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What is the purpose of the Activity Notification Form?
The form is used by holders of annual permits to notify the Department of Industrial Relations (DOSH) before commencing work on scaffolding, falsework, or trenches/excavations.
How should I submit the completed notification form?
The completed form can be faxed to the nearest DOSH office. Do not mail duplicate notifications after faxing.
What information is required on the form?
You need to provide details such as company name, annual permit number, specific activity location, number of employees, starting and anticipated completion dates, and whether high voltage lines are in proximity.
Is a professional engineer required for certain activities?
Yes, if your project involves scaffolding over 60 feet or metal structures over 125 feet, you must have designs by a California Registered Civil Engineer.
What should I do if my excavation is deeper than 20 feet?
Ground protection methods for excavations deeper than 20 feet must be designed by a Registered Professional Engineer.
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