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