Chapter 3.2. California Occupational Safety and Health Regulations
(CAL/OSHA)
Subchapter 2. Regulations of the Division of Occupational Safety and Health
ARTICLE 1.5 Employer's Declaration of Abatement and Other Documentation of Abatement-Employee
Notification-Posting Requirements.
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§340.4. Declaration of Abatement, Other Documentation, Employee Notification
and Posting Requirements
Appendix B to Section 340.4-Sample Abatement Plan or Progress Report
(Name), District Manager
Division of Occupational Safety and Health
Address of the District Office (on the citation)
[Company's Name]
[Company's Address]
Check one:
Abatement Plan [ ]
Progress Report [ ]
Inspection Number:
| Page |
of |
Citation Number(s)*
Item Numbers
Proposed
Action Completion Date (for abatement plans only) Completion Date (for progress plans only) 1. 2.
1.
2.
Date required for final abatement:
I attest that the information contained in this document is accurate.
NOTE: For serious violations the document must be submitted under penalty of perjury. See Appendix A)
Signature
Typed or Printed Name
Name of primary point of contact for questions:
[optional]
Telephone Number:
*Abatement plans or progress reports for more than one citation item may be combined in a single abatement plan or progress report if the abatement actions, proposed completion dates, and actual completion dates (for progress reports only) are the same for each of the citation items.
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