Chapter 3: EHS Forms

EHS Form No. 101

Sanitary Permit to Operate

EHS Form No. 102-A

Health Certificate for Food Handlers (Cream Color)

EHS Form No. 102-B

Health Certificate for Non-food Handlers (Light Green Color)

EHS Form No. 102-C

Health Certificate for Massage Clinic Attendants, Receptionist, Hostesses, Hospitality Girls/Boys, etc. (Pink Color)

EHS Form No. 103-A

Sanitary Inspection of Food Eatablishment

EHS Form No. 104-A

Sanitation Standard "Excellent"

EHS Form No. 104-B

Sanitation Standard "Very Satisfactory"

EHS Form No. 104-C

Sanitation Standard "Satisfactory"

EHS Form No. 105-A

-Classification of Food Establishment

-Complies with the Standard of the DOH

-("A")

-Luminous Green

EHS Form No. 105-B

-Classification of Food Establishment

-Complies with the Standard of the DOH

-("B")

-Luminous Yellow

EHS Form No. 105-C

-Classification of Food Establishment

-Complies with the Standard of the DOH

-("C")

-Red-Orange

EHS Form No. 106

Transfer Permit

EHS Form No. 107

Sanitary Order

EHS Form No. 108

Compliance to Sanitary Order Issued

EHS Form No. 109

In-House Inspection Record for Food Operators

EHS Form No. 110

Application Form (Re:Issuance/Renewal of Sanitary Permit)

EHS Form No. 111

Request for Classification/Upgrading of Classification of Food Establishment

EHS Form No. 112

Mission Order

EHS Form No. 113

Official Receipt

EHS Form No. 114

Sanitary Complaint

EHS Form No. 118

Notice of Hearing

EHS Form No. 121

Sanitary Survey

EHS Form No. 116

Food Establishment Index Card (back page of EHS Form No. 114)