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Safety and Health

License, Registration, Inspection and Filing Fees
Document Description/Purpose Pages Download
License, Registration, Inspection and Filing Fees (Part 82) (CR 82) 4 Download
Amusement Devices, Viewing Stands and Tents (used at carnivals, fairs and amusement parks)
Document Description/Purpose Pages Download
Amusement Devices, Viewing Stands and Tents – Permit Information (SH 81)

Information on obtaining permits for:

  • amusement rides & devices
  • viewing stands
  • tents

at carnivals, fairs and amusement parks.

10 Download
SH 80 -- Application For Amusement Device, Viewing Stand and/or Tent Permit (SH 80)

Use this form to apply for a permit for an:

  • amusement device
  • viewing stand

tent permit

2 Download
Location Notice (SH 87)

Use this form to notify DOL of the location of:

  • amusement devices
  • viewing stands
  • tents

at carnivals, fairs and amusement parks.

2 Download
Equipment Inventory (SH 87.1)

Use this form to list the

  • amusement rides & devices
  • viewing stands
  • tents

that need inspection before use at a carnival, fair or amusement park.

1 Download
Daily Inspection & Test of Amusement Device (SH 86)

Use this form to notify the Dept of Labor as to the location of amusement devices, viewing stands and or tents used at carnivals, fairs and amusement parks.

2 Download
Inspección y prueba diarias de equipo de entretenimiento (SH 86s)

This is the Spanish Language version of the location notice. Use this form to notify the Dept of Labor as to the location of amusement devices, viewing stands and or tents used at carnivals, fairs and amusement parks.

2 Download
Statement of Load Test For Passenger Carrying Amusement Device (SH 88)

A required test to certify that an amusement device meets the conditions of Industrial Code Rule 45.

2 Download
Application for Examination of Plans (SH 700)

Application for DOL Engineering Unit to examine plans for viewing stands and tents.

2 Download
Asbestos - CR 56
Document Description/Purpose Pages Download
Asbestos - Effective 3/21/2007 (CR 56)

This revised regulation went into effect on March 21, 2007.

125 Download
Petition For an Asbestos Variance (SH 752)

Use this form to apply for relief from Code Rule 56 provisions

2 Download
CR 56 Asbestos - Guidance Document ()

Supplements CR 56 and helps with the application of the amended regulation. Supplements CR 56 and helps with the application of the amended regulation.

49 Download
Asbestos Handler Certificate (For workers handling asbestos.)
Document Description/Purpose Pages Download
Instructions for Asbestos Certificate Applications (SH 442) This form gives the qualifications for an Asbestos Certificate. It also tells what training, documents and fees needed. 2 Download
Asbestos Certificate Application (SH 440) Use this form to apply for a new certificate or to renew an existing certificate. 1 Download
Appendix to a License Application (GO 1) This child support obligation form must be completed and sent in with your application. 2 Download
Request for Photo ID Card (ID 5 DOL)

Use this form to request a photo ID from the New York State Department of Motor Vehicles if you do not have:

A New York State Drivers License

or

 A non driver ID

1 Download
Asbestos License (For companies working with asbestos.)
Document Description/Purpose Pages Download
Instructions on Applying for any Asbestos Handling License (SH 433)

How to apply for an Asbestos Handling License.

2 Download
Required Insurance (SH 439) 1 Download
Application for an Asbestos Handling License (SH 430) Use this form to apply for a new license or to renew an existing license. 4 Download
Asbestos Project Notification
Document Description/Purpose Pages Download
Asbestos Project Notification (SH 483)

You must complete this notification and send it to the Asbestos Control Bureau before beginning any project where you might release asbestos.

4 Download
Emergency Asbestos Project Notification (SH 483.1) Complete and email or fax this form to the Asbestos Notification Unit for approval to start an emergency project, instead of calling to request the approval. 1 Download
Blaster Certificate of Competence
Document Description/Purpose Pages Download
Possession, Handling, Storage and Transportation of Explosives (CR 39) This document has the text part 39 of department of labor regulations regarding possession, handling, storage and transportation of explosives. 48 Download
Occupational Licensing and Certification Part 61 of Title 12 of the Official Compilation of Codes, Rules, and Regulations of the State of New York (Cited as NYCRR 61) (CR61)

This document contains SubParts:      

  • 61-1 General Provisions
  • 61-2 Special Provisions for Pyrotechnicians
  • 61-3 Special Provisions for Crane Operators
  • 61-4 Special Provisions for Blasters
  • 61-5 Special Provisions for Mobile Laser Operators
24 Download
Fingerprint Screening Instructions (SH 881)

Fingerprinting instructions and information on who needs to be fingerprinted.

