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Information For Citizen
Consolidated Annual Return
Nagrik Adhikar Patra
Required Form (THE FACTORIES Act, 194 8)

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No.
Form and Detail
1) FORM NO. 1 (Prescribed under Rule 3)
2) FORM NO. 1-A (Prescribed under Rule 3-C)
Certificate of Stability
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  FORM NO. 1-B (Prescribed under Rule 68.1)
Application to the site appraisal committee
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3) FORM NO. 2 (Prescribed under Rule 4)
Application for Registration
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4) FORM NO. 3 (Prescribed under Rule 4 and 7)
Application for renewal of license
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5) FORM NO. 3-A (Prescribed under Rule 12A)
Notice of change of manager
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6) FORM NO. 6 (Prescribed under Rule 23)
Humidity Register
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7) FORM NO. 7 (Prescribed under Rule 17)
Record of Lime washing, painting, etc.
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8) FORM NO. 8 (Prescribed under paragraph 5(1)(c) of Schedule VI to Rule 54 and Rule 55)
Register of worker employed for work on or near moving machinery.
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9) FORM NO. 9 (Prescribed under Rule 58)
Report of examination of hoists and lifts
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10) FORM NO. 10 (Prescribed under Rule 60)
Report of Examination of the lifting machines, ropes and lifting tackles

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11) FORM NO. 11 (Prescribed under Rule 61)
Report of examination or test of pressure vessel or plant.

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12) FORM NO. 11-A (Prescribed under Rule 61-A)
Report of Examination of Water-sealed gasholder
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13) FORM NO. 12 (Prescribed under Rule 84)
Register of Compensatory Holidays

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13) FORM NO. 13 (Prescribed under rule 85)
Overtime register for exempted workers
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14) FORM NO. 14 (Prescribed under Rule 87)
Notice of period of work for adult workers

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15) FORM No. 15 (Prescribed under rule 88)
Register of adult workers

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16) FORM NO. 16 (Prescribe under Rule 92)
Notice of periods of work for child workers

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17) FORM NO. 17 (Prescribe under Rule 93)
Register of Child Workers

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18) FORM NO. 18 (Prescribe under Rule 94)
Register of Leave with wages.

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19) FORM NO. 19 (Prescribe under Rule 95)
Leave with wages card.
 
20) FORM NO. 20 (Prescribe under Rule 15)
Health Register

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21) FORM NO. 21(Prescribed under Rule 103)
Report of accident including, dangerous occurrence resulting in Death or bodily injury

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22) FORM NO. 21-A (Prescribed under Rule 103)
Report of dangerous occurrence.
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23) FORM NO. 22 (Prescribed under Rule 104)
Notice of Poisoning or Disease
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24)

FORM NO. 24(Prescribed under clause (1) of Rule 107).
Annual Return

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25)

FORM NO. 25(Prescribed under clause (2) of Rule107)
Half Yearly Return

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26) FORM NO. 26 [Prescribed under Rule2(A)]
Form of application for grant of certificate of Competency to a person under sub-Rule(3) of Rule2(A)
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27) FORM NO. 26-A(Prescribed under Rule 102)
Test Report: Dust\Fume-Extraction system.
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28) FORM NO. 27 [Prescribed under Rule 2(A)]
Form of Application for Grant of Certificate of competency to an institution
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29) FORM NO. 27-A(Prescribed under Rule 102)
Certificate of Fitness
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30) FORM NO. 28 (Prescribed under Rule 110)
Muster Roll
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31) FORM NO. 29 (Prescribed under Rule 111)
Register of accidents, major accidents and dangerous occurrences
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32) FORM NO. 30 (Prescribed under Schedule VI of Rule 102) Special Certificate of Fitness
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33) FORM NO. 31 (Prescribed under rule 112)
Inspection book
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34) FORM NO. 32 (Prescribed under Rule 68-T and 102) Health Register
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35) FORM NO. 33 (Prescribed under Rule 68-T and 102) Certificate of Fitness of employment in hazardous process and operations.
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36) FORM NO. 35 (Prescribed under Rule 100)
Nomination form for leave with wages.
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37)

FORM NO. 36 (See rule 110-A)
Identity Card

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38) FORM NO. 37 (Prescribed under Rule 12-B)
Register containing particulars of monitoring of working environment required under Section 7-A(a)(e).

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