Occupational Safety and Health

Advisory Committee

• Application Form

Boilers & Elevators

• Authorization for Repair/Alteration Application
• New HIOSH BE Certificate of Competency Application
• Request for Elevator Permit Renewal Inspection
• Elevator Out of Service Certification
• Installation Permit Application:
  • Boiler
  • Elevator Installation – Online application to install a NEW elevator, escalator or moving walk, dumbwaiter, disability lift, material lift and/or personnel hoist, effective August 6, 2013. Note: Applications by mail or in person are no longer accepted.
  • Elevator Alteration – Note: As of August 6, 2013, this form should be used ONLY for alterations of elevators and kindred equipment. For installation of new equipment, use the online form linked above.
• Application For Review of NB/ASME Certificate of Authorization
• Non-Boiler External Piping (NBEP):
  • Certificate of Authorization to Fabricate/Repair Application
  • Repair/Installation Application
• Elevator Notice of Sale Form (Rev. 9-23-14)

Certificate of Fitness for Explosives

• Certificate of Fitness Application

Consultation

• Request Form-20

Certified Safety and Health Professional

• Application
• Experience
• Reference Questionnaire Form

Hoisting Machine Operators Advisory Board

• Application for Certification (Revised July 2016)
• Apply for and Renew Your Hoisting Machine Operator Certification

Recordkeeping

• Form 300 – Log of Work-Related Injuries & Illnesses
• Form 300A – Summary of Work-Related Injuries & Illnesses

Voluntary Protection Program (VPP)

• Application Form