1 Download
Information and Instruction for Applicants (SH 811) Information and instructions on applying for a Blaster Certificate of Competence. 2 Download
Application for a Blaster’s Certificate of Competence (SH 810) Use this application to apply for a new, or to renew an existing Blaster’s Certificate of Competence. 2 Download
Request for Photo ID Card (ID 5 DOL)

If you do not have a New York State Drivers License or non driver ID you should use this form to request a photo ID from the New York State Department of Motor Vehicles.

1 Download
Boiler Inspection
Document Description/Purpose Pages Download
Part 4 – Low Pressure Boilers (CR 4)

Details the requirements for installing, inspecting and maintaining low pressure boilers.

32 Download
Part 14 – High Pressure Boilers (CR 14)

Details the requirements for installing, inspecting and maintaining high pressure boilers and for constructing unfired pressure vessels.

66 Download
Petition For a Variance or Other Relief (SH 751)

Use this form to apply for relief from the provisions of CR 4 and CR 14.

2 Download
Boiler Inspector Certificate of Competence
Document Description/Purpose Pages Download
Application for Boiler Inspector Certificate of Competence (SH 332)

Use this form to apply for Application for Boiler Inspector Certificate of Competence

1 Download
Boiler Quality Control System Review
Document Description/Purpose Pages Download
Quality Control System Review Information Sheet (SH 381)

This information sheet gives the requirements you must meet for a quality control system review. It also explains how to apply and schedule a quality control system review.

2 Download
Application for a Quality Control System Review (SH 380)

Use this form to apply for a quality control system review for obtaining authorization to perform welded repairs on boilers in New York State.

1 Download
Application for Permission to Install a Second-Hand Boiler (SH 310)

Use this form to apply for permission to install a second-hand boiler. Do not buy or install until NYS grants permission.

1 Download
Crane Operator Certificate of Competence
Document Description/Purpose Pages Download
Subpart 23-8 - Mobile Cranes, Tower Cranes and Derricks (CR 23) This document has the text of Subpart 23-8 of Department of Labor regulations regarding mobile cranes, tower cranes and derricks. 13 Download
Occupational Licensing and Certification Part 61 of Title 12 of the Official Compilation of Codes, Rules, and Regulations of the State of New York (Cited as NYCRR 61) (CR61)

This document contains SubParts:      

  • 61-1 General Provisions
  • 61-2 Special Provisions for Pyrotechnicians
  • 61-3 Special Provisions for Crane Operators
  • 61-4 Special Provisions for Blasters
  • 61-5 Special Provisions for Mobile Laser Operators
30 Download
Information & Instructions For Applicants (SH 831) Information on who should apply, and how to apply for a crane operator’s certificate of competence. 1 Download
Application for Crane Operator's Certificate of Competence (SH 830) Use this application to apply to take the crane exam or for upgrading an existing Crane Operator's Certificate of Competence. 2 Download
Renewal Application for Crane Operator's Certificate of Competence (SH 847) Use this application to renew an existing Crane Operator's Certificate of Competence. 1 Download
Appendix to a License Application (GO 1)

You must fill out this child support and sent it in with your application.

2 Download
Request for Photo ID Card (ID 5 DOL)

If you do not have a New York State Drivers License or non driver ID you should use this form to request a photo ID from the New York State Department of Motor Vehicles.

1 Download
Explosive Licenses
Document Description/Purpose Pages Download
Possession, Handling, Storage and Transportation of Explosives (CR 39)

Part 39 of DOL regulations on:

  • possession
  • handling
  • storage
  • transportation

of explosives.

48 Download
Fingerprint Screening Instructions (SH 881)

Fingerprinting instructions and information on who needs to be fingerprinted.

1 Download
Information and Instructions to Apply for an Explosives License to Purchase, Own, Possess and/or Transport Explosives (SH 851)

This form has information and instructions on how to apply for an explosives license to purchase, own, possess and/or transport explosives.

2 Download
Application for License to Purchase, Own, Possess and/or Transport Explosives (SH 850) Use this application to apply for a license to purchase, own, possess and/or transport explosives. 2 Download
Application for License to Deal in or Manufacture Explosives (SH 860) Use this application to apply for a license, or to renew an existing license, to deal in or manufacture explosives. 2 Download
Required Insurance (SH 439) This form lists the acceptable proof of Workman’s Compensation and Disability Insurance. 1 Download
How to Apply To Deal in or Manufacture Explosives (SH 861)

Read this form to learn general information and instructions on how to apply for an Explosives License. This information is not valid in New York City.

2 Download
Explosives Storage Information (SH 51)

You must have two completed copies of this form with your application for a new, or to renew an existing, explosives license.

