow its own progressive discipline policy, denial of the opportunity to respond to allegations, or the application of standards not applied to other employees.
If the complainant experienced multiple adverse actions, present them in chronological order and explain how they collectively demonstrate a pattern of escalating retaliation. Show how the employer's treatment of the complainant changed following the protected activity, contrasting the complainant's treatment before and after engaging in protected activity. This pattern evidence strengthens the inference of retaliatory intent and demonstrates that the adverse actions were not isolated incidents but rather a coordinated response to the complainant's safety complaints.
Temporal Proximity and Causal Connection
Establish the causal nexus between the protected activity and the adverse employment action through a meticulously constructed timeline and persuasive legal analysis. Causation is the element that transforms separate events into unlawful retaliation, and it may be established through direct evidence of retaliatory intent, temporal proximity between the protected activity and adverse action, or circumstantial evidence including inconsistent employer explanations, deviation from established procedures, or disparate treatment of similarly situated employees.
Present a detailed chronological timeline that sequences all relevant events from the initial safety concern through the adverse action and any subsequent developments. For each event, provide the specific date and, where relevant, the time of day. Begin the timeline with the complainant's observation of the safety hazard or the incident that prompted the protected activity. Include the date the complainant first reported the concern internally, the dates of any follow-up complaints or escalations, the date management became aware of the protected activity, and any meetings, investigations, or communications that occurred between the protected activity and the adverse action. Document the date of the adverse action and any subsequent retaliatory conduct.
Emphasize the temporal proximity between the protected activity and the adverse action, as close timing supports a strong inference of causation. If the adverse action occurred within days or weeks of the protected activity, highlight this proximity and explain that such timing is highly suggestive of retaliatory motive, particularly when the employer offers no legitimate intervening explanation. Reference OSHA precedent and case law establishing that temporal proximity alone can be sufficient to establish causation when the timing is particularly close, typically within a few weeks. If the adverse action occurred months after the protected activity, identify intervening events that maintain the causal chain, such as ongoing complaints, participation in an investigation, or the employer's continuing awareness of the protected activity.
Incorporate any direct evidence of retaliatory intent, which is the most compelling proof of causation. Direct evidence includes statements by management officials explicitly linking the adverse action to the protected activity, such as "You're being fired because you complained to OSHA," or "We don't tolerate employees who go over our heads with safety complaints." Quote such statements verbatim, identify the speaker, the date and location of the statement, and any witnesses who heard it. Even ambiguous statements that suggest animus toward the protected activity, such as "You should have come to me instead of making trouble," or "This wouldn't have happened if you had kept your mouth shut," should be documented as circumstantial evidence of retaliatory motive.
Analyze the employer's stated justification for the adverse action and demonstrate why it is pretextual. Pretext may be shown through temporal inconsistency, such as the employer citing performance deficiencies that allegedly existed for months but taking action only after the protected activity. It may be shown through factual falsity, such as the employer claiming the complainant violated a policy when documentary evidence proves otherwise. It may be shown through deviation from past practice, such as the employer imposing discipline for conduct it previously tolerated or applying a policy more harshly to the complainant than to other employees. It may be shown through procedural irregularities, such as the employer failing to conduct its usual investigation, denying the complainant an opportunity to respond, or rushing to judgment in a manner inconsistent with standard procedures.
Provide comparative evidence demonstrating that similarly situated employees who did not engage in protected activity were treated more favorably. Identify specific employees who committed the same or more serious infractions but received lesser discipline or no discipline at all. Describe employees who had comparable or worse performance records but were not terminated or demoted. Explain how this disparate treatment supports the inference that the complainant's protected activity, rather than legitimate business reasons, motivated the adverse action.
Document any suspicious circumstances or patterns that suggest retaliatory motive. These may include the employer's initiation of a performance review or investigation immediately following the protected activity, the sudden documentation of alleged deficiencies that were never previously mentioned, the employer's shifting or evolving explanations for the adverse action, the involvement of decision-makers who were aware of the protected activity, or the employer's failure to follow its own policies and procedures. Each of these circumstances, while not conclusive alone, contributes to the overall mosaic of evidence supporting causation.
If the employer claims that the adverse action was based on a reduction in force, reorganization, or other business necessity, scrutinize this justification carefully. Examine whether the business justification is supported by documentary evidence such as financial records, strategic plans, or communications predating the protected activity. Determine whether the selection criteria for the adverse action were applied consistently and objectively or whether they were manipulated to target the complainant. Investigate whether the employer filled the complainant's position with another employee, hired a replacement, or redistributed the complainant's duties in a manner inconsistent with a genuine reduction in force.
