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127. Qualifications, experience etc. of superintendent.- No person shall be appointed as superintendent unless such person- (i) is a rescue trained person; (ii) has 5 years practical experience of below ground work in mines; and (iii) holds a First Class Manager’s Certificate of a type not restricted to open cast workings. 128. Qualifications, experience etc. of instructor.- No person shall be appointed as instructor unless such person- (i) is a rescue trained person; (ii) has 3 years practical experience of below ground work in mines; and (iii) holds a Manager’s certificate of a type not restricted to open cast workings. 129. Selection of rescue trained persons for posting at rescue station.- (1) The rescue trained persons for posting at a rescue station shall be selected, amongst the rescue trained persons employed in mines served by such rescue station, by the superintendent in consultation with the managers of such mine. (2) A person selected under sub-rule(1) shall be posted for not less than one year and not more than five years at a rescue station at any one time. 130. Qualifications, experience etc. of rescue room in-charge.- No person shall be appointed as rescue room in-charge unless such person- (i) is a rescue trained person; (ii) has three years practical experience of below ground work in mines ; and (iii) holds a Manager’s or Mining Supervisor’s Certificate of a type not restricted to open cast workings. 131. Equipment.-(1) At every rescue station and rescue room, there shall be provided and maintained for immediate use, apparatus and equipment as may be specified by the Chief Inspector-cum-Facilitator through general or special order. (2) A below ground mine, where no rescue room is located, there shall be apparatus and equipment as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time and shall be maintained at the entrance of such mine. (3) Self- contained breathing apparatus shall be provided at a rescue station and that at rescue rooms under it shall be of the same type and make. (4) The following apparatus and equipments provided under of sub-rules (1),(2) and (3), shall be of a type or standard approved by the Chief Inspector-cum-Facilitator, namely:- (a) breathing apparatus; (b) smoke helmets, tube apparatus and apparatus serving the same purpose; (c) reviving apparatus; (d) electric safety lamps and flame safety lamps; (e) gas detector; and (f) self-rescuers. (5) All breathing apparatus and every flow meter shall be adjusted and tested and the purity of oxygen for use in breathing apparatus shall be tested in such manners as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. (6) In event of an accident in a below ground mine arising out of the use of any rescue apparatus, a written report thereof shall be sent, within 24 hours of such accident, by the manager of the mine to the Chief Inspector-cum-Facilitator and Inspector-cum-Facilitator in the form, as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. (7) In case of an accident in a rescue station or rescue room arising out of the use of any rescue apparatus a written report thereof shall be sent electronically, within 24 hours of such accident, by the Superintendent to the Chief Inspector-cum-Facilitator and Inspector-cum-Facilitator in the form, as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. (8) No absorbent charges, chemicals, self-rescuer and gas detector tubes shall be kept at any rescue station, rescue room or below ground mine for use beyond the expiry date, which shall be legibly marked on the boxes thereof. 132. Duties and responsibilities of Superintendent.- (1) The Superintendent shall be overall in charge for control of the rescue station and the rescue rooms served by such rescue station. (2) The Superintendent shall ensure that all the rescue equipment and apparatus kept at the rescue station, rescue rooms and at the entrance of the below ground mine under their control are- (i) maintained in proper working order; (ii) inspected by instructors at specified intervals; and (iii) tested and adjustments are made accordingly. (3) The superintendent shall ensure that adequate stock of spare parts and supplies are kept for maintaining rescue equipment and apparatus in proper working order. (4) The superintendent shall countersign the records maintained. (5) The superintendent shall ensure that persons selected for initial training and those undergoing refresher training receive the course of instructions and practices as may be approved by the Chief Inspector-cum-Facilitator and are issued the certificates for the same. (6) The superintendent shall make periodical inspection of rescue rooms and the apparatus and equipment under their control. (7) When an emergency at a below ground mine, superintendent shall perform such rescue and recovery work as may be assigned by the manager or in absence of manager, by the principal official present at the surface. (8) The superintendent shall send a daily report and a complete report within twenty-four hours after completion of the rescue or recovery work to the Inspector-cum-Facilitator or the Chief Inspector-cum-Facilitator. (9) The superintendent shall maintain in a bound paged book or in retrievable and non-editable electronic form and shall record therein the results of each of their inspections and the action taken by them to rectify the defects observed during inspection. 133. Duties of instructor.- (1) Under the direction of the superintendent, the instructor shall- (i) impart course of instructions and practices to persons selected for training in rescue and recovery work as well as to rescue trained persons and maintain a record thereof; and (ii) make inspection, test and adjustment of rescue equipment and apparatus and maintain a record thereof. (2) When an emergency at a below ground mine, instructor shall perform such rescue and recovery work as may be assigned by the manager or in absence of the manager, by the principal official present at the surface. (3) The instructor shall not leave the rescue station without prior permission of the superintendent. (4) In the absence of the superintendent, the instructor shall be in-charge of the rescue station. 134. Duties and responsibilities of rescue room in-charge.- Every rescue room in-charge shall- (i) display prominently a list of mines served by their rescue room; (ii) maintain the equipment and apparatus kept at the rescue room in proper working order; (iii) maintain a proper record of all rescue equipment and apparatus kept at the rescue room and inspection thereof; and (iv) not allow any unauthorised person to enter into or permit any unauthorised person to take out any apparatus or equipment from the rescue room. 135. Duties of rescue trained persons posted at rescue station.- The rescue trained person shall- (i) obey order of the superintendent and instructor and assist them in discharge of their functions; (ii) attend to messages, telephone calls and wireless and maintain record thereof; (iii) maintain the rescue station in neat and tidy condition; (iv) maintain the equipment and apparatus kept at the rescue station in proper working order; (v) perform rescue and recovery work in mine; and (vi) not leave rescue station without obtaining permission from the superintendent. 136. Duties of rescue room attendant .- Every rescue room attendant shall- (i) not leave the rescue room until relieved by a substitute; (ii) not allow any unauthorised person to enter in or to take out any apparatus or equipment from the rescue room; (iii) attend to telephone calls and maintain a record thereof; (iv) maintain the rescue room in neat and tidy condition; and (v) obey orders of the rescue room in charge and assist in discharging the functions of rescue room in-charge. 137. Telephone communication.- Every mine shall be connected preferably through wireless communication or telephonically with the rescue room and rescue station serving such mine: Provided that where there is no communication system, the Chief Inspector-cum-Facilitator may by an order in writing and subject to such conditions as may specify therein, approve other means of communication. 138. Rescue tracings.- (1) There shall be kept at a below ground mine, more than three legible tracings of the working of the mine upto a date not before three preceding months. (2) The tracing shall show the system of ventilation in the mine and in particular, the general direction of air-current, every point where the quantity of air is measured, every air-crossing, ventilation-door, stopping, booster fan and any other principal device for regulation and distribution of air, fire-dams, preparatory stoppings, every fire-fighting equipment, every water-dam with dimensions and other particulars of construction, every pumping, telephone and ambulance station, every room used for storing inflammable material, reserve stations and every haulage and travelling roadway. 139. Appointment of rescue trained persons in mines, their disposition and accommodation. (1) The manager of a below ground mine, where more than 100 persons are ordinarily employed, shall ensure that at least 5 rescue trained persons are readily available at surface at any time. (2) The manager of a below ground mine, where more than 500 persons are ordinarily employed, shall ensure that persons on a scale of one man for every 100 persons or part thereof are rescue trained persons. (3) It shall be the responsibility of the employer to provide suitable accommodation- (i) close to the rescue station to the superintendent, instructors and members of rescue brigade; (ii) close to rescue room to rescue room in-charge rescue trained persons and attendants attached to it; and (iii) close to below ground mine entrance to rescue trained persons other than those specified in clauses ( i ) and (ii). (4) There shall be provided at a below ground mine effective bell or other arrangements, as may be approved by the Inspector-cum-Facilitator for immediate summoning of rescue trained persons. 140. Selection of persons for training in rescue work.- No person shall be selected for training in rescue work, unless such person- (i) is between 21 and 40 years of age and holds a valid First-aid certificate from the institutes recognised by the Central or State Government ; (ii) is certified by the manager that such person has sufficient underground experience for the purpose of rescue work; (iii) is certified by a qualified medical practitioner, as may be designated by the manager after examination in accordance with the standard as may be specified by the Chief Inspector-cum-Facilitator through general or special order, to be free from any organic disease or weakness and to be fit for undertaking rescue work; and (iv) is considered by the Superintendent of rescue station, after such examination and interview as Superintendent considers necessary, to be suitable for rescue work with breathing apparatus. 141. Instructions and practices etc.- (1) Every person selected for training in rescue work shall undergo the course of instructions and practices as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time, until such person has passed and has been certified as efficient by the Superintendent . (2) Rescue trained person shall undergo practices and receive instructions as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. (3) A record shall be kept at every rescue station of all persons undergoing practices and receiving instructions and such record shall contain- (i) the date and the character of each practice; (ii) the medical condition of each person after the practice and if anything abnormal was observed in their condition, whether it was due to a defect of the apparatus or due to that person ; and (iii) any other relevant information. 142. Medical examination etc. of rescue trained person.- Every rescue trained person shall be re-examined once at least in every twelve months by a qualified medical practitioner as may be designated by the manager in accordance with the standard as specified in FORM IX and in case such person is declared medically unfit, such person shall cease to be a rescue trained person with effect from the date such person has been so declared. 143. Suspension of rescue trained persons.-If in the opinion of the employer or an Inspector-cum-Facilitator, a rescue trained person is guilty of negligence or misconduct in the performance of their duties, may after giving such person an opportunity to provide a written explanation, suspend or debar such person from undertaking any rescue and recovery work. 144. Duties of manager etc. in emergency.- (1) On receiving information of any emergency likely to require the services of a rescue team, the manager or in absence of manager, the principal official present at the surface, shall immediately- (i) inform the rescue room or the rescue stations serving the mine for necessary assistance; (ii) summon rescue trained person employed in the mine; (iii) inform the owner, agent or manager of nearby mines to make available the services of rescue trained persons employed therein if so required; (iv) inform the rescue station about the nature of the occurrence; stating whether assistance would be needed from the rescue station; (v) summon medical assistance; and (vi) send information of the occurrence to the Inspector-cum-Facilitator. (2) All rescue and recovery work at a below ground mine shall be conducted under the control, direction and supervision of the manager of the mine or in absence of the manager, the principal official present at the surface: Provided that in the event of a major emergency, such as ignition, explosion, underground fire or an accident involving a number of persons, the manager or the principal official shall, in taking decisions regarding rescue and recovery operations, take guidance from a group consisting of a senior official of the management , a representative each from the Director General of Mines Safety, concerned rescue station and the recognised Union of the Workers, so however manager or the principal official must take necessary decisions and direct the operations as the situation warrants, without waiting for the constitution or deliberations of the said group. 145. Accommodation at the below ground mine for persons engaged in rescue work.- (1) Whenever rescue trained persons are engaged in rescue or recovery work at a below ground mine, there shall be provided at such mine suitable accommodation for storage and charging of apparatus required for that work. (2) Such accommodation shall be situated at a convenient place near the entrance in use and shall be properly ventilated and lighted. (3) Adequate quantity of cool and wholesome drinking water and food shall be provided for the rescue workers. 146. Entry into below ground mines for rescue or recovery work.