1 Download
Laser Registrations and Notifications
Document Description/Purpose Pages Download
Registration of Mobile Lasers and Laser Installations (SH 280) Use this application to register mobile lasers and laser installations. 1 Download
Notice of Intent to Use Mobile Lasers at Temporary Job Site(s) (SH 281) Use this form to notify the department of mobile laser displays at temporary sites. 1 Download
Mobile Laser Operator Certificate of Competence
Document Description/Purpose Pages Download
Mobile Laser Operator Certificate of Compliance (CR 50)

This document has the text Part 50 of DOL regulations regarding mobile laser certificates of competence.

16 Download
Occupational Licensing and Certification Part 61 of Title 12 of the Official Compilation of Codes, Rules, and Regulations of the State of New York (Cited as NYCRR 61) (CR61)

This document contains SubParts:      

  • 61-1 General Provisions
  • 61-2 Special Provisions for Pyrotechnicians
  • 61-3 Special Provisions for Crane Operators
  • 61-4 Special Provisions for Blasters
  • 61-5 Special Provisions for Mobile Laser Operators
30 Download
Application for a Laser Operator’s Certificate of Competence (SH 275) Use this application to apply for a Mobile Laser Operator’s Certificate of Competence. 2 Download
Instructions to Complete Mobile Laser Operator Application (SH 276) Instructions and information on applying for a Mobile Laser Operator Certificate of Competence. 1 Download
Request for Photo ID Card (ID 5 DOL)

If you do not have a New York State Drivers License or non driver ID you should use this form to request a photo ID from the New York State Department of Motor Vehicles.

1 Download
Public Employee Safety & Health Publications and Forms
Document Description/Purpose Pages Download
Public Employee Safety and Health Complaint (PESH 7) Use this form to file a complaint with the New York State Department of Labor Public Employee Safety and Health Bureau. 2 Download
Employees’ Rights and Responsibilities (SH 906) This form gives employees an understanding of how the NYS Public Employee Safety & Health Act of 1980 works for them. 2 Download
Employer Rights and Responsibilities (SH 907) This form gives employers an understanding of how the NYS Public Employee Safety & Health Act of 1980 works for them. 2 Download
Closing Conference (SH 904) This form provides information for those cases in which violations were found. 4 Download
PESH Permissible Exposure Limits (Part 800.5)

This document describes the limits on an employee’s exposure to certain chemicals and substances.

135 Download
Title 12 Official Compilation or Codes, Rules and Regulations of the State of NY (Part 801-805)

Title 12 Official Compilation or Codes, Rules and Regulations of the State of NY.  Part 801, 802, 803, 804 and 805

36 Download
CR 800.6 Public Employer Workplace Violence Prevention Programs (CR 800.6) This document contains the complete text of Part 800.6 of the regulations of New York State . 8 Download
CR 800.7 Emergency Escape and Self Rescue Ropes and System Components for Firefighters (CR 800.7) This document contains the full text of Part 800.7 of the Regulations of State of New York. 4 Download
CR 820 Toxic Substances (CR 820) NYS Right-to-Know law and regulation. This document contains the full text of Part 820 of the Regulations of State of New York and Article 28 of the New York State Labor Law. It gives the requirements for training employees on handling toxic substances. 10 Download
Petition for a permanent variance or alternative compliance agreement (SH 780)

Use this form to apply for a variance from, or alternate agreement to comply with, a notice of violation.

1 Download
Log of Work Related Injuries and Illnesses Form (SH 900)

Log of Work Related Injuries and Illnesses Form

1 Download
Summary of Work Related Injuries – Sickness (SH 900.1) Use this summary to report any work related injuries or sickness. 2 Download
Petition for Modification of Abatement Date (SH 971)

Form to petition for a modification of an abatement date.

2 Download
Labor Law Information Relating to Public Employees (SH 908) 1 Download
Field Operation Manual (FOM)

Provides guidance regarding some of the internal operations of PESH.

374 Download
Performer
Document Description/Purpose Pages Download
AV-121 -- Applicable Variance for Aerial Performers flying over an audience (AV-121)

Applicable variance for aerial performers flying over an audience.

4 Download
Pyrotechnician
Document Description/Purpose Pages Download
Occupational Licensing and Certification Part 61 of Title 12 of the Official Compilation of Codes, Rules, and Regulations of the State of New York (Cited as NYCRR 61) (CR61)

This document contains SubParts:      

  • 61-1 General Provisions
  • 61-2 Special Provisions for Pyrotechnicians
  • 61-3 Special Provisions for Crane Operators
  • 61-4 Special Provisions for Blasters
  • 61-5 Special Provisions for Mobile Laser Operators
30 Download
Fingerprint Screening Instructions (SH 881)

Fingerprinting instructions and information on who needs to be fingerprinted.

