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Elevator and Related Equipment Operation Permit
BWC permit form for elevator and related 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 ELEVATOR AND RELATED EQUIPMENT
(This permit is valid only upon payment of inspection fee and expires one-year from date of inspection unless otherwise revoked)
EVDL No.
Date of Inspection:
Pursuant to Article 165, Chapter II, Book IV of the Labor Code of the Philippines (LCP), as amended and
its implementing rules and regulations. Rule 1220 of the Occupational Safety and Health (OSHS), as amended, it is
hereby certified that herein described elevator and related equipment, inspected by the duly authorized
representative of the Department of Labor and Employment has been found to be in condition safe for operation at a
load not to exceed __________ kg.
Name of Establishment
Address
Type of Elevator
Motive Power
Capacity
Built by
Speed
Elevator Used as
Inspection Fee P
Official Receipt No.
Date
Regional Director
(Please post this permit in a conspicuous place enclosed in a glass frame and accessible to all concerned inspecting authority)
