SI No. |
Form No. |
Description |
Download Emglish Version |
Download Malayalam Version |
1 |
Form No. 17 (Prescribed under Rule 123) |
- Health Register |
|
|
2 |
Form No. 18 (Prescribed under Rule 123 (4)) - |
Report of dangerous occurrence which does not result in bodily injury |
|
|
3 |
Form No. 19 |
Notice of poisoning or disease |
|
|
4 |
Form No. 20 (Prescribed under Rule 126) - |
ABSTRACT OF THE FACTORIES ACT, 1948 AND THE KERALA FACTORIES RULES, 1957 |
|
|
5 |
Form No. 21 (Prescribed under Rule 127) - |
Annual Return |
|
|
6 |
Form No. 22 (Prescribed under Rule 127) - |
Half Yearly Return |
|
|
7 |
Form No. 23 (Prescribed under Rule 12A) - |
Notice of Change of Manager |
|
|
8 |
Form No. 25 (Prescribed under Rule 130) - |
Muster Roll |
|
|
9 |
Form No. 26 (Prescribed under Rule 131) - |
Register of accidents, major accidents dangerous occurrences |
|
|
10 |
Form No. 27 (Prescribed under Rule 122) - |
Certificate of fitness for employment in hazardous processes/dangerous operations |
|
|
11 |
Form No. 28 (Prescribed under Rule 115 (3)) - |
Attendance Card |
|
|
12 |
Form No. 29 (Prescribed under Rule 81 A) - |
Certificate of fitness for employment in hazardous processes and operations |
|
|
13 |
Form no. 31 (Prescribed under Rule 129 A Schedule) - |
Register containing particulars of monitoring of working environment required under Section 7-A (2) (e) |
|
|
14 |
Form No. 32 (Prescribed under Rule 127 93(3)) - |
Details of Closure |
|
|
15 |
Form No. 33 (Prescribed under Rule 132) |
|
|
|
16 |
Form No. 34 (Prescribed under Rule 22 (1)) - |
Register of workers employed for work on or near moving machine |
|
|
17 |
Form No. 35 (Prescribed under Rule 132 and 133) - |
Particulars of rooms in the factory |
|
|
18 |
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. |
|
|
19 |
Form No. 37 (Prescribed under Rule 74 - A) - |
Register of examination of gasholders |
|
|
20 |
Form No. 38 (Prescribed under Rule 74 - A) - |
Report of examination of water-sealed gasholder |
|
|
21 |
Form no. 39 (Prescribed under Rule 122) - |
Certificate of fitness for dangerous operations |
|
|
22 |
Form No. 40 (Prescribed under Rule 122) - |
Test Report ……………………….. Dust Extraction system |
|
|
23 |
Form No. 41 (Prescribed under Rule 72) - |
Report of examination of hoists and lift |
|
|
24 |
Form no. 42 (Prescribed under Rule 122) - |
Certificate of Fitness |
|
|
25 |
Form No. 43 (Prescribed under sub-rule (4) of rules 81G) |
Record of eye examination of drivers and signalers of cranes, locomotives etc. |
|
|
26 |
Form No. (Prescribed under Rule 81AA) |
Site Appraisal Form |
|
|