Hazardous Materials Forms

PDF format

It is in PDF file format, so please print it out for your use.
Note: It is recommended to use plain paper for printing, and the print size is A4.
Thermal printers cannot accept thermal paper.

Facilities that store or handle hazardous materials in quantities exceeding the specified amount

• Installation Permit Application Form (PDF 104.5 KB)
• Change Permit and Temporary Use Approval Application Form (PDF 112.8 KB)
• Completion Inspection Application Form (PDF 101.2 KB)
• Reissuance Application Form for Completion Inspection Certificate (PDF 78.8 KB)
• Reissuance Application Form (Permit, Tank Inspection Certificate) (PDF 79.5 KB)
• Application Form for Provisional Use Approval (PDF 82.4 KB)
• Application Form for Provisional Storage and Handling Approval of Hazardous Materials (PDF 104.5 KB)
• Application Form for Approval of Establishment or Amendment of Prevention Regulations (PDF 85.0 KB)
• Notification of Withdrawal of Application (PDF 72.8 KB)
• Abolition Notification Form (PDF 107.2 KB)
• Notification Form for Changes in Product Name, Quantity, or Multiples of the Specified Quantity (PDF 84.4 KB)
• Notification Form for Appointment or Dismissal of Safety Supervisor (PDF 80.9 KB)
• Notification Form for Transfer and Delivery (PDF 88.8 KB)
• Document Submission Form (Minor Changes Requiring Confirmation) (PDF 66.7 KB)
• Document Submission Form (Work Using Fire) (PDF 61.5 KB)
• Document Submission Form (Suspension and Resumption) (PDF 80.4 KB)
• Certificate of Practical Experience (PDF 95.9 KB)

Facilities that are more than one-fifth but less than the specified quantity

• Notification of Establishment of Small Quantity Hazardous Materials Storage and Handling Facility (PDF 68.6 KB)
• Notification of Discontinuation of Small Quantity Hazardous Materials Storage and Handling Facility (PDF 64.0 KB)

About the Regular Inspection Record

Please click the following link for the inspection sheet of each facility.

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Word format

It is in Word file format, so please print it out and bring it to the counter.
Note: It is recommended to use plain paper for printing, and the print size is A4.
Thermal printers cannot accept thermal paper.

Facilities that store or handle hazardous materials in quantities exceeding the specified amount

• Installation Permit Application Form (Word 41.0 KB)
• Change Permit Application Form (Word 42.0 KB)
• Application Form for Change Permission and Provisional Use Approval (Word 40.5 KB)
• Application Form for Completion Inspection (Word 34.5 KB)
• Application Form for Reissuance of Completion Inspection Certificate (Word 35.0 KB)
• Reissuance Application Form (Permit, Tank Inspection Certificate) (Word 37.5 KB)
• Application Form for Provisional Use Approval (Word 34.0 KB)
• Application Form for Provisional Storage and Handling Approval of Hazardous Materials (Word 21.0 KB)
• Application Form for Establishment/Amendment Approval of Preventive Regulations (Word 36.5 KB)
• Notification of Withdrawal of Application (Word 37.0 KB)
• Notification of Abolition (Word 37.0 KB)
• Notification of Change in Product Name, Quantity, or Multiple of Specified Quantity (Word 36.0 KB)
• Notification of Appointment or Dismissal of Safety Supervisor (Word 37.0 KB)
• Notification of Transfer and Delivery (Word 38.0 KB)
• Document Submission Form (Minor Changes Requiring Confirmation) (Word 36.5 KB)
• Document Submission Form (Work Using Fire) (Word 33.5 KB)
• Document Submission Form (Suspension and Resumption) (Word 36.5 KB)
• Certificate of Practical Experience (Word 18.8 KB)

Facilities that are more than one-fifth but less than the specified quantity

• Small Quantity Hazardous Materials Storage and Handling Facility Installation Notification Form (Word 37.5 KB)
• Small Quantity Hazardous Materials Storage and Handling Facility Abolition Notification Form (Word 36.5 KB)

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