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Crane/Hoisting Equipment Operation Permit
BWC permit form for crane/hoisting equipment operation
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. ___
PERMIT TO OPERATE CRANE/HOISTING EQUIPMENT
(This permit is valid only upon payment of inspection fee and expires one-year from date of inspection unless otherwise revoked)
CHDL No.
Date of Inspection:
Pursuant to the provisions of Article 165, Chapter II, Book IV of P.D. 442, as amended, and its
Implementing Rules and Regulation of the Occupational Safety & Health Standards and in accordance with
authority vested in me by the Order No. 1 dated January 16, 1957, it is hereby certified that the herein described
crane/hoisting equipment was inspected/tested by the duly authorized representative of the Department of Labor and
Employment and has been found to be in a condition safe for operation at a working load not to exceed___.
Name of Establishment
Location of Crane/Hoisting Equipment
Manufacturer
Model/Serial No.
Type
Place of Origin
Date of Make
Power System
HP/KW Rating/Weight Capacity
Inspection Fee P
Official Receipt No.
Date
Regional Director
(Please Post This Permit Under Glass Near Crane/Hoisting Equipment)