- (1) No person shall be allowed to enter a below ground mine or part thereof which is unsafe for the purpose of engaging in rescue or recovery work, unless authorised by the manager or by the principal official of the mine present at the surface. (2) Only rescue trained persons shall be permitted to enter the mine for the purpose of using self-contained breathing apparatus. (3) During the course of rescue or recovery work, person shall be stationed at the entrance to the below ground mine and shall keep a written record of all persons entering and leaving such mine and the time thereof. 147. Fresh air bases.- (1) The base shall be established in fresh air, as near to the irrespirable zone or zones based on safety consideration, every such base shall, if possible be connected by telephone,- (i) if the base is below ground to the surface ; or (ii) if the base is on the surface, to the shaft bottom. (2) Except in cases where the delay involved may result in danger to life, rescue trained persons shall not proceed beyond any place where a base is to be established until there have been provided at such base,- (i) two persons, of whom one shall be a qualified medical practitioner if practicable and other shall be a rescue trained person; (ii) a spare team with rescue apparatus, ready for immediate service; (iii) one or more reviving apparatus, oxygen revivers and like other apparatus, (iv) first aid box and stretcher; (v) apparatus for testing of carbon monoxide; (vi) a hygrometer; and (vii) two flame safety lamps. (3) Whenever persons already at work beyond the fresh air base, there shall be provided at the base as soon as possible the persons, apparatus and equipment as specified in sub-rule (2). 148. Leader.- Every rescue team engaged in work with breathing apparatus in a mine shall be under a leader who shall be appointed by the superintendent. 149. Instructions to leader.- Prior to sending a rescue team underground, the superintendent or a person authorised shall give clear instructions to the leader of the team as to where it shall go and what it shall attempt. 150. Test of apparatus.- (1) Before proceeding below ground the leader shall test or witness the testing of self-contained breathing apparatus of the team for leakage. (2) No such apparatus shall be used unless it is found safe. (3) The leader shall check the equipment of team and immediately before entering irrespirable atmosphere shall make sure that all breathing apparatus are working properly. 151. Duties of leader below ground.- (1) The leader (i) shall not be engage in manual work. (ii) shall give attention solely to directing the team and to maintaining its safety. (iii) shall examine the roof and supports during the journey and if there is any likelihood of fall at any place along the roadway, then, the leader shall not proceed further until the team has made the place secure. (2) The leader shall keep the team together and shall not allow any member of the team to stray. (3) If the atmosphere is clear, the leader shall, when passing the junction of two or more roadways, clearly indicate the route by means of arrow marks in chalk. (4) If the atmosphere is obscure, the leader shall see that a lifeline is laid in from the fresh air base and shall not allow any member of the team to move out of reach of that lifeline or if that course is impracticable, the leader shall not proceed until every roadway branching of from the route is fenced across the whole opening. (5) When using rescue apparatus, the leader shall carry a watch, shall record the pressure of the compressed oxygen at every intervals of twenty minutes and shall commence the return journey in ample time. (6) During travelling the leader shall adopt the pace of slowest member and if any member of the team is in distress, shall immediately return to the fresh air base with the whole team. (7) The leader shall not permit any member of the team using breathing apparatus in a mine to remain at work at any one time for a period longer than one and half hours or such other period as may be specified by the Chief Inspector-cum-Facilitator in respect of the breathing apparatus being used. 152. Rescue team members and their duties.-(1) The number of persons in any rescue team using breathing apparatus in a mine shall not be less than five and not more than six, including the leader. (2) In event there is no provision in any of the breathing apparatus carried by the rescue team for extension for supply of oxygen to another person in an emergency the team shall carry a self-rescuer. (3) Members of rescue team shall in general, use the signals as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time, in communicating to one another. (4) In travelling with rescue apparatus on, every member of the team shall keep the place given to them when numbering off and the pace is too quick or if distress is felt, the member shall at once call attention to the fact. (5) Every member of a rescue team engaged in work with breathing apparatus in mine shall obey the order of the leader of the team. 153. Restriction of second spell of works.- No person shall commence a second or subsequent spell of work in irrespirable atmosphere without being examined and found fit by a qualified medical practitioner. 154. Obligation of employer in certain situations.- Whenever emergency arises at a below ground mine, whether served by a rescue room or rescue station or not, the employer may seek assistance from the nearest rescue room or rescue station and in such an event- (i) all possible assistance shall be promptly rendered by the rescue room or rescue station; and (ii) the employer of the mine shall pay to the owner of the rescue station or rescue room, rendering such assistance, the full cost of rescue services and facilities borrowed. 155. General management.- The employer shall establish, maintain and ensure proper functioning of rescue room or rescue station as required under these rules, to appoint such persons, and to provide necessary rescue equipment and apparatus. 156. Power to relax.- The Chief Inspector-cum-Facilitator based on the recommendation of the committee constituted by Chief Inspector-cum-Facilitator may relax the conditions pertaining to a mine or rescue station or rescue room in these rules, the Chief Inspector-cum-Facilitator may by an order in writing and subject to such conditions as may be specified therein to grant relaxation from the said provisions. 157. Training Scheme.- (1) The employer of every mine shall ensure that a training scheme, based on the guidelines on the scheme of training, wherever no authority, specified by the Chief Inspector-cum-Facilitator for persons employed or to be employed in the mine: Provided that the agent of the mine may submit the training scheme approved by the employer in writing. (2) The Chief Inspector-cum-Facilitator or Inspector-cum-Facilitator may by an order in writing, require such modification in the training scheme as may be specified therein. (3) The scheme referred to in sub-rule (1) shall include, but not limited to, the following provisions, namely:- (i) initial training for the persons to be employed in the mines; (ii) refresher training for the persons already employed; (iii) training in case of introduction of new technology, equipment or change in work procedure; (iv) assessing current competencies of a person employed in the mine and prior learning, in establishing the training needs; (v) assessing the training needs of persons working in mines for the safe performance of the mining operations; (vi) appointing persons who are competent to give training and assess workers’ competencies; (vii) keeping and auditing records of assessment undertaken and training imparted; (viii) the relevant standards, modules or any other guidelines issued in this behalf by the Chief Inspector-cum-Facilitator; and (ix) course material on various topics for different categories of persons for delivering lectures in vocational training centre. 158. Scope and standard for vocational training.-The owner or agent of every mine shall ensure that every person to be employed in a mine shall, before such person is employed, be imparted training as per the training scheme under these rule for such employment: Provided that in case of a person who is already in employment in other mine, the owner shall ensure that such person is imparted training covering such additional course of training as specified under these rules. 159. Scope and standard for Refresher Training.- Every person in employment in a mine shall undergo the refresher training at least once in four years, as per training scheme: Provided that the Chief Inspector-cum-Facilitator may by order in writing and subject to such conditions as may be specified therein increase or decrease the interval of Refresher training at a mine. 160. Arrangement for refresher training.-The refresher training shall be so arranged that the persons shall undergo training during normal working hours on full day release system: Provided that the Chief Inspector-cum-Facilitator may by general or special order in writing subject to conditions as may be specified may exempt any mine from the provisions the of this rule. 161. Special training.- (1) In case new technology, equipment and system of work is introduced in the mine, the employer shall prepare and submit the training module, at least sixty days before such introduction, to the Chief Inspector-cum-Facilitator , who may at any time, by an order in writing, require such modification in the training module as may be specified therein. (2) Persons to be employed in aforesaid technology, equipment and system of work shall undergo training as per the training scheme specified under these rules, based on the training module. 162. Training of persons after long absence or after an accident or change of job.-Wherever a person returns to employment in a mine, after an absence from work for a period exceeding one year or returns to work after being involved in a serious accident or in a dangerous occurrence which could have resulted in threat to life and safety or is re-employed on a job which is different from what such person had been performing earlier shall undergo training before employment as per the training scheme specified under these rules. 163. Training Centre.—(1) The employer of every mine shall provide and maintain a training centre which shall be adequate for the purpose of imparting the training required to be undergone by the persons who are employed or to be employed in the mine: Provided that the Chief Inspector-cum-Facilitator may, by an order and for the reasons to be recorded in writing and subject to such conditions as may be specified therein, authorise that a common training centre may be provided and maintained in respect of two or more mines belonging to the same employer. (2) The Chief Inspector-cum-Facilitator may permit in writing, subject to such conditions as may specify therein, a common training centre owned and maintained by a group of employers for imparting training in more than one mine: Provided that where a common training centre is established and maintained by a group of employers of those mines shall nominate one among them to assume the responsibility of employers of the common training centre for management, supervision, direction and control there at and the nominated owner shall submit notice in writing to the Chief Inspector-cum-Facilitator and the Inspector-cum-Facilitator. (3) Notwithstanding anything contained in sub-rule (1) and sub-rule (2), the Chief Inspector-cum-Facilitator may approve in writing, subject to such conditions as may be specified therein, a training centre established under any other law for the time being in force subject to having such infrastructure and facilities as specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time, for imparting training under these rules. (4) Every application for approval under sub rule (3) shall be made in a proforma and accompanied by a fee prescribed by the Chief Inspector-cum-Facilitator, based on recommendation of the committee constituted by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. 164. Arrangements for the training centre.—Every training centre shall have such staff, equipment and other facilities as specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. 165. Training Officer.— (1) Every training centre shall be placed under the charge of a training officer, possessing qualification and experience, as specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time. (2) It shall be the responsibility of the owner or agent of the mine or the owner of common vocational training centre, as the case may be, to appoint the training officer specified under sub-rule(1): Provided that in case of a training Centre, the person responsible for the management, control, supervision or direction of the training centre (hereinafter referred to as owner of approved training centre), shall appoint the training officer. (3) Notwithstanding anything contained in sub-rule (1), where the training officer is unable to perform duties by reason of temporary absence, illness or other cause, the owner, agent or manager, as the case may be, shall authorise in writing any other person having similar qualifications to act in their place: Provided that no such authorisation shall have effect for a period exceeding thirty days, except with the previous consent in writing of the Chief Inspector-cum-Facilitator and subject to such conditions as may be specified therein. (4) Every appointment, discharge, dismissal, resignation or termination of service of a Training officer and of the date thereof shall be sent by the owner or agent to the Chief Inspector-cum-Facilitator and the Inspector-cum-Facilitator within seven days from the date of such appointment, authorisation, discharge, dismissal, resignation or termination of service as the case may be. 166. Duties of Training Officer.—(1) It shall be the duty of the training officer- (i) to organise and supervise the training of every person undergoing training in pursuance of these rules; (ii) to recognise current competency and prior learning in establishing for the training needs; (iii) to ensure training as per the modules or curriculum prepared under the concerned training scheme framed under these rules for different categories of persons and ensure that the instructors deliver lectures on standard course material; (iv) to maintain records of the training given to every person and to furnish monthly reports to the mine manager on the progress of the persons undergoing training; (v) to maintain records of the supervision in respect of the practical training on actual operations; and (vi) to discharge such other duties as may be necessary for the proper compliance of these rules. (2) Every training officer shall keep a record of work and shall, at the end of every year, forward to the Chief Inspector-cum-Facilitator or Inspector-cum-Facilitator having jurisdiction over the training centre, through the employer or the owner of a common training centre as the case may be, a summary of the report of work during the year. 167. Instructors. — The employer of mine or owner of the approved training centre shall appoint sufficient number of instructors having qualification and experience to impart training in vocational training centre: Provided that, in special circumstances, officials may be called for from the mines, to deliver lectures and for demonstrations at the training centre. 