Forms

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

 

 

 Form 1 Forms under Factories Act, 1948 and Kerala Factories Rules, 1957

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 Form 2 English

 Form 2 Malayalam

 (Prescribed under Rule 4 and 12 )- Application for Registration and Grant of Amendment of Licence And notice of occupation

 Form 3 (Prescribed under Rule No. 3 (4)) -  Certificate of Stability

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 Form 4 (Prescribed under Rule 5) -  Licence to work  a factory

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 Form 5  (Prescribed under Rule 14) -  Certificate of fitness for young person

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 Form 6 (Prescribed under Rule 22) -  Humidity Register

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 Form 7 (Prescribed under Rule 15) -  Record of Lime washing, painting, etc

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 Form 8 (Prescribed under Rule 74) -  Report of examination or test of pressure vessels or plant

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 Form  9(Prescribed under Rule 103) -  Register of Compensatory Holidays

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 Form No. 10 (Prescribed under Rule  10 -  Overtime, register for exempted workers

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 Form No. 11(Prescribed under Rule 106) -  Notice of periods of work for adult workers

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 Form No. 12(Specified under Rule 107) -  Register of adult workers

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 Form No. 13(Prescribed under Rule 112) -  Notice of periods of work for child workers

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 Form No. 14 (Prescribed under Rule 113) -  Register of child Workers

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 Form No. 15(Prescribed under Rule 114) -    Register of leave with wages

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 Form No. 16(Prescribed under Rule 115) -  Leave Book

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(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) -  Health Register

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

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 Form No. 19- Notice of poisoning or disease

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

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

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

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

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

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

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

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

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

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

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

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 Form No. 33 (Prescribed under Rule 132)

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

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

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 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.

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

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

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

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

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

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

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

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 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

FORM OF APPLICATION FOR GRANT OF CERTIFICATE OF COMPETENCY TO AN INSTITUTION UNDER
SUB-RULE (2) OF RULE 2A

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