---
title: Workplace Ventilation and Air Quality Grievance Form Template | Paperform
description: Professional form template for employees to report workplace ventilation issues, air quality concerns, health symptoms, and OSHA or building code violations. Streamline workplace safety grievances.
url: "https://paperform.co/templates/workplace-ventilation-and-air-quality-grievance-form"
type: static
generatedAt: "2026-03-31T00:50:15.207Z"
---

[← Back to free form templates](/templates/)    ![Workplace Ventilation and Air Quality Grievance Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/workplace-ventilation-and-air-quality-grievance-form.png)
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### Report Workplace Air Quality and Ventilation Issues

Poor workplace ventilation and air quality can lead to serious health concerns, reduced productivity, and potential violations of OSHA standards and building codes. This **Workplace Ventilation and Air Quality Grievance Form** empowers employees to formally document concerns about indoor air quality, HVAC system failures, inadequate ventilation, and related health symptoms in a structured, professional manner.

Whether you're experiencing headaches, respiratory issues, temperature extremes, or noticing mold, chemical odors, or insufficient fresh air circulation, this template helps you capture all the critical details needed for HR, facilities management, and health and safety teams to investigate and respond appropriately.

#### Built for HR, Safety Officers, and Facilities Teams

This form is designed for **human resources departments, workplace safety officers, facilities managers, and employee relations teams** who need to track, investigate, and resolve indoor air quality complaints systematically. The template collects essential information including:

 - Employee and workplace location details
 - Specific air quality and ventilation concerns
 - Health symptoms and affected individuals
 - OSHA standards and building code references
 - Supporting documentation and evidence
 - Requested resolutions

By centralizing grievances through Paperform, you create a transparent audit trail that demonstrates your organization's commitment to workplace safety and regulatory compliance. Submissions can automatically route to the right teams via **Stepper (stepper.io)**, your AI-native workflow builder, triggering investigation protocols, facility inspections, and follow-up communications without manual coordination.

#### Seamless Integration with Your HR and Safety Systems

Connect this form to your existing HR information systems, case management platforms, or facilities management software through Paperform's native integrations and Stepper workflows. Automatically log complaints in your compliance tracking system, notify safety committees, generate work orders for HVAC inspections, and send acknowledgment emails to employees—all triggered from a single submission.

For organizations managing workplace safety across multiple locations or departments, Paperform's conditional logic ensures the right stakeholders are notified based on the severity, location, and nature of each complaint. This keeps your response times fast and your compliance documentation organized.

#### Professional, Accessible, and Compliant

This template can be customized to match your organization's branding while maintaining a professional, accessible experience for employees who may be experiencing genuine health concerns. SOC 2 Type II compliance and robust security features ensure sensitive health and employment information remains protected throughout the investigation process.

Trusted by HR teams and facilities managers worldwide, this form template helps you meet your duty of care obligations, maintain OSHA compliance, and create healthier, safer workplaces for everyone.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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