168. Trainers.—For the purpose of the practical training referred to in these rules, every person to be employed in a mine shall be placed under the direct supervision of an experienced person of an appropriate category, employed on operations and authorised by manager hereinafter referred to as trainer. 169. Qualification of instructors and trainers.- No person shall function as an instructor or trainer unless such person possesses qualification, training and experience as specified by the Chief Inspector-cum-Facilitator, based on recommendation of the committee constituted by the Chief Inspector-cum-Facilitator, through general or special order issued from time to time 170. Duties of Instructor.— The instructor shall:- (a) assess employees competency and deliver lectures on standard course material; and (b) maintain records of training given to every person and to furnish weekly report to the training officer on the progress of the persons undergoing training. 171. Duties of trainer and persons undergoing training.- (1) The trainers shall be responsible for the safety of the persons undergoing training . (2) The trainer shall monitor that the persons under their charge for training, pick up work, understand the dangers inherent in the job and develop habits, which would ensure safety in mines. (3) The trainer shall monitor that the persons undergoing training move within the mine along with them. (4) Every trainer shall monitor that the persons undergoing training under them, is aware of escape route from the sections where they are likely to work and other emergency response applicable to the trainee. (5) Every person undergoing training shall, whilst under training, comply with the directions of the trainer under whom they are put in charge. 172. Training allowance.- (1) Every trainer shall, in addition to their normal wages, be paid by the owner, agent or manager of a mine, a training allowance for everyday a trainee has worked under their supervision as prescribed by the Chief Inspector-cum-Facilitator on recommendation of the committee constituted by the Chief Inspector-cum-Facilitator, through general or special order, issued from time to time . (2) Every Instructor, other than the instructor under regular appointment at the training centre shall, in addition to their normal wages, be paid by the owner, agent or manager a training allowance for every day such trainer has imparted training in Vocational Training Centre, as specified by the Chief Inspector-cum-Facilitator on recommendation of the committee constituted by the Chief Inspector-cum-Facilitator, through general or special order, issued from time to time. 173. Certificate of training.-(1) Every person who undergoes a course of training specified in these rules shall, on completion of the training be assessed and subject to acceptable performance of the trainee, shall be granted a certificate duly signed by the training officer, in a Form to be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time . (2) Where the training officer is not satisfied with the progress or performance of any trainee, such person shall report the same to the manager of the mine, who may arrange to give them, further training. (3) The manager of every mine shall counter sign and specify date on the certificate after being satisfied of the successful completion of training. 174. Certificate to be delivered to the management.- (1) Every person employed in a mine shall:- (a) if has obtained training certificates prior to such employment; and (b) obtained certificates during the course of employment, within such time as may be specified by the manager of the mine; (c) deliver the certificate issued to them under these rules; (2) the manager of the mine who shall keep the certificate in safe custody and issue a receipt for the same. (3) On the termination of employment, certificate deposited under sub-rule (1) shall be returned to the employee. 175. Inspection of vocational training centre.-The Chief Inspector-cum-Facilitator or Inspector-cum-Facilitator may enter, inspect and examine any training centre or any part thereof and make such examination or inquiry as thinks fit in order to ascertain whether the provisions of these rules and of any orders made thereunder are being complied with. 176. Notice of closure or discontinuance of vocational training centre.- When it is intended to close a training centre established under these rules or to discontinue the working thereof for a period exceeding sixty days, the employer of a mine or the owner of a common vocational training centre as the case may be, shall give a notice in the manner and form as may be specified by the Chief Inspector-cum-Facilitator through general or special order issued from time to time stating the reasons for such closure or discontinuance, not less than thirty days prior to such closure or discontinuance: Provided that the employerof the mines shall give notice forthwith when on account of unforeseen circumstances a training centre is closed or discontinued before the said notice has been given or without previous intention the discontinuance extends a period of sixty days. CHAPTER XII OFFENCES AND PENALTY 177. Manner of holding enquiry.- (1) When a complaint is filed before the officer appointed under sub-section (1) of section 111 in respect of the offences referred to in said sub-section, by an Inspector-cum-Facilitator, the officer after considering such evidences as produced by the Inspector-cum-Facilitator, is satisfied that an offence has been committed, shall issue summons to the accused on the address specified in the complaint and fix a date for appearance. (2) The authorisation to appear on behalf of either of the parties, shall be presented to the officer under sub-rule (1) during the hearing of the complaint and shall form part of the record. (3) If the accused to whom the summons has been issued under sub-rule (1) appears or is produced before the officer, he shall explain the accused regarding the offence against which the enquiry has been initiated, and (a) If the accused pleads guilty, the officer shall impose penalty on him in accordance with the provisions of the Code and (b) If the accused does not plead guilty, the officer shall proceed with the enquiry, issue summons to any person acquainted with facts and circumstances of the case, and appoint a specified date for next hearing. (4) On such appointed date, the officer shall record all evidences produced by the accused and the Inspector-cum-Facilitator, whether documentary or by the witnesses on oath and provide opportunity of cross examination of the witnesses so produced. (5) The officer shall after hearing the parties and considering the evidence so produced whether oral and documentary, shall decide the complaint in accordance with the provisions of the Code. (6) The officer shall, while passing an order, record - (a) the particulars of the complaint; (b) the details of the parties; (c) the nature of the offence with reference to relevant provisions of the Code; (d) the pleadings of the parties; (e) summary of evidence including cross-examination; (f) findings and reasons; and (g) penalty imposed, if any. (7) In case, the accused or his representative fails to appear without any sufficient cause on two consecutive dates, the officer may proceed to hear and determine the complaint ex-parte: Provided, in case where Inspector-cum-Facilitator fails to appear or through his representative without any sufficient cause, on the specified date, the officer may dismiss the complaint. (8) Officer may allow for adjournment of the proceedings on receipt of application either from the Inspector-cum-Facilitator or the accused: Provided that not more than three adjournments shall be allowed: Provided further that the officer may at his discretion permit hearing the parties or any of the party, as the case may be, through video conferencing. (9) The officer shall endorse or cause to be endorsed on each document, the date of its presentation or receipt, as the case may be, and if the documents are submitted electronically, endorsement shall be made electronically. (10) The parties to the issue or their authorised representative under sub-rule (2) shall be entitled to inspect any complaint or any other document filed with the officer. (11) The officer may refuse to entertain a complaint, if he is satisfied that the complaint is incomplete and may request the Inspector-cum-Facilitator to rectify such defects within the time specified by him for such purpose: Provided that if the officer is of the opinion that it is not possible to rectify such defects in the complaint, he may return such complaint indicating the defects. (12) Where the complaint is presented after rectification of the defects, the date of such re-presentation shall be deemed to be the date of presentation for the purpose of sub-section (1) of section 111 of the code. (13) The officer may, after giving the Inspector-cum-Facilitator an opportunity of being heard, refuse to entertain a complaint, if he is satisfied for reasons to be recorded in writing, that- (a) the complainant has filed the complaint beyond six months from the date on which the offence complained is committed; (b) the complainant fails to comply with the directions given by the officer. (14) (i) Any person aggrieved by an order made by the officer may prefer an appeal, in manner, form and with applicable fee as prescribed by Central Government through general or special order, to the appellate authority to be appointed under sub-section (3) of section 111, within sixty days from the date on which the copy of the order referred under sub-rule (6) made by the officer is received by the aggrieved person. (ii) The appellate authority appointed under sub-section (3) of section 111, after giving the parties to the appeal an opportunity of being heard, pass such order as he thinks fit, confirming, modifying or setting aside the order appealed against, within a period of sixty days from the date of receipt of appeal. 178. Onus as to age.- The medical authority referred to in sub-section (2) of section 117 shall be a medical practitioner as referred, who possesses any recognised medical qualification as defined in the National Medical Commission Act, 2019 (30 of 2019) and enrolled on a State Medical Register as defined in the National Medical Commission Act, 2019. 179. Procedure of inquiry and other related matters.- (1) Wherein any workplace an accident causing death or serious bodily injury takes place or there is an occurrence of any dangerous occurrence or cases of any occupational disease as specified in the Third Schedule to the Code has been reported or is suspected to have been contracted, the Central Government, as the case may be, appoint one or more persons possessing legal and special knowledge to act as assessors or competent persons in such inquiry in order to inquire into the causes of the accident or occupational disease. (2) The competent person appointed under sub-rule (1) shall carry out the inquiry into the causes of the accident or dangerous occurrence along with identification of the hazardous condition for which competent person has reasonable evidence to conclude and to be recorded in writing in the inquiry report, has caused the accident or the dangerous occurrence and also identify the persons which the competent person believes, based on findings, to be responsible for such accident or occurrence, as the case may be. (3) The inquiry report shall contain conclusive findings of the inquiry along with the recommendations for prevention of such accidents or dangerous occurrences of occupational diseases containing suggestions for implementation to prevent re-occurrence. (4) In event of dock work, any competent person appointed by the Central Government for the purposes of inquiring into the causes of any accident, dangerous occurrence or occupational diseases connected with the dock work under the provision of section 121 of the Code shall make the inquiry in the following manner, namely- (i) date, time and place of holding the inquiry shall be fixed and may be varied, notice of which shall be given not less than thirty days in writing of such date, time and place to every person entitled to appear at the inquiry whose name and address are known to the competent person: Provided that,— (a) with the consent of such persons, the competent person may give such lesser period of notice as shall be agreed to with those persons; and (b) where it becomes necessary or advisable to vary the time or place fixed for the inquiry, the competent person shall give such notice of the variation as may appear to it to be reasonable in the circumstances; (ii) the notice given under clause (i) shall state the name of the competent person and the names of assessors, if any, appointed to assist the competent person in the inquiry; (iii) without prejudice to the foregoing provisions of this sub-rule, the competent person shall also for the purpose of notifying to the persons who may in any way be concerned with the subject-matter of the inquiry, take one or more of the following steps, namely:- (a) publish notice of the inquiry in one or more newspapers, including where appropriate, newspapers circulating in the locality or area in which the subject-matter of the inquiry arose; and (b) give such other notice of the inquiry as appears to the competent person to be appropriate; and the requirements as to the period of notice contained in clause (a) of this rule shall not apply to any such notices. 180. Persons to appear at inquiry.