Supporting Evidence and Witness Identification
Compile and organize all documentary evidence and witness testimony that supports each element of the prima facie case. This section should serve as a comprehensive evidentiary index that allows OSHA investigators to quickly locate and review the proof supporting the complaint's allegations. Organize evidence into logical categories that correspond to the elements of the prima facie case: evidence of protected activity, evidence of employer knowledge, evidence of adverse action, evidence of causation, and evidence of pretext.
For evidence of protected activity, reference all documents that demonstrate the complainant raised safety concerns or engaged in protected conduct. This includes emails sent by the complainant reporting hazards, written complaints or incident reports submitted to management, photographs or videos documenting unsafe conditions, OSHA complaint forms filed by the complainant, correspondence with regulatory agencies, safety meeting minutes reflecting the complainant's concerns, text messages discussing safety issues, and any other contemporaneous documentation. For each document, provide a brief description including the date, author, recipients, subject matter, and specific relevance to establishing protected activity. Quote key passages that demonstrate the safety nature of the complainant's concerns.
For evidence of employer knowledge, identify all documents and testimony showing that management was aware of the complainant's protected activity. This includes responses from supervisors or managers to the complainant's safety complaints, emails forwarding or discussing the complainant's concerns, investigation reports acknowledging receipt of the complaint, meeting notes documenting discussions of the complainant's safety reports, and any communications indicating that decision-makers knew about the protected activity before taking adverse action. If knowledge must be inferred from circumstantial evidence, explain the basis for the inference, such as the small size of the workplace, the direct reporting relationship between the complainant and the decision-maker, or the timing of events.
For evidence of adverse action, reference all documentation of the employment action taken against the complainant. This includes termination letters, separation notices, disciplinary warnings, performance improvement plans, demotion notices, payroll records showing reduction in pay or hours, benefits statements showing loss of coverage, emails announcing reassignments or transfers, performance evaluations completed after the protected activity, and any other records documenting the change in the complainant's employment status. Highlight any admissions by the employer regarding the adverse action and any procedural irregularities in how the action was implemented.
For evidence of causation, compile all materials demonstrating the connection between the protected activity and adverse action. This includes the timeline of events showing temporal proximity, comparative evidence regarding the treatment of other employees, documents revealing inconsistencies in the employer's stated reasons, communications showing retaliatory animus or hostility toward the complainant's safety complaints, and evidence that the employer's justification is pretextual. Reference specific examples of similarly situated employees who were treated more favorably, including their personnel files, disciplinary records, and performance evaluations.
For evidence of pretext, gather all materials that undermine the employer's stated justification for the adverse action. This includes prior performance evaluations showing satisfactory or excellent performance, evidence that the complainant met all job requirements and performance standards, documentation that the alleged misconduct did not occur or was not as serious as claimed, the employer's own policies showing that the discipline imposed was disproportionate, records of other employees who committed the same or worse infractions without similar consequences, and any communications showing that the employer's explanation evolved or changed over time.
Identify all witnesses who possess relevant knowledge and should be interviewed by OSHA during its investigation. For each witness, provide their full name, job title, current employer if no longer employed by the respondent, last known contact information including telephone number and email address, and a detailed summary of their expected testimony. Categorize witnesses based on the type of information they can provide.
Identify co-workers who witnessed the complainant's protected activity, such as employees who were present when the complainant reported safety concerns, participated in safety meetings where the complainant raised issues, or received copies of the complainant's safety complaints. Explain what each witness observed and how their testimony corroborates the complainant's account of the protected activity.
Identify co-workers who witnessed the adverse action or the events leading to it, such as employees present during the termination meeting, colleagues who observed changes in the complainant's treatment following the protected activity, or workers who can testify about the hostile work environment created after the complainant engaged in protected activity.
Identify management officials and decision-makers who should be interviewed, including the complainant's supervisors, the human resources personnel who participated in the decision to take adverse action, the managers who investigated the complainant's alleged misconduct or performance deficiencies, and any executives who approved or ratified the adverse action. Explain what knowledge each management witness possesses regarding the protected activity, the decision-making process, and the reasons for the adverse action.
Identify witnesses who can provide comparative evidence, such as employees who committed similar infractions but received lesser discipline, workers with comparable performance records who were not terminated, or colleagues who can testify about the employer's past practices and how the complainant was treated differently.
If expert testimony would be helpful to explain technical safety issues, industry standards, or the reasonableness of the complainant's safety concerns, identify potential expert witnesses including their qualifications, areas of expertise, and the opinions they are expected to offer. This may include safety engineers, industrial hygienists, occupational health professionals, or industry specialists who can opine on whether the condition reported by the complainant constituted a genuine safety hazard.
Damages and Requested Relief
Specify with precision and comprehensiveness the relief sought from OSHA's investigation and any subsequent administrative proceedings. The requested relief should be tailored to make the complainant whole and restore them to the position they would have occupied absent the unlawful retaliation, while also serving the remedial and deterrent purposes of the whistleblower protection statutes.
