SEARCH
Philippine Government Forms All in One Location
Tweet
Share
Power Piping Line Operation Permit
BWC permit form for power piping line 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. ___
POWER PIPING LINE OPERATION PERMIT
(This permit is valid only upon payment of inspection fee and expires one-year from date of inspection unless otherwise revoked)
PPLDL No
Date of Inspection:
Pursuant to Article 165, Chapter II, Book IV of Labor Code of the Philippines, as amended, and its
Implementing Rules and Regulations, Rule 1240 of the Occupational Safety & Health Standards, it is hereby
certified that the herein described piping lines, inspected by the duly authorized representative of the Department of
Labor and Employment has been found to be in a condition safe for operation at a pressure not to exceed
206 kg/cm2.
Name of Establishment:
._____________________________________________
Location/Address: _____________________________________________________
Nature of Work or Process: ______________________________________________
Pipeline Contents: _______ _____________________________________________
Schedule No. & Inside Diameter:_________________________________________
Total pipe line equivalent length:_ ________________________________________
Total volume of pipe line under presure:_.__________________________________
Inspection Fee P
Official Receipt No.
Date
Regional Director
(Please Post This Permit In A Conspicuous Place)