- (1) The person entitled to appear at the inquiry shall be— (a) any enforcement authority concerned; (b) any employers association or Trade Union of employees; (c) any person who was injured or suffered damage as a result of the accident, occurrence, situation, disease or other matter which is the subject of the inquiry, or their representative; (d) the employer of any premises in which the accident, occurrence, situation or other matter occurred or arose; (e) any person carrying on work giving rise to the accident, occurrence, situation or other matter which is the subject of the inquiry; and (f) any other person at the discretion of the appointed competent person making inquiry. (2) The following shall represent at the inquiry, namely:— (a) a corporate body may be represented by its secretary or by any other officer appointed for the purpose, or by counsel or solicitor; (b) a Government department, an employers association or a Trade Union may be represented by a counsel or a solicitor; (c) where there are two or more persons having a similar interest in the matter under inquiry, the competent person may allow one or more persons to appear for the benefit of some or all persons so interested. (3) The competent person appointed by the Central Government under section 121 of the Code, may, either on their own motion or on the application of any person entitled or permitted to appear, cause to be served on any person appearing before competent person likely to be able to give material evidence or to produce any document likely to be material evidence, a notice requiring that person to attend at the inquiry at the time and place specified in the notice to give evidence or produce the document. (4) A person on whom a notice is served under sub-rule (3) may apply to the competent person either on or before the inquiry to vary or set aside the requirement and where that person does so before the inquiry, such person shall give application to the competent person. (5) Except as otherwise provided in these rules, the procedure at and in connection with an inquiry shall be at the discretion of the competent person and contrary to the principles of natural justice who shall state at the commencement of the hearing the procedure, which subject to consideration of any submission by the persons appearing at the inquiry, proposing to adopt and inform those persons what is proposed with regards to any site inspection arising out of the hearing. (6) In case of mines, the persons appointed to hold inquiry under section 121 shall hold the inquiry in public in such manner and under such conditions as the competent person thinks most effectual for ascertaining the causes and circumstances of the accident or other occurrences and for enabling the competent person to make the report. (7) Where on inquiry finds that the accident was due to any carelessness or negligence on the part of the management, the competent person may direct the recovery of the expenses of such competent person including any expenses incurred with the previous sanction of the competent person and any other expenses connected with the enquiry which the court may direct as recoverable from the owner of the mine concerned, in such manner and within such time as the competent person may specify. (8) The amount directed to be recovered under sub rule (7) may, on application by the Chief Inspector-cum-Facilitator or an Inspector-cum-Facilitator to the concerned authority, be recovered from the employer. (9) An Inspector-cum-Facilitator nominated in this behalf by the Central Government, shall act as the Secretary to the competent person. (10) The inquiry or the survey, as the case may be, shall be completed and submitted to the Central Government, within a period of three months from the date of the order through which it is constituted. 181. Procedure of survey and other related matters.- (1) The Central Government may direct Directorate General Occupational Safety and Health or Directorate General Mines Safety or any other institution under the control of the Central Government, to appoint a committee to undertake a survey on the situation relating to safety and health at work at any workplace or class of workplaces or into the effect of work activity on the health of the employees within and in the vicinity of the workplace. (2) The committee shall carry out the survey with a view to finding out the status of safety and health at work the workplace and its effect on the workers. (3) The report of the committee to be submitted to the Central government shall be of status of an inspection report and contain conclusive findings of the survey along with the recommendations for improving the status of occupational safety and health for prevention of accidents or dangerous occurrences or occupational diseases as the case may be and containing suggestions for implementation thereof for compliance which shall be ensured by the Inspector-cum-Facilitator. 182. Manner of compounding of offences by the authorised officer.-(1) The officer notified by the Central Government for the purposes of compounding of offences under sub-section (1) of section 114 shall on an application in FORM- XXVI by an accused person desirous of making composition of a compoundable offence, before or after holding the enquiry or as the case may be, of institution of prosecution, issue electronically a compounding notice in Form-XXVII to such person for the offence for which is compoundable under sub-section (1) of section 114 of the Code. (2) The person so noticed under sub-rule (1) may apply to the officer in Part-III of Form-XXVII, electronically and deposit the entire compounding amount by electronic transfer or otherwise, within fifteen days of the receipt of the notice. (3) The officer referred to in sub-rule (1) shall issue a composition certificate in Part IV of FORM-XXVII within ten days of receipt of the composition amount, to such person from whom such amount has been received in satisfaction of the composition notice. (4) If a person so noticed fails to deposit the composition amount within the time specified, the prosecution shall be instituted after one month from the last date of specified time before the court against such person for the offences in respect of which the compounding notice was issued. (5) For compounding of an offence, where the prosecution has already been instituted in a court, the officer referred to in sub-rule (1) shall send a copy of such order for intimation to the concerned court for further action. CHAPTER-XIII SOCIAL SECURITY FUND 183. Social Security Fund. - Social Security Fund set up under section 141 of the Code on Social Security, 2020 (36 of 2020) shall be deemed to have been set up under section 115 of the Code, including other sources of fund and the manner of administering and expending the fund for welfare of the unorganised workers. CHAPTER XIV MISCELLANEOUS 184. Grievance redressal mechanism for contract labour.- (1) The contract labour may submit grievance relating to health, working conditions and wages, at the level of principal employer, who shall look into the matter and redress grievance. (2) A committee shall be constituted by the principal employer in whose establishment contract labour is employed and the committee shall comprise of a chairman, who shall be the authorised representative of the principal employer and shall have representative of principal employer and contractor. (3) The committee shall hear and dispose of the grievance of the contract labour within a period of thirty days. (4) In event the grievance is not redressed within thirty days, the principal employer shall forward the grievance to the concerned Inspector-cum-Facilitator electronically. (5) The Inspector-cum-Facilitator, upon receipt of the grievance forwarded under sub-rule (4), shall inquire into the matter and take appropriate action for its disposal, and shall ensure that the grievance is resolved within a period not exceeding sixty days from the date of its receipt. 185. Annual increment of regular worker of a contractor.- A worker who is regularly employed by the contractor for any activity and employment of such worker is governed by mutually accepted standards of the condition of employment shall be such that such worker gets an annual increment of not less than two percent of their wages. 186. Income from sources and quantity of hazardous substance.- Income from sources under Explanation to clause (x) of sub-section (1) of section 2 and substance or quantity of substance under clause (zb) of said sub-section shall be specified through general or special order by Central Government issued from time to time. ANNEXURE- I List of contents of First Aid Box as provided under rule 54(ii): - 1. Appropriate number of small, medium and large sized sterilized dressings pads 2. Appropriate number of large size sterilized burn dressings pads 3. Appropriate number of packets of sterilized cotton 4. Sufficient quantity of Cetrimide solution (1%-3%) or a suitable antiseptic solution (10% Povidone Iodine) 5. Pair of scissors, Tweezers, Tourniquet and disposable gloves 6. Adequate adhesive Tapes and adhesive Bandage Tape of different sizes. 7. Adequate Elastic crepe bandages of different sizes. 8. Sterilized eye pads. 9. Strips containing analgesic (Paracetamol-650 mg) and Antacid and adequate number of ORS Sachets. 10. Pain relief / analgesic spray 11. Polythene wash bottles (Normal Saline or Distilled Water) 12. Adequate Roller bandages of different sizes. 13. Adequate and suitable splints. 14. Resuscitation equipment such as ambu bag. 15. Tablets such as Asprin, Isosorbide Di-nitrate. 16. Anti-allergic medicine, eye drops 17. One copy of First-aid leaflet which includes emergency contact numbers of nearby hospitals. ANNEXURE- II List of equipment for ambulance room as provided under rule 55(ii):- 1. Glazed sink with hot and cold-water supply 2. Table with Chairs, Refrigerator 3. Suitable solution or Equipment for medical instruments sterilization 4. Patient Examination table or couch with pillow, Washable Rubber Sheets, Blankets, Towels 5. Appropriate number of Medium size sponge forceps 6. Kidney tray 7. Antiseptic soaps 8. Clinical thermometers 9. Hand torch 10. Adequate number of tetanus toxoid injection 11. Tablets – Antihistaminic, Antispasmodic, Antipyretic (Paracetamol), Antacid, Antiemetics 12. Tablets-Isosorbide Dinitrate (5 mg), Aspirin (75mg) + Atorvastatin (20mg) + Clopidogrel (75mg) 13. ORS Sachets 14. Injection: Atropine, Adrenalin, Hydrocortisone, Furosemide, local anaesthetics 15. Disposable Syringes with needles of different sizes and needle holder 16. Suturing needles and materials 17. Pair of dissecting forceps 18. Pair of dressing forceps 19. Pair of artery forceps 20. Surgical scissors 21. Scalpel 22. Stethoscope 23. Rubber bandage – pressure bandage 24. Oxygen cylinder/Oxygen Concentrator with necessary attachments 25. One Blood Pressure apparatus 26. Appropriate number of Normal Saline Bottle, Ringer Lactate Solution, 5% Dextrose Solution, 25% Dextrose Solution. 27. Green (18G), Pink (20G) and Blue (22G) Intravenous (IV) Cannula and suitable fixator 28. Disposable Intra venous Infusion Set 29. Intravenous Infusion Stand 30. Blood Glucose Monitoring Kit 31. Biomedical Waste Management Bins as per statutory requirement 32. Adequate number of Plain wooden splints of appropriate sizes or any other suitable splints 33. Wheelchair 34. Scoop stretcher 35. Adequate small, medium and large sterilized dressings 36. Adequate sterilized burn dressings 37. Adequate packets of sterilized cotton 38. Antiseptic solution like Cetrimide (1%-3%) or Povidone Iodine (10%) solution 39. Roll of adhesive bandages and adhesive Tapes of different sizes. 40. Elastic crepe bandages of different sizes. 41. Adequate Pieces of sterilized eye pad. 42. Adequate roller bandages of different sizes. 43. Tourniquet 44. Disposable gloves 45. Tweezers 46. Pulse Oximeter. 47. Suitable Suction unit with equipment 48. Resuscitation equipment such as Automated External Defibrillator and ambu bag. 49. Any other equipment recommended by the qualified medical practitioner according to the specific need. ANNEXURE- III List of contents of first aid box in case of mines as provided under rule 54(iii) :- (i) Wound Care: (a) Sterile adhesive bandages in various sizes (e.g., small, medium, large) (b) Sterile gauze pads and dressings with advanced wound-healing properties (c) Transparent film dressings for covering and protecting wounds (d) Antiseptic wipes or solution for wound cleaning (e) Skin closure strips for small cuts and lacerations (f) Disposable gloves (latex-free or nitrile) (g) Scissors with rounded tips (ii) Cardiopulmonary Resuscitation and Resuscitation: (a) Pocket mask or face shield with one-way valve for administering Cardiopulmonary Resuscitation safely (b) Disposable resuscitation bag-valve-mask device with Positive End-Expiratory Pressure valve (positive end-expiratory pressure) (iii) Medications and Ointments: (a) Antiseptic ointment with broad-spectrum antimicrobial properties (b) Hydrocortisone cream for insect bites and skin irritations (c) Pain relievers (e.g., acetaminophen, ibuprofen) with appropriate dosages (d) Antihistamines for allergic reactions, available in various formulations (tablets, liquid, etc.) (e) Aspirin for suspected cardiac events (f) Sugar sachets (iv) Bandages and Dressings: (a) Elastic bandages with self-adhesive properties and Ice pack box with ice bags for sprains and strains (b) Non-stick wound dressings or pads with enhanced absorbency (c) Burn Care: (d) Hydrogel burn dressings for immediate cooling and pain relief (e) Sterile burn sheets with hydrogel coating (f) Burn gel or spray with a soothing effect (v) Equipment and Tools: (a) Digital thermometer for accurate temperature readings (b) Suction apparatus, Stiff neck collar, Airway, Artificial manual breathing unit bag, Finger probe pulse oximeter (vi) High-quality flashlight with adjustable brightness. ANNEXURE- IV List of equipments for Ambulance Room in case of mines as provided under rule 55(iii) :- (i) Advanced Medical Equipment: (a) Portable oxygen cylinder with a regulator and various oxygen delivery devices (nasal cannula, mask) (b) Nebulizer for administering respiratory medication efficiently (c) Suction device for airway management and clearing secretions (d) Automated External Defibrillator (AED) with the latest technology and features (e) Blood pressure monitor for accurate blood pressure readings (f) Glucometer with test strips for blood glucose level assessment (ii) Sanitation and Hygiene: (a) Hand sanitizers with at least 60% alcohol content (b) No-touch waste disposal containers for biohazardous waste (c) Disposable wipes for cleaning surfaces and equipment (iii) Patient Transport: (a) Electric or hydraulic adjustable examination table with padding and safety features for patient comfort and ease of assessment. (b) Portable patient transfer chair or stretcher with locking wheels for safe and efficient patient transport within the facility. (c) Plastic covers for any amputated parts with ice packs. (iv) Hygiene and Wound Care: (a) Glazed sink with infrared sensor for hands-free operation, equipped with an integrated soap dispenser and paper towel dispenser. (b) Antimicrobial soap with moisturizing properties for effective handwashing (c) Disposable nail brushes with biodegradable bristles for personnel hand hygiene. (v) Wound Dressings and Supplies: (a) Advanced wound dressings with hydrogel or silver-based technology for better wound healing and infection prevention. (b) Sterile silicone dressings with adhesive properties that do not damage the skin during removal. (c) Non-adhesive wound contact layers to minimize pain during dressing changes. (d) Transparent film dressings with enhanced breathability for covering and monitoring wounds. (e) Sterile foam dressings for exuding wounds with high absorption capacity. (f) Nasal suction bulb (vi) Antiseptic Solutions: (a) Sterile saline solution or wound wash for gentle wound irrigation. (b) Sterile wound cleansing wipes with skin-friendly antiseptic properties. (vii) Patient Comfort and Warmth: (a) Soft fleece