Request reinstatement of the complainant to their former position with the same seniority status, benefits, pay, and terms and conditions of employment that existed before the adverse action. Specify that reinstatement should be immediate upon a finding of retaliation and should include restoration of all rights, privileges, and opportunities that were lost due to the unlawful conduct. If the complainant's former position no longer exists due to legitimate business changes, request placement in a substantially equivalent position with comparable duties, status, and compensation. If reinstatement is not feasible due to the breakdown of the employment relationship or other circumstances, request front pay as an alternative remedy, calculated from the date reinstatement would have occurred through a reasonable period allowing the complainant to secure comparable employment.
Request back pay with interest from the date of the adverse action through the date of reinstatement or resolution of the complaint. Calculate back pay with specificity based on the complainant's rate of pay at the time of the adverse action, the number of hours the complainant typically worked per week, and any overtime, bonuses, commissions, or other variable compensation the complainant would have earned. Provide a detailed calculation showing gross back pay for each week or month since the adverse action, organized in a clear tabular format. If the complainant obtained interim employment during the back pay period, acknowledge the duty to mitigate damages and deduct interim earnings to calculate net back pay, while noting that the complainant is entitled to credit only for substantially equivalent employment and not for earnings from inferior positions or self-employment that required extraordinary effort.
Request compensation for all lost benefits including health insurance premiums, retirement plan contributions, pension accruals, stock options, profit-sharing, life insurance, disability insurance, paid time off, and any other fringe benefits the complainant would have received. Calculate the value of each lost benefit with specificity, referencing the employer's benefit plan documents, insurance policies, and contribution rates. If the complainant incurred out-of-pocket medical expenses due to loss of health insurance coverage, itemize these expenses and request reimbursement.
Request compensatory damages for the emotional distress, mental anguish, reputational harm, and other non-economic injuries suffered by the complainant as a result of the unlawful retaliation, to the extent such damages are authorized under the applicable whistleblower statute. Describe the nature and severity of the emotional harm, including any anxiety, depression, humiliation, damage to professional reputation, or other psychological injuries. Reference any medical or mental health treatment sought by the complainant, including therapy, counseling, or medication prescribed to address the emotional impact of the retaliation. Note that some whistleblower statutes limit or preclude compensatory damages, while others authorize such relief, and specify which statutory provision authorizes the request.
Request expungement of all adverse personnel records related to the retaliatory action, including disciplinary notices, negative performance evaluations, termination records, and any other documentation that resulted from or memorialized the unlawful conduct. Specify that the employer should be ordered to remove these records from the complainant's personnel file, destroy all copies, and refrain from disclosing the expunged information to prospective employers or other third parties. Request that the employer provide the complainant with a neutral employment reference or a reference reflecting the complainant's performance prior to the protected activity.
Request an order requiring the employer to post notices in the workplace informing employees of their whistleblower protection rights under the applicable statute, the outcome of this case, and the employer's obligation to refrain from retaliation. Specify that the notices should be posted in conspicuous locations where employees regularly congregate, such as break rooms, time clock areas, and bulletin boards, and should remain posted for a specified period such as sixty or ninety days. Request that the employer be required to distribute copies of the notice to all employees via email or in pay envelopes.
Request an order requiring the employer to provide training to all supervisory and managerial personnel regarding whistleblower protection rights, the prohibition against retaliation, and the employer's obligations under OSHA-administered whistleblower statutes. Specify that the training should be conducted by a qualified instructor, should include interactive components, and should be documented with attendance records and certification of completion.
Request attorney's fees and costs incurred in pursuing this complaint, including fees for legal representation, expert witness fees, court reporter fees, copying and document production costs, and any other reasonable expenses. Note that most OSHA-administered whistleblower statutes authorize fee-shifting to prevailing complainants, and specify the statutory provision authorizing this relief. If the complainant is not yet represented by counsel, reserve the right to seek attorney's fees if representation is obtained during the investigation or subsequent proceedings.
Request any other equitable relief necessary to make the complainant whole and prevent future retaliation, such as injunctive relief prohibiting specific retaliatory conduct, modification of the complainant's personnel file to include documentation of the finding of retaliation, or monitoring of the employer's compliance with the remedial order. Emphasize that the relief sought serves not only to compensate the individual complainant but also to vindicate the public interest in protecting employees who report safety violations and to deter future retaliation by this employer and others.
Verification, Certification, and Procedural Compliance
Conclude the complaint with a verification section that authenticates the allegations and certifies compliance with procedural requirements. Include a declaration under penalty of perjury that the facts stated in the complaint are true and correct to the best of the complainant's knowledge, information, and belief. Use the appropriate verification language required by federal law, such as "I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct," followed by the date and location of execution.
