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Steam Boiler Operation Permit
BWC permit form for steam boiler 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 STEAM BOILER
(This permit is valid only upon payment of inspection fee and expires one-year from date of inspection unless otherwise revoked)
DL 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 1160 of the Occupational Safety and Health (OSHS), as amended, it is
hereby certified that herein described boiler, 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 pressure not to exceed ______
psig.
Name of Owner/User
Location of Boiler
Type and Kind of Boiler
Date Make
Boiler Brand Name or Manufacturer
Place of Origin
Horsepower Rating
MAWP
Thickness of shell and size of Boiler
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 )
