Forms

Forms under Factories Act, 1948 and Kerala Factories Rules, 1957

 

 

(Shall be the same as “Register of Leave with wages” (Form No. 15) but shall be made out separately for giving to each worker on a thick sheet).

 

 

 Form No. 17(Prescribed under Rule 123) -  Report of accident including dangerous  occurrence resulting in death   or  bodily injury

 Form No. 18(Prescribed under Rule 123 (4)) - Report of dangerous occurrence which does  not result in bodily   injury

 Form No. 19- Notice of poisoning or disease

 Form No. 20  (Prescribed under Rule 126) -  ABSTRACT OF THE FACTORIES ACT, 1948 AND  THE KERALA FACTORIES   RULES, 1957

 Form No. 21   (Prescribed under Rule 127) -  Annual Return

 Form No. 22 (Prescribed under Rule 127) -  Half Yearly Return

 Form No. 23   (Prescribed under Rule 12A) - Notice of Change of Manager

 Form No. 25   (Prescribed under Rule 130) -  Muster Roll

 Form No. 26 (Prescribed under Rule 131) -   Register of accidents, major accidents dangerous occurrences

 Form No. 27  (Prescribed under Rule 122) -  Certificate of fitness for employment in hazardous  processes/dangerous operations

 Form No. 28   (Prescribed under Rule 115 (3)) -  Attendance Card

 Form No. 29   (Prescribed under Rule 81 A) - Certificate of fitness for employment in hazardous processes and operations

 Form No. 31 (Prescribed under Rule 129 A Schedule) - Register containing particulars of monitoring of working environment required under Section 7-A (2) (e)

 Form No. 32   (Prescribed under Rule 127 93(3)) -  Details of Closure

 Form No. 33 (Prescribed under Rule 132)

 Form No. 34 (Prescribed under Rule 22 (1)) -  Register of workers employed for work on or near  moving machine

 Form No. 35 (Prescribed under Rule 132 and 133) -  Particulars of rooms in the factory

 Form No. 36  (Prescribed under Rule 119) -  Nomination for payment of wages in lieu of the quantum of leave to   which he was entitled in the event of death of worker.

 Form No. 37   (Prescribed under Rule 74 - A) - Register of examination of gasholders

 Form No. 38    (Prescribed under Rule 74 - A) - Report of examination of water-sealed gasholder

 Form No. 39   (Prescribed under Rule 122) - Certificate of fitness for dangerous operations

 Form No. 40    (Prescribed under Rule 122) - Test Report ………………………..  Dust Extraction system

 Form No. 41   (Prescribed under Rule 72) -   Report of examination of hoists and lift

 Form No. 42   (Prescribed under Rule 122) -  Certificate of Fitness

 Form No. 43   (Prescribed under sub-rule (4) of rules 81G)

 Site Appraisal Form (Prescribed under Rule 81AA)

 

Forms under The Manufacture, Storage, and Import of Hazardous Chemicals Rules , 1989 and The Control of Major Industrial Accident Hazard (Kerala) Rules, 1993

 

 Material Safety Data Sheet 

 Information to be furnished regarding notification of a major accident

 Information to be furnished for the notification of activities/sites

 Information to be furnished in a safety report

 Details to be furnished in the On- Site emergency plan

 

Forms under Indian Boilers Act, 1923 and Kerala Boilers Rules, 1967

 

 Fee schedule for registration/inspection of

                             i.    Boilers S.R.O. No. 1153/2001 dated 20-12-2001 

                            ii.    Economiser S.R.O. No. 1154/2001 dated 20-12-2001

 Application for Certificate of Competency as Boiler Attendant (form A)  DOWNLOAD HERE

 Application for the inspection of boilers and steam pipes (form B1)

 Report in to the investigations of the accident to boiler (form C)

Application for Welder Test (form D)

Application for Appointment/ Recognition as Approved Boiler Repairer/ Erector (form E)

 Application for BOE Examination

  Concerned Departments Government Orders/ Notifications

FORM OF APPLICATION FOR GRANT OF CERTIFICATE OF COMPETENCY TO A PERSON UNDER SUB-RULE (1) of RULE 3 A

FORM OF APPLICATION FOR GRANT OF CERTIFICATE OF COMPETENCY TO AN INSTITUTION UNDER SUB-RULE (1) OF   RULE 3 A

QUESTIONNAIRE FORM FOR REPAIRER OF BOILERS/ECONOMISER/STEAM LINE/FEED WATER LINES ETC. UNDER THE INDIAN BOILER REGULATIONS, 1950

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