Include a certification that the complaint is timely filed within the applicable statute of limitations. State the date of the adverse action, the applicable limitations period under the specific whistleblower statute invoked, the deadline for filing, and the date the complaint is being filed. If the complaint is filed near the deadline, explain any circumstances that delayed filing and assert that the filing is nevertheless timely. If equitable tolling or other doctrines might extend the limitations period, explain the factual and legal basis for such tolling.
Certify that the complainant has not previously filed this complaint with another forum, or if the complaint has been filed elsewhere, provide a complete procedural history. Identify any prior filings with state agencies, federal agencies, or courts, including the forum, case number, date of filing, current status, and disposition. Explain whether the prior filing was dismissed, withdrawn, or remains pending, and assert that the current OSHA filing is not barred by res judicata, collateral estoppel, or election of remedies.
Include a statement that the complainant consents to OSHA's investigation and will cooperate fully by providing additional information, documents, and testimony as requested. Affirm that the complainant will make themselves available for interviews with OSHA investigators, will respond to requests for information in a timely manner, and will participate in any settlement conferences, hearings, or other proceedings. Provide assurance that the complainant will supplement the complaint with additional evidence or information that becomes available after filing.
Include signature blocks for the complainant and, if represented, their attorney. The complainant's signature block should include a line for signature, the complainant's printed name, and the date of execution. If the complaint is signed by an attorney on behalf of the complainant, include the attorney's signature block with signature line, printed name, bar admission information, law firm name, business address, telephone number, email address, and date of execution. Ensure that both the complainant and attorney sign where required by OSHA regulations.
Formatting, Organization, and Filing Procedures
Format the complaint as a formal legal pleading with professional appearance and clear organization. Include a caption at the top of the first page identifying the document as a "Whistleblower Complaint" filed with the United States Department of Labor, Occupational Safety and Health Administration. Identify the complainant by name and the respondent employer by full legal name. If filing with a specific OSHA regional office, include the regional office designation in the caption.
Number all paragraphs consecutively throughout the complaint for easy reference during the investigation and any subsequent proceedings. Use clear section headings that correspond to the organizational structure outlined in this prompt. If the complaint exceeds ten pages, include a table of contents at the beginning listing all major sections and subsections with corresponding page numbers.
Attach all supporting documentary evidence as numbered exhibits. Create a table of exhibits listing each exhibit by number, a brief description of the document, and the date of the document. Ensure that each exhibit is clearly labeled with an exhibit number and is referenced in the body of the complaint by its exhibit number. Organize exhibits in the order they are referenced in the complaint or in chronological order if that provides greater clarity.
Verify compliance with OSHA's specific filing requirements for the applicable whistleblower statute, as requirements vary among the different statutes administered by OSHA. Determine whether OSHA provides a specific complaint form for the statute at issue and, if so, complete the form in addition to or instead of the narrative complaint. Identify the appropriate OSHA regional office based on the geographic location where the complainant worked, as complaints must generally be filed with the regional office having jurisdiction over that location. Confirm the acceptable methods of filing, which typically include online submission through OSHA's whistleblower portal, mail delivery to the regional office, fax transmission, or in-person delivery.
If filing by mail, use certified mail with return receipt requested to establish proof of timely filing. If filing electronically, retain confirmation of submission. If filing near the statute of limitations deadline, consider using multiple filing methods simultaneously to ensure timely receipt. Retain copies of the complete complaint with all exhibits for the complainant's records and for provision to OSHA upon request.
Ensure that all factual assertions in the complaint are supported by documentary evidence, witness testimony, or the complainant's good faith belief based on personal knowledge. Avoid making allegations that cannot be substantiated, as the complaint may serve as the foundation for subsequent administrative hearings before an Administrative Law Judge or federal court litigation if OSHA's investigation does not result in a favorable settlement. Maintain a professional, objective tone throughout the complaint, presenting the facts and legal arguments in a manner that enhances credibility and persuasiveness.
Review the completed complaint carefully for accuracy, completeness, clarity, and compliance with all applicable legal and procedural requirements before filing. Verify that all names, dates, and factual details are correct and consistent throughout the document. Confirm that all referenced exhibits are attached and properly labeled. Ensure that the complaint tells a coherent, compelling narrative that establishes each element of the prima facie case and positions the complainant for a successful outcome in OSHA's investigation and any subsequent proceedings.
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- Version
- 1
- Last Updated
- 1/6/2026
Related Skills
Employment Litigation
Skills related to employment litigation within litigation practice.
Aggressive Advocacy Tone
Writing style for forceful, adversarial legal documents. Use when zealous advocacy requires strong positioning.
Diplomatic Professional Tone
Writing style for measured, professional legal documents. Use for negotiations, client communications, and judicial submissions.