1 Download
Instructions for Completing the Pyrotechnician’s Application (SH872) Information who should apply and how to apply for a Pyrotechnician Certificate of Competence. 1 Download
Renewal Instructions for the Pyrotechnician Certificate of Competence (SH 874) Information on how to renew your Pyrotechnician Certificate of Competence 1 Download
Application for a Pyrotechnician’s Certificate of Competence (SH870)

You must have two signed copies with your application for a new or to replace an existing pyrotechnician application.

2 Download
Request for Photo ID Card (ID5 DOL)

If you do not have a New York State Drivers License or non driver ID you should use this form to request a photo ID from the New York State Department of Motor Vehicles.

1 Download
Window Cleaning Equipment
Document Description/Purpose Pages Download
Petition for a Variance or Other Relief (SH 751)

Use this form to apply for relief from the provisions of CR 4 and CR 14.

2 Download
Application for Approval of Installation or Device (SH 753)

Use this form to request an approval for an installation or device. Instructions and general information are on the back of the form.

2 Download
Workplace Safety & Loss Prevention Program
Document Description/Purpose Pages Download
Workplace Safety and Loss Prevention Program (CR 59)

Text of Part 59 New York State Department of Labor regulations.

19 Download
Workplace Safety & Loss Prevention Incentive Program (Safety, Drug & Alcohol Prevention, and Return to Work Incentive Programs) (CR 60)

Text of Part 60 New York State Department of Labor regulations.

21 Download
Application for Workplace Safety & Loss Prevention Consultant and Specialist Certifications and Renewals (SH 890) Use this form to apply for a Workplace Safety & Loss Prevention Consultant and/or Specialist Certificate(s). Print, fill in and mail to the address provided. 7 Download
Workplace Safety & Loss Prevention Incentive Program Safety Incentive Program - Section 1.13 Evaluation Report (SH 926) Specialists should use this form to evaluate an employer's Safety program under the Workplace Safety and Loss prevention Incentive Program (ICR 60).  Fill out and submit to the employer. 9 Download
Workplace Safety & Loss Prevention Incentive Program Application for Approval (SH 927) Employers should use this form to apply for a credit under the Workplace Safety and Loss Prevention Incentive Program (ICR 60).  Fill out and send to the address provided. 4 Download
Workplace Safety & Loss Prevention Incentive Program Drug and Alcohol Prevention Program - Section 1.14 of ICR 60 Evaluation Report (SH 928) Specialists should use this form to evaluate an employer's Drug and Alcohol Prevention program under the Workplace Safety and Loss Prevention Incentive Program (ICR 60).  Fill out and submit to the employer. 9 Download
Workplace Safety & Loss Prevention Incentive Program Return to Work Program - Section 1.15 Evaluation Report (SH 929)

Specialists should use this form to evaluate an employer's Return to Work program under the Workplace Safety and Loss Prevention Incentive Program (ICR 60).  Fill out and submit to the employer.

 

10 Download
Workplace Safety and Loss Prevention Incentive Program Drug and Alcohol Prevention Program Annual Report (SH 930)

Employers must submit this report to receive incentive credit for the second and third years.

4 Download
Workplace Safety and Loss Prevention Incentive Program Return to Work Program Annual Report (SH 931)

Employers must submit this report to receive incentive credit for the second and third years.

4 Download
Workplace Safety & Loss Prevention Incentive Program Safety Program Annual Report (SH 932)

Employers must submit this report to receive incentive credit for the second and third years.

4 Download
Workplace Safety & Loss Prevention Incentive Program Employer Request for DOL Evaluation (SH 934)

Employers use this form request an evaluation by the Department of Labor.

2 Download
Workplace Safety and Loss Prevention Incentive Program Appendix A (SH 933)

Use this to add further information to your application.

4 Download
Workplace Safety & Loss Prevention Incentive Program Application for Approval Instructions (SH 939)

Application for approval of a Workplace Safety & Loss Prevention Incentive Program form (SH 927) instructions.

 

2 Download
Workplace Safety & Loss Prevention Incentive Program Evaluation Report Instructions (SH 940)

Instructions for filling out the following programs:

  • Safety Incentive Programs (SH 926)
  • Drug and Alcohol Prevention Programs (SH 927)
  • Return to Work Programs (SH 928)
2 Download
Workplace Safety and Loss Prevention Incentive Program Employer Renewal Application (SH 941) Submit this application with an annual report to the Department of Labor. 3 Download

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