(Name), Area Director
U. S. Department of Labor -- OSHA
Address of Area Office (on the citation)

[Company's Name]
[Company's Address]

Check one:
   Abatement Plan   [  ]
   Progress Report  [  ]

Inspection Number________________________________________________________

Page ________ of ________
Citation Number(s)*______________________________________________________
Item Number(s)*__________________________________________________________


                                                Proposed      Completion
                                                Completion    Date (for
                   Action                       Date (for     progress
                                                abatement     reports
                                                plans only)     only)

1.............................................  ...........  ...........


2.............................................  ...........  ...........


3.............................................  ...........  ...........


4.............................................  ...........  ...........

                                                ...........  ...........
5.............................................  ...........  ...........

                                                ...........  ...........
6.............................................  ...........  ...........

                                                ...........  ...........
7.............................................  ...........  ...........


Date required for final abatement:____________________________________
I attest that the information contained in this document is
accurate.

______________________________________________________________________
   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.

[62 FR 15324, March 31, 1997]