Report a Safety Concern

This form is used to report safety concerns regarding elevators, escalators, amusement devices, aerial tramways, or other related equipment in the state of NC.

Accidents involving this equipment resulting in injury requiring more than first aid or damage to the device are required to be reported within 24 hours. Reports must be reported to the NCDOL Elevator and Amusement Device Bureau via telephone at 1-800-625-2267 or 919-707-7927.

First Name

Last Name

Phone Number

Please use format: xxx-xxx-xxxx

Email Address

Type of Equipment *

Please choose one

Name or Type of Amusement Device *

NC State ID#

*if known

Physical Street Address of Equipment *

City *

County

Zip Code

Description of safety concern *

Include as much detail as possible

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Report a Safety Concern