United States of America

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

 

SECRETARY OF LABOR,

Complainant,

v. OSHRC DOCKET NO. 

 

 Respondent.

JOINT NOTIFICATION OF FULL SETTLEMENT 

The parties respectfully notify the Court that the parties have fully settled the above 

captioned case and have executed [a formal] [an informal] settlement agreement. 

CERTIFICATION OF CITATION ITEMS FULLY SETTLED

The parties certify that all citation items in this case have been fully settled. All settled 

citation items are set forth, on a separate row, in the following chart.1 Commission Rule 

100(b)(1)(i).2

Citation No. Item No. Resolution: Settled / Withdrawn

 1 See Joint Notification of Full Settlement Completed for guidance in completing this document, including 

the charts at OSHRC.gov, Sample Documents tab.

2 OSHRC’s new Rules of Procedure were effective June 10, 2019 and all references contained herein refer 

to these revised Rules. Rules of Procedure, 84 Fed. Reg. 14554 (April 10, 2019) (to be codified at 29 C.F.R. 

pt. 2200). (https://www.federalregister.gov/documents/2019/04/10/2019-06581/rules-of-procedure).
2

CERTIFICATION OF POSTING

The parties certify that the executed settlement agreement was posted to provide notice to 

the affected employees.3

 Commission Rules 7(g); 100(b)(1)(ii); 100(c). The parties certify that 

the settlement agreement was posted at a location prescribed by Commission Rule 7(g) on the 

following date: ____________________________. 

The settlement agreement shall remain posted for fourteen (14) days. 

CERTIFICATION REGARDING PARTY WHO HAS ELECTED PARTY STATUS

The parties certify that any party who has elected party status, under Commission Rule 20, 

has been afforded an opportunity to provide input on all matters pertaining to the settlement before 

the settlement agreement was finalized. Commission Rule 100(b)(1)(iii).

CERTIFICATION WHETHER SETTLEMENT INCLUDES PLEADING WITHDRAWAL, AND 

WHETHER THE WITHDRAWAL IS WITH PREJUDICE

In the following chart, the parties certify the status of any citations, notifications, notices, 

or petitions, withdrawn in the settlement agreement, and certify whether the withdrawal was with 

or without prejudice. Each citation item and notification of proposed penalty withdrawn is 

included, on a separate row, in the chart. Commission Rule 100(b)(1)(iv).

List of Pleadings Withdrawn Withdrawal – With or Without Prejudice

Citation, Item

Notification of Proposed Penalty

Notice of Contest

Petition for Modification of 

Abatement Period

 3 In cases where all affected employees are represented by an authorized employee representative 

an alternative certification shall be included in the Joint Notification of Full Settlement, rather than 

the posting certification stated above. The alternative certification shall comply with Commission 

Rules 7(f); 100(b)(1)(ii); 100(c) and shall include the date of service.
3

ACKNOWLEDGEMENT THAT THE PARTIES HAVE NOT PROVIDED THE SETTLEMENT 

AGREEMENT WITH THIS JOINT NOTIFICATION.

The parties confirm that they have not incorporated the settlement agreement in, or append 

it to, this joint Notification of Settlement. See Commission Rule 100(b)(2). 

DRAFT ORDER TERMINATING PROCEEDING.

The parties confirm that they have filed, for execution by the Judge, a draft Order 

Terminating Proceeding, acknowledging that the parties have resolved contested citation items and 

agreed to terminate the proceeding before the Commission, pursuant to Commission Rules

100(b)(3); 100(c). 

Date: ______________________

Name

Solicitor of Labor

Name

Regional Solicitor

Name

Associate Regional Solicitor

/s/_____________________

Name

Senior Trial Attorney (Trial Attorney)

Attorney for Complainant

U.S. Department of Labor

Office of the Solicitor

Street Address

City, State, Zip Code

Phone Number

Email Address

/s/_______________________________

Name

[Title] Attorney for Respondent

[Title] Representative for Respondent

[Title – Self Represented] ABC Company, 

President, General Manager, Safety Director, 

etc.

Firm / ABC Company

Street Address

City, State, Zip Code

Phone Number

Email Address
4

CERTIFICATE OF SERVICE

[Represented parties – mandatory electronic filing].

This is to certify that service of the Joint Notification of Settlement filed in the 

Commission’s E-File System was also simultaneous served by email attachment to the parties 

listed below on ______________________

[Self-Represented party – non-electronic filing].

This is to certify that a copy of the Joint Notification of Settlement was served by first 

class, postage prepaid, U.S. Mail to the parties listed below on ______________________

___/s/______________________

Name Title

Company / Firm Name / Office of the Solicitor

Street Address

City, State, Zip Code

Email Address