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    DOSH 20 Notice of Use of Hoist or Lift

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    Stevens Elevator
    This document is a notice form requiring occupiers of premises with hoists or lifts to inform the Director of Occupational Safety and Health Services in writing within one month of first use. The form collects information such as the occupier's name and contact details, address and description of premises, nature of work, details of each hoist or lift, and last inspection date. It states that the completed notice should be sent to the Director of Occupational Safety and Health Services.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DOSH 20 Notice of Use of Hoist or Lift

    Uploaded by

    Stevens Elevator
    274 views1 page
    This document is a notice form requiring occupiers of premises with hoists or lifts to inform the Director of Occupational Safety and Health Services in writing within one month of first use. The form collects information such as the occupier's name and contact details, address and description of premises, nature of work, details of each hoist or lift, and last inspection date. It states that the completed notice should be sent to the Director of Occupational Safety and Health Services.

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    DOSH-20-Notice-of-use-of-Hoist-or-lift

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    This document is a notice form requiring occupiers of premises with hoists or lifts to inform the Director of Occupational Safety and Health Services in writing within one month of first use. The form collects information such as the occupier's name and contact details, address and description of premises, nature of work, details of each hoist or lift, and last inspection date. It states that the completed notice should be sent to the Director of Occupational Safety and Health Services.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    274 views1 page

    DOSH 20 Notice of Use of Hoist or Lift

    Uploaded by

    Stevens Elevator
    This document is a notice form requiring occupiers of premises with hoists or lifts to inform the Director of Occupational Safety and Health Services in writing within one month of first use. The form collects information such as the occupier's name and contact details, address and description of premises, nature of work, details of each hoist or lift, and last inspection date. It states that the completed notice should be sent to the Director of Occupational Safety and Health Services.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ML/DOSH/FORM 20 For official use only

    (To be filled in duplicate) Premises Reg. no.

    REPUBLIC OF KENYA ………………………..

    THE OCCUPATIONAL SAFETY AND HEALTH ACT, 2007, ACT NO. 15 OF 2007

    The Occupational Safety and Health Act requires that the occupier of any premises in which a hoist of lift is in use shall
    within one month after the date upon which the hoist or lift is first used, inform the Director of Occupational Safety and
    Health Services, in writing, of the address at which such hoist or lift is used.

    NOTICE OF USE OF HOIST(S) OR LIFT(S)


    I HEREBY GIVE NOTICE that I am using/intend to use* a hoist(s) or lift(s)* as below-
    1. Name of occupier of premises ……………………………………………………………………………
    (In the case of a firm which is not a limited
    Liability company, the names of each partner ………………..........……………….........................................................
    should be entered).
    2. (a) Situation of premises.. .. .. …………………………………………………………………………..
    (Give street and/or plot number, followed
    by name of County, etc.) …………....................…………………………………………………..

    (b) Postal address of occupier.. .. .. …………………………………………………………………………...

    (c) Email address .. .. .. ..................................................................................................................

    (d) Telephone............................................................. Mobile.................................................................................................

    3. Nature of the work carried on the premises …………………………………………………………………………...

    4. Number of hoists or lifts in use .. .. .. ……………………………………...........................................................

    PARTICULARS OF HOIST OR LIFT


    Hoist or Lift
    Type
    Maker’s Name.. .. .. .. .. .. .. .. .. ..
    Maker’s or other distinctive number .. .. ..
    Country and year of manufacture.. ..
    Number of floors served (including ground
    floor)
    Whether Power-operated (State “yes” or “No”)
    Speed .. .. .. .. .. .. .. .. .. .. ..
    Designed working load .. .. .. .. .. ..
    Drawings submitted on .. .. .. .. .. ..
    Last statutory inspection carried by
    Date of last statutory inspection
    Attach Manufacturer’s certificate of test

    The notice should be sent to the Director of Occupational Safety and Health Services, Ministry of Labour, P.O. Box 34120-
    00100, Nairobi Tel: 2667722, Email: [email protected], [email protected]

    Date……………………………….. ……………………………………………
    Signature of Occupier Premises
    *
    Delete as necessary
    †Where, under the terms of the lease, the owner of the hoist or lift is responsible for the maintenance he is deemed to be the occupier. The
    owner is also deemed to be the occupier if the premises are in the use or occupation of more than one person.

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