SEARCH
Philippine Government Forms All in One Location
Tweet
Share
Internal Combustion Engine Permit
BWC permit form for internal combustion engine
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 INTERNAL COMBUSTION ENGINE
(This permit is valid only upon payment of inspection fee and expires one-year from date of inspection unless otherwise revoked)
ICE 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 1180 of the Occupational Safety and Health (OSHS), as amended, it is
hereby certified that herein described internal combustion engine, inspected by the duly authorized representative of
the Department of Labor and Employment has been found to be in condition safe for operation.
Name of Owner/User
Address
Manufacturer or Brand Name
Bore and Stroke
No. of cylinders and cycles
Revolution per minute
Kind of drive
Horsepower Rating
Weight of Engine
Kind of ICE
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 )
