Workplace COVID-19 Safety Grievance Form

Professional COVID-19 Safety Grievance Reporting for Workplaces

Maintaining a safe workplace environment during the ongoing COVID-19 pandemic requires clear communication channels for employees to report safety concerns. This Workplace COVID-19 Safety Grievance Form provides a structured, confidential way for employees to document exposure incidents, inadequate personal protective equipment (PPE), ventilation issues, and failures to comply with CDC guidelines.

Why This Form Template Matters

For HR managers, safety officers, and operations teams across healthcare, manufacturing, retail, hospitality, and office environments, having a formal COVID-19 grievance process demonstrates organizational commitment to employee wellbeing and regulatory compliance. This template helps you:

• Document exposure incidents with date, time, location, and witness details for proper contact tracing and investigation
• Track PPE shortages and identify patterns in equipment availability across departments
• Monitor CDC compliance including social distancing, mask policies, sanitization protocols, and vaccination verification
• Provide confidential reporting with optional anonymity to encourage honest feedback without fear of retaliation
• Streamline investigation workflows by collecting all necessary details upfront

Built for Real-World Safety Management

This Paperform template goes beyond basic data collection. Use conditional logic to show relevant follow-up questions based on the type of grievance reported—exposure incidents trigger different fields than PPE concerns. Connect submissions directly to your HRIS, safety management system, or Slack channels using Paperform's native integrations, or build automated investigation workflows with Stepper (stepper.io) that route cases to the right safety officer, track resolution timelines, and send status updates to employees.

Whether you're managing a small office or coordinating safety across multiple locations, this form adapts to your needs with custom branding, multi-page layouts, and secure data handling backed by SOC 2 Type II compliance and GDPR protections.

Automate Your Safety Response

Turn each grievance submission into action. With Stepper, you can automatically:

• Create investigation tickets in your project management tool
• Notify supervisors and safety teams based on severity level
• Schedule follow-up check-ins with the reporting employee
• Generate compliance reports for OSHA or internal audits
• Track resolution status across all open COVID-19 safety cases

Your employees deserve a workplace that prioritizes their health and safety. This template makes it easy for teams to speak up, and easier for you to respond quickly and effectively. Get started with Paperform's free plan, or scale up to Pro or Agency+ as your safety reporting needs grow across departments and locations.