blankets with moisture-wicking and thermal-regulating properties for patient comfort and warmth. (b) Reusable instant heat packs with advanced heat-retaining materials for on-demand warmth. (viii) Splints and Support: (a) Malleable, vacuum-formed, or inflatable splints with adjustable properties for better immobilization and support. (b) Elastic cohesive bandages with self-adhesive properties for secure and comfortable support. (c) Triangular bandages (ix) Emergency Equipment: Pressure bandage for controlling severe bleeding effectively. (x) Temperature Assessment: Non-contact infrared thermometers for quick and hygienic temperature assessment. (xi) Medications and Administration Equipment: Emergency medications and equipment as prescribed by a qualified medical practitioner, (xii) Emergency Medications: Adequate supply of anti-tetanus serum and other emergency medications as prescribed by a qualified medical practitioner. (xiii) Medical Appliances: (a) One Stethoscope and one Automated blood pressure monitor with digital display and adjustable cuffs for accurate readings. (b) One Electro Cardio Graph machine (c) One each of Suction apparatus, Stiff neck collar, Airway, Artificial manual breathing unit bag, Finger probe pulse oximeter. ANNEXURE-V List of equipment for first aid station in case of mines as provided under rule 54(ix)(B) (i) One stretcher with two blankets (ii) Inflatable splints (iii) Patient Examination table (iv) First aid box contains materials as prescribed in Annexure-I ANNEXURE- VI LIST OF EQUIPMENTS FOR MEDICAL FACILITIES ROOM OR DISPENSARY as provided under rule 63(ii) :- 1. Glazed sink with hot and cold-water supply 2. Table with Chairs, Refrigerator 3. Suitable solution or Equipment for medical instruments sterilization 4. Patient Examination table or couch with pillow, Washable Rubber Sheets, Blankets, Towels 5. Appropriate number of medium size sponge forceps 6. Kidney tray 7. Antiseptic soaps 8. Clinical thermometers 9. Hand torch 10. Adequate number of tetanus toxoid injection 11. Tablets – Antihistaminic, Antispasmodic, Antipyretic (Paracetamol), Antacid, Antiemetics 12. Tablets-Isosorbide Dinitrate (5 mg), Aspirin (75mg) + Atorvastatin (20mg) + Clopidogrel (75mg) 13. ORS Sachets 14. Injection: Atropine, Adrenalin, Hydrocortisone, Furosemide, local anaesthetics 15. Disposable Syringes with needles of different sizes and needle holder 16. Suturing needles and materials 17. Pair of dissecting forceps 18. Pair of dressing forceps 19. Pair of artery forceps 20. Surgical scissors 21. Scalpel 22. Stethoscope 23. Rubber bandage – pressure bandage 24. Oxygen cylinder/Oxygen Concentrator with necessary attachments 25. One Blood Pressure apparatus 26. Appropriate number of Normal Saline Bottle, Ringer Lactate Solution, 5% Dextrose Solution, 25% Dextrose Solution. 27. Green (18G), Pink (20G) and Blue (22G) Intravenous (IV) Cannula and suitable fixator 28. Disposable Intra venous Infusion Set 29. Intravenous Infusion Stand 30. Blood Glucose Monitoring Kit 31. Biomedical Waste Management Bins as per statutory requirement 32. Adequate number of Plain wooden splints of appropriate sizes or any other suitable splints 33. Wheelchair 34. Scoop stretcher 35. Adequate small, medium and large sterilized dressings 36. Adequate sterilized burn dressings 37. Adequate packets of sterilized cotton 38. Antiseptic solution like Cetrimide (1%-3%) or Povidone Iodine (10%) solution 39. Roll of adhesive bandages and adhesive Tapes of different sizes. 40. Elastic crepe bandages of different sizes. 41. Adequate Pieces of sterilized eye pad. 42. Adequate roller bandages of different sizes. 43. Tourniquet 44. Disposable gloves 45. Tweezers 46. Pulse Oximeter. 47. Suitable Suction unit with equipment 48. Resuscitation equipment such as Automated External Defibrillator and ambu bag. 49. Any other equipment recommended by the Medical Officer according to the specific need. ANNEXURE- VII List of Forms prescribed under Occupational Safety, Health and Working Conditions (Central) Rules, 2026 S.No. Form Number Subject 1 FORM-I Application for registration of establishment/Amendment to certificate of registration/ Updation of registration particulars of establishments already registered under any other Central Labour Laws 2 FORM-II Application for cancellation of Registration Certificate of establishment 3 FORM-III Certificate of Registration of Establishment 4 FORM-IV Certificate of cancellation of Registration Certificate of Establishment 5 FORM-V Register of Establishment 6 FORM-VI Notice of Commencement / cessation of operations 7 FORM-VII Notice of Commencement/Re-opening/Cessation/ Discontinuance/ Abandonment of operations/Closing of mines 8 FORM-VIII Health Examination (Except mine employees) 9 FORM- IX Report of medical examination (For mine employees only) 10 FORM- X Certificate of medical re-examination by Appellate Medical Board 11 FORM-XI Notice of accident or dangerous occurrence 12 FORM-XII Notice of periods of work 13 FORM-XIII Employee register 14 FORM-XIV Attendance register-cum-muster roll 15 FORM – XV Register for wages, overtime and deductions 16 FORM – XVI Wage slip 17 FORM-XVII Annual return 18 FORM XVIII Half Yearly Return (January to June / July to December) to be submitted by Contractor to the Deputy Chief Labour Commissioner (Central) 19 FORM-XIX Register of accidents and dangerous occurrences 20 FORM-XX Register for leave with wages 21 FORM-XXI Application for Licence/Renewal of Licence/ Amendment of Licence (including Common/single licence) 22 FORM-XXII Proforma of license 23 FORM-XXIII Experience certificate of contract labour 24 FORM-XXIV Agreement between Producer and Audio-visual worker 25 FORM-XXV Improvement notice 26 FORM- XXVI Application for composition of offence 27 FORM-XXVII Notice to the employer for an offence committed under the provisions of the Code for the first time for composition of offences under sub-section (1) of section 114 244 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM-I (See rule 3(1)) Application for registration of establishment/Amendment to certificate of registration/ Updation of registration particulars of establishments already registered under any other Central Labour Laws A. Establishment Details. 1. Retrieve details of Establishment through LIN: 2. Name of Establishment: 3. Location and Address of the Establishment: 3 a. PAN: 4. Others details of Establishment: a. Total Number of employees engaged directly in the establishment: b. Total Number of the contract employees engaged: c. Total Number of Inter-State Migrant workers employed: 5 (a) For factories: Details of the manufacturing process Full postal address and situation of the factory Name and address of the occupier and manager Maximum number of workers to be employed on any day 1 2 3 4 5 (b) For mines: Name of Mineral(s) Lease extent of the mine (in Acres) Name and address of the owner Average Monthly output, targeted (Tonne) Maximum number of persons to be employed on any day 1 2 3 4 5 5 (c) For Dock work: Name of dock Work/Major Port Types of Dock Works Name of the Cargo handled and stored along with quantity Name of the chemicals handled and stored along with quantity Name of the hazardous Chemicals handled and stored along with quantity 1 2 3 4 5 5 (d) For building or other construction work: Type of Construction work Probable period of commencement of work Expected period for completion of work Details of approval of the local authority 1 2 3 4 5 (e) Any Other establishment: 6. Ownership Type/Sector: 7. Activity as per National Industrial Classification: 8. Details of Selected NIC Code: 9. Identification of the establishment e-sign/ digital sign of employer/ representative: B. Details of Employer:- 1. Name & Address of Employer / Occupier / Owner/Agent/ Chief Executive/ port authority etc. : 2. Designation : 3. Father’s/ Husband’s Name of the Employer : 4. Email Address, Telephone& Mobile No. : C. Manager/ Agent Details:- 1. Full name & Address of Manager/ Agent or person responsible for supervision and control of the Establishment 2. Address of Manager/ Agent: 3. Email Address, Telephone& Mobile No. : D. Contractor Details:- Name and Address of Contractor Email address & Mobile No. of Contractor Name of Work Maximum No. of Contract labour engaged Date of Commencement /Probable date of Completion of work 1 2 3 4 5 E. Others Details:- Signature/ E-sign/digital sign of employer Dated:-Place:- FORM-II [(See rule 3(10)] Application for cancellation of Registration Certificate of establishment 1. Registration No: 2. Name and Address of Establishment:- 3. Name and Designation of employer :- 4. Full address to which communication relating to the establishment to be sent :- 5. Nature of work of the establishment :- I/We here by intimate that the establishment having registration No. …………………….. dated…………………. is closed with effect from (Date). Certificate from Employer I/we hereby certify that the payment of all dues to the workers employed in the establishment having registration no. dated has been made. I/we hereby certify that the establishment having registration no. dated kept free from storage of hazardous chemicals and substances. [Strikeout whichever if not applicable] To, The Registering Officer The Inspector-cum-Facilitator Signature of the Employer Place: Signature/ E-sign/digital sign of employer Date: FORM-III [See rule 3(2)] Certificate of Registration of Establishment Registration No. Date A Certificate of registration containing the following particulars is hereby granted under sub section (2) of section 3 of the Occupational Safety, Health and Working Conditions Code, 2020(37.of 2020) to (Name of the establishment) 1. Nature of work carried on in the establishment (Please tick mark) (a) Factory (b) Mining (c) Dock work (d) Contract Work (e) Building or Other Construction Works (f) any other work (not covered above) 2. Details of the establishment: a. Total Number of employees engaged directly in the establishment: b. Total Number of the employees engaged through contractor: c. Total Number of Contractors and their details: d. Number of inter-state migrant workers engaged: 3 (a) For factories Details of the manufacturing process Full postal address and situation of the factory Name and address of the occupier and manager Maximum number of workers to be employed on any day 1 2 3 4 3 (b) For mines Name of Mineral(s) Lease extent of the mine (in Acres) Name and address of the owner Average Monthly output, targeted (Tonne) Maximum number of persons to be employed on any day 1 2 3 4 5 3 (c) For Dock work Name of Dock Work / Major Port Types of Dock Works Name of the Cargo handled and stored along with quantity Name of the chemicals handled and stored along with quantity Name of the hazardous Chemicals handled and stored along with quantity 1 2 3 4 5 3 (d) For building or other construction work Type of Construction work Probable period of commencement of work Expected period for completion of work Details of approval of the local authority 1 2 3 4 3 (e) Any Other establishment: 4. Remarks of registering officers: Place: Date: /Signature E -Sign/DSC of registering officer along with designation Conditions of Registration (1) Every certificate of registration issued under rule 3 shall be subject to the following conditions, namely: (a) the certificate of registration shall be non-transferable; (b) The number employees engaged in an establishment, whether directly or on contract, shall not, on any day, exceed the maximum number specified in the certificate of registration; and (c) Save as otherwise provided in these rules, the fees paid for the grant of certificate of registration shall be non-refundable. (2) The employer shall intimate the change, if any, in the number of employees or the conditions of work to the registering officer within 30 days. (3) The employer shall, within thirty days of the commencement or cessation of operation, intimate to the Registering Officer and Inspector-cum-Facilitator, having jurisdiction in the area where the proposed establishment is situated or the work is executed, the actual date of such commencement or, as the case may be, closing of establishment electronically. (4) A copy of the certificate of registration shall be displayed at the conspicuous places at the premises where the work is being carried on. FORM-IV [(See rule 3(11)] Certificate of cancellation of Registration Certificate of Establishment No. Date: The Registration No…………………………………dated…………………… of …….……………………….. (Name of the establishment), of Factory/ Mine/Dock Work/ Contract Work/ Building or Other Construction Work/ Any other work (work carried on in the establishment) is hereby cancelled with effect from …………………. under sub-section (5) of section 3 of the Occupational Safety, Health and Working Conditions Code, 2020 (37 of 2020). Place: Signature/ E -Sign/DSC of Registering Officer Date: along with designation FORM-V [See rule 3(9)] Register of Establishment SI.No. Nature of work Registration No. and Date Name, address, and location of the establishment registered Name, Address and Contact Details of Employer Total number of Workers and Total Horsepower( if any) Total number of Contract Workers Remarks 1 2 2 3 4 5 6 (a) Factories (b) Mines (c) Dock Work (d) Building or other Construction work (e) Contract work (f) Inter-State Migrant Work (g) Any other work(not covered above) 1. Registration No: 2. Name and Address of establishment:- 3. Name and Designation of employer :- FORM-VI [See rule 4(1)] Notice of Commencement / cessation of operations 4. Full address to which communication relating to the establishment to be sent :- 5. Nature of work of the establishment :- A. Notice of Commencement / cessation of operations I/We hereby intimate that the operation of establishment having registration No. dated …………………………………… has commenced with effect from (Date) and approximate duration of operation is year month. OR I/We hereby intimate that the operations of the establishment having registration No. dated …………………………………… has ceased with effect from (Date). [Strikeout whichever is not applicable] B. Certificate from employer in case of cessation of operation I/we hereby certify that the payment of all dues to the workers employed in the establishment having registration no. dated has been made. I/we hereby certify that the establishment having registration no. dated kept free from storage of hazardous chemicals and substances. [Strikeout whichever is not applicable] To, The Registering Officer The Inspector-cum-Facilitator Signature of the Employer FORM-VII (For Mines) (See rule 4(2)) Notice of Commencement/Re-opening/Cessation/Discontinuance/ Abandonment of operations/Closing of mines I. In case of Notice of commencement the following additional details to be given Particulars of the Owner/Agent/Manager: 1. Labour Identification Number (LIN), if any 2. Mine Code, if any 3. Details of Owner, Agent, Manager Sl. No. Particulars Owner Nominate d Owner Agent Manager i. Name ii. Father’s name iii. Address Village/area/road– Post Office- Police