DA FORM 4753 Fillable – Army Pubs 4753 PDF

DAFORMFILLABLE.COM | DA FORM 4753 Fillable – Army Pubs 4753 PDFDA FORM 4753, titled Notice No. Of Unsafe Or Unhealthful Working Condition, is a crucial document used within military and civilian workplaces to report and address unsafe or unhealthful working conditions. This form, issued on October 1, 1978, by the Department of the Army (DAS), remains active and plays a vital role in maintaining workplace safety.

DA FORM 4753 – Notice No. Of Unsafe Or Unhealthful Working Condition

Form Number DA Form 4753
Form Title Notice No. Of Unsafe Or Unhealthful Working Condition
Form Date 10/01/1978
Form Proponent DAS

Purpose of DA FORM 4753

The primary purpose of DA FORM 4753 is to provide a formal mechanism for employees to report unsafe or unhealthy working conditions. This proactive measure ensures that hazards are identified and mitigated promptly, fostering a safer work environment.

Reporting Unsafe Conditions

Employees who encounter unsafe or unhealthful conditions are encouraged to fill out DA FORM 4753. The form captures detailed information about the nature of the hazard, its location, and any immediate actions taken. This information is crucial for the safety officers or supervisors responsible for addressing and rectifying the reported conditions.

Components of DA FORM 4753

DA FORM 4753 is designed to be comprehensive yet straightforward, ensuring that employees can easily report hazards. Key sections of the form include:

  • Date and Time of Report: Documenting when the unsafe condition was observed.
  • Description of Condition: A detailed account of the hazard, including specific locations and potential risks.
  • Immediate Actions Taken: Any steps the employee has already taken to mitigate the hazard.
  • Contact Information: Details of the reporting employee to facilitate follow-up actions.

Importance of Timely Reporting

Timely reporting using DA FORM 4753 is essential for several reasons:

  • Preventing Accidents: Early identification and reporting of hazards can prevent accidents and injuries.
  • Compliance with Regulations: Ensuring adherence to safety regulations and standards.
  • Promoting a Safety Culture: Encouraging a proactive approach to safety within the organization.

Distribution and Accessibility

The distribution of DA FORM 4753 is unlimited, and it is approved for public release. This ensures that all employees have easy access to the form, whether in electronic media or physical copies. The form is unclassified, making it readily available for use without security restrictions.

Authority and Proponent

The proponent for DA FORM 4753 is the Department of the Army Safety Office (DAS), which oversees the implementation and compliance with safety protocols. The form does not supersede or replace any other publications and remains a critical tool in the Army’s safety management system.


In conclusion, DA FORM 4753 is an indispensable tool for maintaining safe working environments within the military and civilian sectors of the Army. By providing a formal avenue for reporting hazards, it helps prevent accidents and promotes a culture of safety. Timely and accurate reporting using this form is crucial for the well-being of all employees and the effective functioning of any organization.

For more information or to access DA FORM 4753, employees can refer to their safety officer or visit the official Army publications website.

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