Dosh activity notification form 2025

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The document is an Activity Notification Form from the California Department of Industrial Relations, specifically for holders of annual permits related to scaffolding, falsework, and trenches/excavations. It requires notification to the Division of Occupational Safety and Health (DOSH) before commencing work, detailing project specifics such as location, type of activity, and safety measures. The form must be completed by a knowledgeable person and includes instructions for compliance with safety regulations.

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Click ‘Get Form’ to open the dosh activity notification form in the editor.
Begin by entering your company name and contact information in the designated fields. Ensure accuracy for effective communication.
Fill in the Annual Permit Number and Issuing Region, which are crucial for identifying your project within the system.
Specify the activity location, number of employees involved, and nearest major cross street. This information helps in project assessment.
Indicate the starting date and anticipated completion date of your project. This timeline is essential for compliance monitoring.
For scaffolding, falsework, or trenches/excavations, complete the relevant sections by providing details such as height, material type, and ground protection methods.
Designate a competent person responsible for overseeing safety measures during excavation projects as required by regulations.
Finally, review all entered information for accuracy before signing and dating the form to certify its correctness.

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Versions	Form popularity	Fillable & printable
2006	4.8 Satisfied (281 Votes)
1994	4.4 Satisfied (231 Votes)

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