Station- Sub-Division (Taluq)/Tehsil-Railway station(nearest)- District-State- PIN- iv. Mobile Number v. Telephone number (Landline with STD Code) vi. Fax number vii . Email ID 4. Date on which it is intended to open the mine (DD/MM/YYYY) 5. Plan(s) to be enclosed as required under Regulations enclosed: Yes/No; 5.1 If yes, specify plans Nos. with date………………………… 6. Safety Management Plan (SMP) enclosed- Yes/No; 6.1 If yes, specify reference number with date………………………… 7. Actual date of opening (DD/MM/YYYY) II. In case of reopening: following additional details to be given 1. Date on which it is intended to reopen the mine (DD/MM/YYYY) 2. Plan(s) under Regulations enclosed: Yes/No; 2.1 If yes, specify plan No. with date……… 3. Safety Management Plan (SMP) enclosed- Yes/ No 3.1 If yes, specify reference No. with date…… 4. Actual date of reopening (DD/MM/YYYY) III. In case of cessation/abandonment: following additional details to be given 1. Date on which it is intended to close/abandon* the mine (DD/MM/YYYY) 2. Actual date of closure /abandonment* (DD/MM/YYYY) 3. Number of persons likely to be affected 4. Reasons for closure / abandonment * IV. In case of discontinuance: following additional details to be given 1. Date on which it is intended to discontinue the mine (DD/MM/YYYY) 2. Actual date of discontinuance (DD/MM/YYYY) 3. Number of persons likely to be affected 4. Reasons for discontinuance 5. Updated plans enclosed as required under Regulation - Yes/No 5.1 If Yes, Specify the Plan(s) reference number(s) V. In case of closing of mines: following additional details to be given: 1. Mine closure plan: 2. Details of protective works to be carried out as per statute: [Strikeout whichever is not applicable] Certificate from the Employer In case of discontinuation/abandonment/cessation/closing of Mines: I/we hereby certify that the payment of all dues to the workers employed in the establishment has been made and the premises are kept free from storage of hazardous chemicals and substances. Yours faithfully Signature: Designation: Owner / Agent / Manager Date: To Registering Officer Inspector-cum-Facilitator INSTRUCTIONS * Strikeout whichever is not applicable 256 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM-VIII (See rule 5(2)) HEALTH EXAMINATION (Except mine employees) PART –A (Sl.No.1-11) : To be filled by the Employee: 1. Name of employee………………………………………………2. Gender…. ….. 3. Age (with DOB)…….. 4. Company…………………………………. 5.Designation……………………………….5(a). UAN 5(b) Aadhaar Number (after obtaining consent) 6. In-charge Employer / Executive Contacts………………………………… 7. Complete personal /plant Address ………………………………… 8. Mobile /Phone ……………………………………………… 9.Email………………………………… 10. Medical illness (Current) and under treatment & medication, If any……………………………… 11. Nature of Job (furnish more details, if hazardous and work-related viz. Physical, Chemical, Biological, Ergonomic etc) ……………………………………… Date: Signature of Employee PART-B: 12. Medical Test Carried out & Reports to be Attached as Annexure . Medical Officer’s interpretation/ Opinion of the Tests below (To be indicated only if abnormal , with reference to the attached Test reports) : a. Ht. (in cm) b. Wt. (in Kg) c. Chest measurement: (i) On inspiration cm (ii) On expiration cm (d) Waist Circumference (e) Body Mass Index: …………………… (f) Vision (Ophthalmologist tests): i. Visual Acuity both Right & left eyes …………………………. ii. Colour Vision……………………………………………….. (g) Blood Pressure (mm Hg)……………………………………….. (h) Complete Blood Count: (Hb, TLC, DLC, Platelets)……………………. (i) Fasting Blood Sugar (j) Post Prandial Blood Sugar………………. (k) SpO2……………………….. (l) Blood Urea ….………………………….. (m) S. Creatinine ………………………….. (n) S. Bilirubin (Total + direct) (o) SGOT (p) SGPT……………………………………………….. (q) Lipid profile (S. Cholesterol / Triglyceride / S.HDL) …….. (r) S. TSH ……………………………….. (s) X-ray Chest (PA view) ………………………………… (t) ECG…………… (u) Others if any…………………………………………. 13. Final Diagnosis/ Opinion / Treatment if any, advise by qualified medical practitioner ………………… 14. Does the person have seizure (s) related disorders or difficulty in working at height ? If yes, specify the works to be avoided: Yes/No/ NA (Not applicable) Date: Signature of the qualified medical practitioner SEAL . Certificate No………….. FORM- IX (For mine employees only) [See rule 109, rule 113(1) , rule 119(1) and rule 142] Report of medical examination (To be issued in triplicate) Certified that Shri/ Smt. /Miss………… employed as ………. in ………mine, Employee number……… . has been examined for an Initial/Periodical Medical Examination. Employee appears to be… years of age. The findings of the examining authority are given in the attached sheet. It is considered that Shri/Smt. /Miss………….. (a) is medically fit for any employment in mines. (b) is suffering from and is medically unfit for (i) any employment in mine; or (ii) any employment below ground; or (iii) any employment or work………. (c ) Employee is suffering from………… and should get the disease/disability cured/controlled and be re-examined within a period of ………..months. Employee shall appear for re-examination with the result of the test of………… and the opinion of the Specialist from Employee may be permitted/not permitted to carry on their duties during this period. Space for affixing Passport Size Photograph of the Candidate. Place : Signature & name of the examining authority With date and seal Report of the examining authority (to be filled in for every medical examination whether initial or periodical or re-examination or after cure/control of disability). Annexure to Certificate No…………as result of medical examination on ……. Identification Mark…………….. Left thumb impression and Signature of The candidate 1. General development- Good/Fair/Poor 2. Height Cms. 3. Weight kg. 4. Eyes : (i) Visual acuity-Distant vision (with or without glasses): Right eye……..Left eye………….. (ii) any organic disease of eyes (iii) night blindness (iv) Color blindness (to be tested in IME ) (v) Squint 5. Ears : (i) Hearing: right ear………….Left ear …………….. (ii) Any organic diseases. (iii) Audiometry Findings : Conduction Type Left Ear Right Ear Ear Conduction Normal/Abnormal Normal/Abnormal Bone Conduction Normal/Abnormal Normal/Abnormal Enclosed Audiometry Report. 6. Respiratory system. Auscultatory Finding: Chest measurement : (i) after full inspiration cms. (ii) after full expiration cms. Result of Lung Function Test (Spirometry) Parameters Predicted Value Performed Value % of Predicted Forced Vital Capacity (FVC) Forced Vital Capacity 1 FEV1 FEV1/FVC Peak Expiratory Flow Enclose Spirometry Report 7. Circulatory system: Blood Pressure Pulse Cardiological Assessment Auscultation S1 S2 Additional Sound Electrocardiograph (12 leads) findings : Normal/Abnormal Echocardiography finding (to be tested in IME) Normal/Abnormal Enclose ECG Enclose Echocardiography report 8. Abdomen : Tenderness. Liver. Spleen. Tumour. Ultrasonography of Whole Abdomen (to be tested in IME ) (Enclose Ultrasonography report) 9. Nervous system: History of fits or epilepsy Paralysis. Mental health. Neurological Assessment Findings Normal/Abnormal Superficial Reflexes Deep Reflexes Peripheral Circulation Vibrational Syndromes Special Tests for Manganese exposure Behavioral Disturbances Present/Not Present Speech Defect Present/Not Present Neurological Disturbances Tremor Present/Not Present Adiadocokinesia Present/Not Present Emotional Changes Present/Not Present 10. Locomotory system 11. Skin. 12. Hydrocele. 13. Hernia. 14. Teeth 15. Speech 16. Pathological Investigations: S.No. Tests Findings 1 Blood-Tc,Dc,Hb,ESR, Platelets WNL/Abnormal 2 Blood Sugar- Fasting & PP WNL/Abnormal 3 HbA1c(to be tested in IME and for diabetic person during PME ) WNL/Abnormal 4 Lipid profile WNL/Abnormal 5 Blood Urea, Creatinine WNL/Abnormal 6 Urine (Reaction, Albumin, Sugar) WNL/Abnormal 7 Stool Routine WNL/Abnormal 8 Sputum test for AFB(For Food handling employee) 9. Hemoglobin Electrophoresis for sickle cell disease /trait (to be tested in IME ) WNL/Abnormal 10. Bilirubin WNL/Abnormal 11. SGOT WNL/Abnormal 12. SGPT WNL/Abnormal 13. delta aminolevulinic acid in urine ( for person exposed to Lead) WNL/Abnormal Enclose all Investigation Reports. 17. Skiagram of chest. ILO Classification of Chest Radiograph : Profusion of Pneumoconiotic opacities Grades Types Present/Absent Enclose Chest Radiograph 18. Any other abnormality. 19. Any other test considered necessary by the examining authority. 20. Any opinion of specialist considered necessary. Place: Signature & name of the examining authority With date and seal Medical Standard of Fitness for Persons to be employed in Mines (Initial Medical Examination). 1. The person shall be in good physical and mental health and free from any physical defect, likely to interfere with efficient employment in mines. 2. Speech must be without serious impediment. 3. Teeth shall be in good condition and where necessary, the employee shall be provided with dentures for effective mastication (well filled teeth shall be considered as sound). The gums shall be in healthy condition. 4. Skin: - There shall be no evidence of extensive and chronic skin disease or ulceration. In the case of an infective type of skin disease, the candidate may be declared fit after undergoing a treatment. 5. Hearing in each ear shall be good and there shall be no sign of disease of the ear. Audiometric examination shall be normal and the person shall be free from deafness in each ear. 6. Distant vision of eye with or without glass should not be less than following standard : a) For underground workers Better eye 6/6 Worse eye 6/9 b) For surface/opencast workers Better eye 6/9 Worse eye 6/12 c) Intra-ocular lens implant: In the case of a person who has undergone intraocular lens implant, if the visual activity with intra-ocular lens is according to the standards laid down, the person concerned may be considered fit d) Fundus examination: In myopia -2Diopter or more, Fundus examination should be carried out and the results recorded. In the event of pathological condition being present, which is likely to be progressive and affect the efficiency of the candidate, he shall be declared unfit. e) Color vision: - The testing of color vision is compulsory and the results should be normal. The Ishihara's Plates shall be used for testing color vision. f) There should be no night blindness for persons employed below ground and for persons employed in open cast working in shifts other than in morning’s shifts. g) Any organic disease or a progressive refractive error which is likely to result in lowering the visual acuity should be considered a disqualification. h) Squint:-Presence of binocular vision is essential, squint even if the visual acuity is of prescribed standard, should be considered a disqualification. i) One eyed person - Presence of binocular vision is essential, one functional eye should be considered a disqualification. j) There shall be no Nystagmus. 7. Respiratory system: Chest must be well formed Respiratory system should be sound and free from any chronic laryngeal, bronchial pulmonary disease. Tuberculosis of lungs if not active should not be a disqualification. a) A full sized postero-anterior chest radiograph (not less than 11 inch. X 14 inch.) enough to include thoracic inlet and both costophrenic angles obtained by an X-ray machine (analog /digital) of atleast 300 Milli-Ampere strength shall be classified as per ILO international Classification of Radiographs of Pneumoconiosis by Medical Officer trained in such ILO classification. X-ray shall be classified using LED view box accommodating at least four chest radiographs of 14 inch. X 17inch size. b) Lung function tests (spirometry) to record forced vital capacity (FVC) and forced expiratory volume in one second (FEVI) shall be made. Findings of spirometry shall be within normal limit. 8. Circulatory system: - There should be no evidence of cardiac or vascular disease which may interfere with their efficient employment in a mine. The Blood pressure shall not be more than 130/80 mm Hg. Detailed cardiovascular assessment of employees should be done. This should include 12 leads electrocardiogram, echocardiography and complete lipid profile. 9. Locomotor System: The limbs, hands, fingers, feet and toes should be well formed and developed & without any deformity any deformity and function of all limbs should be within normal limits. 10. There should not be any evidence of disease of abdominal organs which is likely to affect their efficient discharge of duty in a mine. Ultrasonography (whole abdomen) report shall be normal. 11. In case the candidate has hernia, he may be declared fit after he has been successfully operated for the same. 12. Hydrocele if present should not be large enough to impede the normal activities of the person. If it is large enough he may be declared fit after being successfully operated. 13. The nervous system should be sound. Persons with history of epilepsy or any other type of organic or historical fits should not be declared fit for employment in a mine. Detailed neurological examinations including testing of all major superficial and deep reflexes shall be done. 14. Fasting, Post- prandial Blood sugar and Glycoslated Hb level (HbA1c) shall be tested .GlycoslatedHb level (HbA1c) by a medical specialist as Diabetes Mellitus is known to damage of target organs. GlycoslatedHb level (HbA1c) shall not be more than 6.0. Only such cases of well controlled Diabetes Mellitus with no associated complications may be considered for appointment. 15. Serum Urea and Creatinine shall be within normal limit. 16. Bilirubin, SGOT and SGPT shall be within normal limit. 17. Routine Stool shall be within normal limit. 18. The medical examination should include examination of urine. Mere presence of albumin and sugar in the urine without any gross organic disease producing signs and symptoms should not be a disability. 19. There should not be sickle cell disease /trait. Hemoglobin Electrophoresis test shall be done. Medical Standard of Fitness for Persons Employed (Periodical Medical Examination) 1. The person should be in good mental and bodily health and free from any physical defect likely to interfere with their efficient employment in a mine. 2. Speech must be without serious impediment. 3. Teeth shall be in good condition and where necessary, the employee shall be provided with dentures, where necessary, for effective mastication (well filled teeth will be considered as sound). The Gums should be in healthy condition. 4. Locomotor System: The limbs should be well formed and developed, and the function of all the limbs should be within normal limits. Any deformity should be recorded. There should be no deformity or paralysis which may interfere with their efficient employment in a mine. 5. Skin: - There shall be no evidence of extensive and chronic skin disease or ulceration. In case of infective skin disease, the candidate maybe declared fit after he has undergoing a treatment. All occupational skin diseases should be noted. 