Notification of Designated Workplaces

If you are going to establish a designated work site, or if you have already established a designated work site and are changing the method of work or machinery, you are required to submit a notification of establishment (change) of the designated work site based on the Tokyo Metropolitan Ordinance on Ensuring the Health and Safety of Citizens (hereinafter referred to as the "Environmental Protection Ordinance").
Additionally, when establishing a designated work site, please confirm in advance whether it complies with other laws and regulations, such as the restrictions on industries and work site area by zoning as stipulated in the Building Standards Act and others.

Designated Workplaces

(The definition of the designated workplace is at the end of this page)

Procedure for Installation

Documents Required for Notification

1. "Notification of Designated Work Site Establishment (Change)" Form No. 16, Styles 1 and 2
2. Forms 1 to 12 of No. 16 (varies by industry).
3. Appendix List
4. Guide Map (Map of the Area Within 50 Meters)
5. Site and Building Layout Plan (Neighborhood Relationship Diagram)
6. Floor Plan (Facility Layout)
7. Elevation Drawing
8. Equipment Structural Diagram (Machine Catalog, etc.)

In addition, depending on the type of designated workplace, there are required attachments.

How to Create a Notification Form

• When creating, please write with a ballpoint pen or fountain pen if you are writing by hand.
• Please prepare two copies of the notification form, one original and one copy. You may use a duplicate paper for the copy. The copy will be provided after the completion inspection.
• Please refer to the example for instructions on filling out and creating the notification form.

Note: Regarding various notification documents, due to the abolition of seals, please correct any errors in the content by using double lines or similar methods.

Notes on Submission and Return of Notification Forms

• Please contact the city representative in advance and have the person responsible or the one intending to set up the designated work site come to the city office.
• Copies of the notification will generally be returned at a later date. If it is difficult for you to come to the office for the return, it will be sent by mail, so if you wish to have it mailed back, please attach a self-addressed envelope with the necessary postage when submitting the notification.

Example

• Example of Notification for Designated Workplaces (Word 118.0KB)

Form

• Form No. 13 (Related to Article 38) [Notification of Name Change] (Word 33.0KB)
• Form No. 14 (Related to Article 39) [Notification of Abolition] (Word 33.0KB)
• Form No. 15 (Related to Article 40) [Notification of Succession] (Word 33.5KB)
• Form No. 16 (Related to Article 41) Part 1 [Notification of Establishment (Change) of Designated Workplaces] (Word 38.0KB)
• Form No. 16 (Related to Article 41) No. 2 [Notification of Establishment (Change) of Designated Workplaces] (Word 41.0KB)
• Appendix 1 (Related to Form No. 16) [Ready-Mixed Concrete Manufacturing Plant or Cement Silo] (Word 47.5KB)
• Appendix 2 (Related to Form No. 16) [Automobile Parking Lot, Automobile Terminal, Gas Station, Liquefied Petroleum Gas Station, Natural Gas Station, Car Wash] (Word 39.5KB)
• Appendix 3 (Related to Form No. 16) [Waste Transfer or Storage Location, Waste Scrap Processing Facility, Material Storage Area] (Word 37.5KB)
• Appendix 4 (Related to Form No. 16) [Animal Mortality Handling Facility, Slaughterhouse or Livestock Barn] (Word 38.0KB)
• Appendix 5 (Related to Form No. 16) [Blueprint or Industrial Material Chemical Small Packaging Work Area] (Word 29.0KB)
• Appendix 6 (Related to Form No. 16) [Food Fumigation Site] (Word 33.5KB)
• Appendix 7 (Related to Form No. 16) [Business establishments with noodle manufacturing facilities, tofu or boiled bean manufacturing facilities, gravel extraction sites, and laundry facilities] (Word 40.5KB)
• Appendix 8 (Related to Form No. 16) [Facilities with Waste Oil Treatment Facilities, Facilities with Sludge Treatment Facilities, Facilities with Sewage Treatment Facilities, Facilities with Wastewater Treatment Facilities, Sewage Treatment Plants] (Word 64.5KB)
• Appendix 9 (Related to Form No. 16) [Facilities with heating hot air furnaces, boilers, gas turbines, diesel engines, gas engines, gasoline engines, and incinerators] (Word 63.0KB)
• Appendix 10 (Related to Form No. 16) [Facilities with Water Purification] (Word 59.5KB)
• Appendix 11 (Related to Form No. 16) [Facilities conducting research, testing, and inspection related to hospitals and scientific technology] (Word 60.5KB)
• Appendix 12 (Related to Form No. 16) [Structure of Groundwater Pumping Facilities] (Word 39.0KB)
• Form No. 18 (Related to Article 45) [Groundwater Pumping Volume Report] (Word 38.0KB)
• Appendix 1 (Related to Form No. 18) [Groundwater Pumping Record (For Statistical Use)] (Word 52.0KB)
• Appendix 2 (Related to Form No. 18) [Groundwater Pumping Record (For Each Facility)] (Word 51.0KB)
• Form No. 19 (Related to Article 46) [Accident Report] (Word 39.0KB)
• Form No. 20 (Related to Article 46) [Accident Recurrence Prevention Measures Plan] (Word 34.5KB)
• Form No. 21 (Related to Article 46) [Accident Recurrence Prevention Measures Completion Notification] (Word 33.0KB)
• Form No. 28 (Related to Article 51) [Report on the Usage of Chemical Substances under Proper Management] (Word 35.5KB)
• Attached Document (Form No. 28) [Usage of Properly Managed Chemical Substances] (Word 38.5KB)
• Form No. 29 (Related to Article 52) [Chemical Substance Management Manual] (Word 36.5KB)
• Appendix (Form No. 29) [Chemical Substance Management Method Document] (Word 37.5KB)
• Appendix Catalog (Word 32.5KB)

Soil Contamination Notification Form under the Tokyo Metropolitan Environmental Protection Ordinance

You can download Forms No. 30 to 33-2 for the notification under Article 116 of the Tokyo Environmental Protection Ordinance from the attached file.

• Form No. 30 (Related to Article 54-2) [Soil and Groundwater Contamination Countermeasure Plan] (Word 52.0KB)
• Form No. 31 (Related to Article 54) [Notification of Completion of Pollution Treatment and Pollution Diffusion Prevention Measures] (Word 37.0KB)
• Form No. 32 (Related to Article 55) [Soil Contamination Status Investigation Report] (Word 54.5KB)
• Form No. 32-2 (Related to Article 56) [Notification of Changes to Investigation Delay Confirmation Items] (Word 38.0KB)
• Form No. 32-3 (Related to Article 56-2) (Word 38.5KB)
• Form No. 33 (Related to Article 57) [Submission of Pollution Diffusion Prevention Plan] (Word 53.5KB)
• Form No. 33-2 (Related to Article 56-6) [Notification of Completion of Pollution Diffusion Prevention Measures] (Word 37.0KB)

Definition of Designated Workplaces

• Designated Workplaces (Word 35.5KB)