Code of Federal Regulations Title 29. Labor § 29.1903.19—Sample Abatement–Certification Letter (Nonmandatory)

(Name), Area Director

U.S. Department of Labor—OSHA

Address of the Area Office (on the citation)

[Company's Name]

[Company's Address]

The hazard referenced in Inspection Number [insert 9-digit #] for violation identified as:

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

Citation [insert #] and item [insert #] was corrected on insert date by:

______________________________.

Citation [insert #] and item [insert #] was corrected on [insert date] by:

______________________________.

I attest that the information contained in this document is accurate.

Signature

Typed or Printed Name