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JICOSH Home > Guidelines > Guidelines for Certification of Compliance with Industrial Safety and Health Law GLP concerning Test Facilities, etc.
Guideline

Guidelines for Certification of Compliance with
Industrial Safety and Health Law GLP concerning Test Facilities, etc.

In Japanese
Form 1
Application for Certification of Compliance with Industrial Safety and
Health Law GLP concerning test facilities, etc.
Date

For the attention of
Director-General of Labour Standards Bureau of
Ministry of Health, Labour, and Welfare
Name
Address Seal

  I would like to submit the application together with the materials separately attached because I like to receive certification of compliance for the following test facilities pursuant to the provisions of No. 3 of Guidelines for Certification of the Compliance with Industrial Safety and Health Law GLP concerning test facilities, etc.

Note
1 Name of the test facilities, etc.
2 Location of the test facilities, etc.
3 Date of the last certification received if certification of compliance was received in the past
4 Test items for which certification of compliance are intended to be received

Note 1 The paper size shall be JIS A4 paper size.
Note 2 Enter the location of the principal office in the column of address in the case of corporation.
Note 3 Enter the name of the corporation and the name of the representative in the column of the name in the case of corporation.



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