6. Eye : (a) Vision with or without glass should not be less than the following standard: i. Better eye 6/9 ii. Worse eye 6/12 (b) There should be no night blindness for persons employed below ground and for persons employed in open cast working in shifts other than in morning’s shifts. (c) A person having only one eye which functions normally should not be employed below ground, For employment on surface the vision of such a person in the other eye should be 6/9with or without glasses. 7. Hearing should be good, any progressive disease affecting hearing/or occupational deafness should be recorded. Audiometric examination shall be conducted in every case. 8. Respiratory System: Respiratory system should be sound and free from any chronic laryngeal, bronchial pulmonary disease. Tuberculosis of lungs if not active should not be a disqualification. a) A full sized postero-anterior chest radiograph (not less than 14 inch. X11 inch.) enough to include thoracic inlet and both costophrenic angles obtained by an X-ray machine (analog /digital) of at least 300 mA Milli-Ampere strength shall be classified as per ILO international Classification of Radiographs of Pneumoconiosis by Radiologist / Medical Officer trained in such ILO classification. b) Lung function tests (spirometry) to record forced vital capacity (FVC) and forced expiratory volume in one second (FEVI) shall be made. Findings of spirometry shall be within normal limit. 9. Circulatory system – There should be no evidence of any heart or vascular disease which may interfere with their efficient employment in a mine. Detailed cardiovascular assessment of employees should be done. This should include 12 leads electrocardiogram and complete lipid profile. The Blood pressure shall not be more than 140/90 mm Hg. 10. There should not be any evidence of disease of abdominal organs which is likely to affect their efficient discharge of duty in a mine. 11. The nervous system should be sound. Persons with history of epilepsy or any other type of organic or historical fits should not be declared fit detailed neurological examinations including testing of all major superficial and deep reflexes shall be done. 12. Persons exposed to manganese, In addition to the basic neurological examination, special emphasis should be given to behavioral and neurological disturbances such as speech defect, tremor, impairment of equilibrium, adiadochokinesia and emotional changes. 13. Persons exposed to lead; PME should include delta aminolevulinic acid in urine. 14. Persons engaged in food handling and preparation and handling of stemming material activities should undergo routine sputum for Acid Fast Bacilli (AFB). 15. Fasting & Post- prandial Blood sugar shall be tested. Diabetes shall be under controlled. Target organ shall not be affected by diabetes. 16. Serum Urea and Creatinine shall be within normal limit. 17. Bilirubin, SGOT and SGPT shall be within normal limit. 18. Routine Stool shall be within normal limit. 19. In case the candidate has hernia he may be declared fit after he has been successfully operated for the same. 20. Hydrocele if present should not be large enough to impede the normal activities off the candidate. In such cases he may be declared fit after being successfully operated. The medical examination should include examination of urine and of other system for evidence of disease. Mere presence of albumin and sugar in the urine without any gross organic disease producing signs and symptoms should not be considered as a disability. FORM- X [See rule 119 (2)] Certificate medical re-examination by Appellate Medical Board (To be issued in triplicate) We do hereby certify that we have examined Shri/ Smt. /Miss………… employed as ………. in ………, Employee number , who was declared medically unfit for. 1. any employment in mine. 2. any employment belowground. 3. any employment in work………. (Specify in details) After re-examination, we consider that – 1. Employee is medically fit for any employment in mine. 2. Employee is suffering from and is medically unfit for (a) any employment in mine. (b) any employment belowground. (c) any employment in work………. (Specify in details) 3. Employee is suffering from………..and should get this disability/cured/controlled and be re-examined within a period of months. Employee shall appear for re-examination within a period of months. Employee shall appear for re-examination with the result of the test of ……… and opinion of the ……… specialist from Employee may be permitted/may not be permitted to carry on their duties during this period. Signature & Name of members of Appellate Medical Board with date Paste colour passport size photograph Attested by manager/agent/owner 1… (Convenor) 2………….. 3…………… Report of the Appellate Medical Board Annexure to certificate No………….as result of Medical examination on……………. Identification mark : Left thumb impression & Signature of the candidate 1. General development- Good/Fair/Poor 2. Height Cms. 3. Weight kg. 4. Eyes : (i) Visual acuity-Distant vision (with or without glasses): Right eye…….. Left eye………….. (ii) any organic disease of eyes (iii) night blindness (iv) Colour blindness (v) Squint 5. Ears : (i) Hearing : right ear………….Left ear …………….. (ii) Any organic diseases. Audiometry Findings if required : Conduction Type Left Ear Right Ear Ear Conduction Normal/Abnormal Normal/Abnormal Bone Conduction Normal/Abnormal Normal/Abnormal Enclosed Audiometry Report. 6. Respiratory system. Auscultatory Finding: Chest measurement : (i) after full inspiration cms. (ii) After full expiration… cms. Result of Lung Function Test ( Spirometry) if required Parameters Predicted Value Performed Value % of Predicted Forced Vital Capacity (FVC) Forced Vital Capacity 1 FEV1 FEV1/FVC Peak Expiratory Flow Spirometry Report enclosed 7. Circulatory system: Blood Pressure :-Pulse :- Cardiological Assessment Auscultation S1 S2 Additional Sound Electrocardiograph (12 leads) findings : Normal/Abnormal Echocardiography finding if required Normal/Abnormal Enclosed ECG Enclosed Echocardiography report 8. Abdomen : Tenderness. Liver. Spleen. Tumour. 9. Nervous system: History of fits or epilepsy Paralysis. Mental health. Neurological Assessment Findings Normal/Abnormal Superficial Reflexes Deep Reflexes Peripheral Circulation Vibrational Syndromes 10. Locomotory system 11. Skin. 12. Hydrocele. 13. Hernia. 14. Any other abnormality 15. Urine : Reaction: Albumin: Sugar: 16. Pathological Investigations: S.No. Tests Findings 1 Blood-Tc,Dc,Hb,ESR, Platelets WNL/Abnormal 2 Blood Sugar- Fasting & PP WNL/Abnormal 3 HbA1c if required WNL/Abnormal 4 Lipid profile WNL/Abnormal 5 Blood Urea, Creatinine WNL/Abnormal 6 Urine Routine WNL/Abnormal 7. Hemoglobin Electrophoresis (if required) WNL/Abnormal Enclosed all Investigation Reports. 17. Skiagram of chest. 18. ILO Classification of Chest Radiograph : Profusion of Pneumoconiotic opacities Grades Types Present/Absent Enclosed Chest Radiograph 19. Any other test considered necessary by the examining authority. 20. Any opinion of specialist considered necessary. Signature & Name of members of Appellate Medical Board with date 1 (Convenor) 2………….. 3…………… FORM-XI (See rule 7(1) and rule 7(2)) NOTICE OF ACCIDENT OR DANGEROUS OCCURRENCE E.S.I.C. Employer’s Code number: E.S.I.C. Insurance Number of the injured person : 1. Name of employer : 2. Address of works / premises where the accident or dangerous Occurrence took place : 3. Nature of industry and LIN of the establishmen t: 4. Branch or department and Exact place where the accident or dangerous occurrence took place : 5. Name and address of the injured person : 6. (a) Gender : (b) Age (at the last birthday) : (c) Occupation of the injured person : 7. Local E.S.I.C. Office to which the injured person is attached : 8. Date, shift and hour of accident or dangerous occurrence : 9. (a) Hour at which the injured person started work on the day of accident or dangerous occurrence : (b) Whether wages in full or part are payable to them for the day of the accident or dangerous occurrence : 10. (a) Cause or nature of accident or dangerous occurrence : (b) If caused by machinery- (i) Give the name of machine and the part causing the accident or dangerous occurrence : (ii) State whether it was moved by mechanical power at the time of accident or dangerous occurrence : (c) State exactly what the injured person was doing at the time of accident or dangerous occurrence : (d) In your opinion, was the injured person at the time of accident or dangerous occurrence - (i) acting in contravention of provisions of any law applicable to them; or (ii) acting in contravention of any orders given by or on behalf of their employer; or (iii) acting without instructions from their employer? (e) In case reply to (d) (i), (ii) or (iii)is in the affirmative , state whether the act was done for the purpose of and in connection with the employer’s trade or business. : 11. In case the accident or dangerous occurrence took place while travelling in the employer’s transport, state whether- (a) the injured person was travellin g as a passenge r to or from their place of works; : (b) the injured person was travelling with the express or implied permission of their employer; : (c) the transport is being operated by or on behalf of the employer or some other person by whom it is provided in pursuance of arrangements made with the employer; and : (d) the vehicle is being/not being operated in the ordinary course of public transport service : 12. In case the accident or dangerous occurrence took place while meeting emergency, state- (a) its nature; and (b) whether the injured person at the time of accident or dangerous occurrence was employed for the purpose of their employer’s trade or business in or about the premises at which the accident or dangerous occurrence took place. : 13. Describe briefly how the accident or dangerous occurrence took place : 14. Names and addresses of witnesses : (1) (2) 15. (a) Nature and extent of injury(e.g. fatal, loss of finger, fracture of leg, scald, scratch followed by sepsis, etc.) : (b) Location of injury (e.g. right leg, left hand, left eye, etc.) 16. (a) If the accident or dangerous occurrence was not fatal, state whether the injured person was disabled for more than 48 hours : (b) date and time when the injured person returned to work: : 17. (a) Physician, dispensary or hospital from whom or which the injured person received or is receiving treatment : (b) Name of dispensary/panel doctor elected by the injured person : 18. (a) Has the injured person died ? : (b) If so, date of death : I certify that to the best of my knowledge and belief the above particulars are correct in every respect. Signature and Name and Designation of owner/ employer /manager/agent Date of dispatch of report : Place: 280 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)] FORM-XII (See rule 71) NOTICE OF PERIODS OF WORK Name of the Establishment…………………………Place…………………………………District…………………… Periods of work Groups, Relays Men Women Description of Groups, Nature of work Remarks Total no. of men employed Total no. of women employed A B C D E F G H 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 On working days From .. To .. From .. To .. From .. To .. On partial Working days From .. To .. From .. To .. Date on which this notice is first exhibited : Signature of employer : Date : [??? II—???? 3(i)] ???? ?? ??????? : ??????? 281 FORM-XIII (See rule 72(1)(i)) EMPLOYEE REGISTER (The register may also be maintained in electronically capturing, inter-alia the following details) Name of Establishment: Name of the Employer/owner: PAN/TAN of the Employer Registration Number of the establishment (Labour Identification Number (LIN) shall be the Registration Number of the Establishment To be maintained for all employees of the establishments 1. Employee Code 2. Name Middle Name 3. Surname 4. Gender 5. Father’s/Mother’s/ Spouse’s Name 6. Date of Birth 7. Place of Birth 8. Nationality 9. Education level 10. Date of Joining 11. Designation 12. Category (unskilled, semi-skilled, skilled or highly skilled) 13. Type of employment (P/T/FT/T/B)** 14. Mobile Number 15. Universal Account Number (UAN) 16. PAN 17. Nominee (To be filled on the basis of Nomination form) 18. EPS/NPS 19. Details of Family 20. Details of Posting 21. Pay 22. Promotion 23. ESIC IP Insurance No. 24. Aadhaar number 25. Bank A/c No. 26. Bank 27. Branch(IFSC) 28. Present address 29. Permanent address 30. Service Book No. 31. Date of Exit 32. Reason for Exit 33. Mark of Identification 34. Photo 35. Specimen Signature/Thumb Impression 36. Remarks Signature of Employee ** (Permanent/Temporary/Fixed Term/Trainee/Badli) Signature of Employer FORM-XIV (See rule 72(1)(ii)) ATTENDANCE REGISTER-CUM-MUSTER ROLL (The attendance register-cum-muster roll may also be maintained in electronically capturing, inter-alia the following details) For the Month of , year 20........ Name of Establishment: Name of the Employer/owner: Registration Number of the establishment (Labour Identification Number (LIN) shall be the Registration Number of the Establishment) 1. Serial Number 2. Employee Code 3. Name 4. Designation 5. Shift 6. Place of work/department/section 7. Date and timings of In and Out 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 8. Total number of days worked 9. Total number of overtime hours worked 10. Brief details of tour or assignment outside the work place, if any. 11. Signature of Register keeper* *Note: Required in case register is maintained physically. FORM – XV (See Rule 72(1)(iii)) REGISTER FOR WAGES, OVERTIME AND DEDUCTIONS (The register may also be maintained electronically capturing, inter-alia the following details) Name of Establishment: Name of the Employer/owner: PAN/TAN of the Employer Registration Number of the establishment (Labour Identification Number (LIN) shall be the Registration Number of the Establishment) Wage Period from dd/mm/yyyy to dd/mm/yyyy (Monthly/Fortnightly/Weekly/Daily/Piece Rated) 1. Serial Number 2. Employee Code Number 3. Name of the employee 4. Designation 5 Department 6 Duration of Payment of wages (Monthly/Fortnightly/Weekly/Piece rated) 7 Wage Period from- to 8 Total number of days worked during the wage period 9 Total overtime hours worked or overtime production in case of piece workers Rate of Wage 10 a)Basic 11 b)DA 12 c)Other allowance Amount of wages earned 13 Basic 14 DA 15 Allownaces 16 Overtime 17 Total wages earned Deductions 18 EPF 19 ESIC 20 Society 21 Income Tax 22 Insurance 23 Advances 24 Recovery of Fine 25 Recovery on amount of damages/losses 26 Total deductions 27 Others 28 Net Payment 29 Date of Payment 30 Receipt by employee/Bank Transaction ID 31 Nature of acts and omissions for which fine imposed with date 32 Amount of fine imposed 33 Damage or loss caused to the employer by neglect or default of the employee 34 Signature of Employer/Employer Representative* *Note: Required in case register is maintained physically FORM – XVI (See rule 72(2)) Wage slip Date of issue: Name of the Establishment ................................................................................. Address:............................................ Period:............................................ 1. Name of the Employee: 2. Father’s/Mother’s/Spouse’s Name: 3. Designation: 4. UAN: 5. Bank Account Number: 6. Wage period: 7. Rate of wages payable a) Basic b) D.A. c) other allowances 8. Total attendance/unit of work done: 9. Overtime wages 10. Gross wages payable 11. Total deductions a) PF b) ESI c) Others 12. Net wages paid Employer/Pay-in-charge signature* *Note: Required in case register is maintained physically. FORM-XVII [See rule 72(5) r/w rule 74 ] ANNUAL RETURN FOR THE YEAR …….ENDING 31stDecember. Instructions for filling up the Annual Return (1) This return shall be filled-up and furnished on or before the 28th or 29th day of February every year. (2) This return consists of two parts i.e. Part-I , which shall be filled up by all establishments. (3) Part-II shall be filled-up only by the establishments that are Mines in addition to Part-I. (4) The terms “establishment” and “mines” shall have the same meanings as assigned to them in the Occupational Safety, Health and Working Conditions Code, 2020. (5) This return shall be filled-up in the case of contractor or manpower supplier who has engaged more than 50 workers and in the case of mines, even where one worker was employed during the relevant period. Applicable to All Establishments - Part-I A. General Information: Sl. No. Instructions for filling the column 1. Labour Identification Number EPFO, ESIC, MCA, MoLE (LIN) 2. Period of the Return From - To- Period should be calendar year 3. Name of the Establishment 4. Email ID (employer) 5. Telephone No. (employer) 6. Mobile number (employer) 7. Premise name 8. Sub-locality 9. District 10. State 11. Pin Code 12. Geo Co-ordinates B(a). Hours of Work in a day B(b). Number of Shifts Number of hours in a shift C. Details of Manpower Deployed Details Directly employed Employed through Contractor Grand Total Skill Category HighlyS killed Skilled Semi-Skilled Un-Skilled Highly Skilled Skilled Semi-Skilled Un-Skilled (i) Maximum No. of employees employed in the establishment in any day during the year M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T (ii) Average No. of employees employed in the establishment during the year No. to be indicated M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T (iii) Maximum number of Migrant Worker during the year (Section 59 of OSH&WC Code) M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T M/F/T (iv) Number of fixed term employee engaged M/F/T M/F/T M/F/T M/F/T D. Details of contractors engaged in the Establishment: Sl. No. Name with LIN of the Contractor No. of Contract Labour Engaged E. Details of various Health and Welfare Amenities provided. Sl. No. Nature of various welfare amenities provided Statutory (specify the statute) Instructions for filling 1. Whether facility of Canteen provided (as per section24(v) of OSH&WC Code, 2020) Tick yes or no in the box and not applicable Applicable to all establishments wherein hundred or more worker including contract labour were ordinarily employed 2. Crèches(as per section 67of Code on Social Security Code, 2020 and section 24 of the OSH&WC Code 2020) Tick yes or no in the box and not applicable Applicable to all establishments where fifty or more workers are employed 2a If 2 above is not given than whether Crèches allowance under Rule.. of Social Security Code given. Tick yes or no in the box and not applicable Reference rule.. on Social Security 3. Ambulance Room(as per section 24(2)(i) of OSH&WC Code, 2020) Tick yes or no in the box and not applicable Applicable to mine, building or other construction work wherein more than five hundred workers are ordinarily employed 4. Safety Committee (as per section 22(1) of OSH&WC Code, 2020. Tick yes or no in the box and not applicable Applicable to establishments and factories employing 500 workers or more, factory carrying on hazardous process and BOCW employing 250workers or more, and mines employing 100 or more workers. 5. Safety Officer (as per section 22(2) of OSH&WC Code, 2020) No. of safety officers appointed In case of mine100 or more workers, in case of BOCW 250 or more workers and in case of dock work 500 or more workers are ordinarily employed. 6. Qualified Medical Practitioner (as per section12 (2) of OSH&WC Code 2020. No. of Qualified Medical Practitioner appointed. There is no specification for minimum number of Qualified Medical Practitioner employed in establishment. However, this detail is required to have data on occupational health. F. The Industrial Relations: Instructions for filling 1. Is the Works Committee has been functioning.(Section 3 of IR Code, 2020) Yes/No and not applicable Industrial establishment in which 100 or more workers are employed (a) Date of its constitution. 2. Whether the Safety Redressal Committee constituted (Section 4 of IR Code, 2020) Yes/No and not applicable Industrial establishment employing 20 or more workers 3. Number of registered Unions in the establishments. 4. Whether any negotiation union exist(Section14 of IR Code,2020) Yes/No 5. Whether any negotiating council is constituted (Section 14 of IR Code, 2020) Yes/No 6. Number of workers discharged/dismissed, retrenched or whose services were terminated during the year: Dismissed Retrenched Discharged /Terminated or Removed Grand Total 7. Man-days lost during the year on account of Sl. No. Reasons Period /Date No. of man- days lost (a) Strike (b) Lockout 8. Details of retrenchment / lay off Sl. No. No. of persons retrenched during the period Details of payment paid to retrenched employees No. of workers laid off during the period No. of man-days lost due to lay-off Applies on industrial establishment employing 300 or more workers G. Details pertaining to maternity benefit: No. of female employees No. of female employees availed maternity leave No. of female employees paid medical bonus No. of deduction of wages, if any made from female employees H. Details of payment of bonus: Sl. No. No. of employees covered under the Bonus provision Total amount of bonus actually paid Date on which the Bonus paid I. Details of accidents, dangerous occurrence and notifiable diseases: Sl. No. Total number of accidents by which a person injured is prevented from working for a period of 48 hours or more as per section 10 of the OSH&WC Code, 2020. Total number of fatal accidents and names of the deceased as per Section 10 of the OSH&WC Code, 2020. Total number of Dangerous Occurrences as defined under Section 11 of the OSH&WC Code,2020 Total number of cases of Notifiable Diseases specified in Third Schedule of the OSH&WC Code, 2020 along with the details of affected persons J. Man days and production lost due to accidents / dangerous occurrences Sl. No. Accident/Dangerous Occurrence Man days lost Production Lost [See rule 72 r/w rule 74] Part II (For Mines) A. General information 1. Establishment Name 2. Name of Company/ Name of Owner 3. Type of organization (drop down) PSU Central/ PSU State/ Private/ 4. Type of ownership (drop down) Firm/Association/Individual/Partnership/Company 5. Type of Mineral (drop down) Coal/Metal/Oil 6. Name of Mineral 7. Type of Mine (drop down) Belowground/ Opencast/ Aboveground/Mixed/OffShore/OnShore 8. Date of opening To be filled for first time 9 Mine Code To be filled for first time 10. Date of closing (if any) NA/ Calendar to be given 11. Date of reopening (if any) NA/ Calendar to be given 12. Depth of working in mts. Maximum Depth: Minimum Depth: B. Statutory personnel employed in the mine (as on 31st December) Sl. No. Designation as per Code Number of Statutory Persons required Number of Statutory Persons employed 1. C. Method of Working vis-a-vis Safety Parameters 1 Name of Method (Specify the name) (as per drop down menu) 2 Quantity of mineral Produced in Cu.m./Tonne 3 Quantity of Waste/overburden removed in Cu.m./Tonne 4 Stage of Working (as per drop down menu) Development/Extracti on/Mixed 5 Permissible Void in Cu.m. For extraction stage 6 Actual Void in Cu.m. For extraction stage 7 Area of overhang For extraction stage 8 Maximum Inflammable gas released in Cu. Meter per ton of coal produced For Development stage 9 Overall Pit slope For Opencast mines Individual entry for each Pit 10 Overall dump slope For Opencast mines Individual entry for each Dump 11 Area of fire in Sq. m. 12 Length of embankment required to be provided against the water body 13 Length of embankment provided against the water body 14 Length of fencing required/provided as per statute 15 No. of opening required to be sealed in case of abandoned mines: 16 No. of Openings sealed in case of abandoned mines: 17 Number of Mock drills conducted and date of same with coverage of employees 18 No. of Oil/Gas wells: under drilling/ under production/ under work over (as per drop down menu) For Oil and gas mines 19 No. of wells where production discontinued For Oil and gas mines 20 If Yes to pt. 19 above, Action taken 21 Action Taken in respect of Wells where production has been discontinued For Oil and gas mines 22 Maximum Quantity of explosive used in any day (in Kgs.) For all types of mine 23 Whether Building or Structures not belonging to owner lies within danger zone? Yes/No/NA For Coal & Metalliferous Mines 24 Aggregate HP/KW of machineries installed/deployed in the mine for the year For all types of mine D. Medical examinations - Initial/Periodical (IME/PME): During the year, total number of persons including contractual workers: Particulars Total No. of Persons Undergone IME Undergone PME Declared medically Temporary unfit Given alternate Employment due to Medical unfitness Terminated on account of being medically unfit E. Details of Vocational training imparted: During the year, total number of persons including contractual workers: Particulars Total No. of Persons Imparted Basic Vocational Training Imparted Refresher Training Imparted special Training F. Details of Accident, Dangerous Occurrence and Occupational Diseases : (1) Details of Accidents and Dangerous Occurrences: Sl. No. Date of Accidents/Dangero us Occurrences No. of persons killed No. of persons received Serious Bodily Injury Number of persons injured (Excluding Serious Bodily Injury) and thereby prevented from working for a period of 48 hours or more Nature of Occurrence Mandays lost 1. (2) Details of Occupational diseases: Sl. No Notified Disease No. of cases 1 G. Details of Safety Management Plan: (a) Safety Management Plan Prepared: (Yes/No/NA) (b) Date of Submission : Date (c) Last date of review of Safety Management Plan: Date (d ) Principal Hazards Identified: Sl. no. List of Principal hazards identified Principal hazard Mitigation date Principal hazard not mitigated till 31st December Reasons for failure to mitigate the same 1. H. Mines Rescue Station: (For Belowground Mines Only) A. For Mine: (To be filled by mine owner) (i) Address of the Rescue Station with Geo-coordinates serving the mines; (ii) Distance of the Rescue Station from mine opening; (in KM) (iii) Whether a mine Rescue Station has been established by the mine ? (Yes/No) Mines Rescue Station: (For Belowground Mines Only) (For Rescue Station) For Mine Rescue Station (To be filled by the Superintendent of the Rescue Station) (i) Name of the owner of the mine at which the Mine Rescue Station is located: (ii) Address of MRS: (iii) Name of the Superintendent : (iv) Details of the mine served by the Rescue Station: Sl. No. Name of the Mines Distance of the Mine from MRS (in Kms) (v) Details of Personnel Deployed at Rescue Station; Sl. No. Designation as per Code Number of statutory persons required Number of statutory persons employed (vi) Details of Equipment/Apparatus : Sl. No. Type of Equipment/Apparatus required Numbers of Equipment/Apparatus available (vii) Particulars of Emergency Attended: Sl.No. Name of the Mine Nature of Emergency Response Time (time taken by rescue services to attend the emergency) Time taken for Rescue & Recovery Action Taken (viii) Additional Information : (a) Number of Rescue Rooms : (b) Number of Rescue Trained Persons Required : (c) Number of Rescue Trained Person available : (d) Whether Canteen facility exist or not? ( Yes/No): Certified that the tables are duly filled in and the information and figures furnished therein are correct to the best of my knowledge. Signature of Employer/Occupier/Owner/Agent/Manager Place: Dated: 1. Name of the principal employer: 2. Name of the establishment: 3. Registration number (LIN) of the establishment: 4. Details of the Contractors, wages paid, etc.: PART III [See rule 98(9)] ANNUAL RETURN period ending 31st December (to be submitted by the principal employer on Shram Suvidha Portal) Sl. Month Name and address of the contractors LIN of the contractor Name of the work Maximum number of contract labour employed Amount paid against wage bill (if applicable) to the contractor (including EPF, ESIC, Bonus etc.) Date of payment of wage bill (if applicable) Amount of the wages paid directly to the contract labour by Principal Employer (in case the contractor fails to pay) Date of payment of wages paid directly to the contract labour by Principal Employer (in case the contractor fails to pay) Remarks Signature of the principal employer Date: PART IV (see rule 72(8)) Shram Shuvidha Portal Ministry of Labour and Employment Self-Declaration form for EPFO/ESIC Contribution Year: PAN No: LIN:(Auto-Populated) EPF Code No. (Auto-Populated)(Editable): ESI Code No.(Auto- Branch Code Nos. (Auto- Populated)(Editable): Populated)(Editable): Sub Code Nos. (Auto- Populated) (Editable): Statement of salary/wages and contribution in r/o of EPFO 1 2 3 4 =(2+3) 5 6 7 8=(5+7) 9 10 11 12=(9-10) 13 Month & Year Total No. of employees eligible for membership under SS Code/Scheme Total no. of employees not eligible for membership under SS Code/scheme Total no. of employees employed Total Wages paid to employees eligible for membership under SS Code/scheme Total EPF Wages paid to employees eligible under SS Code/scheme Total Wages paid to employees not eligible under SS Code/scheme Total wages paid to all employees Total Contribution Payable (Based on column 6) Total contribution paid Date of payment Balance to be paid No. of employees to whom dues to be paid 04/20.. 05/20.. 06/20.. 07/20.. 08/20.. 09/20.. 10/20.. 11/20.. 12/20. . 01/20. . 02/20. . 03/20. . • Upload Salary sheet of contribution details of all members as per Form-VIIIB(Register of Wages, Overtime & Dedcution) Details of Employees non-enrolled but eligible to be member: Sr. No Name of Employee Gender Aadhaar Number Father’s Name Date of Birth Date of Joining Date of Exit (If already left) Wages paid Contractors details: S.No. Name & Address of the contractor EPF code No. ESI code No. Nature of work Maximum Number of employees employed during any day Total payment made during the FY <*contractor details may be pre-filled from CLC Licence data if available with option to add other contractors> Details of tax benefit claimed by employer by way of contribution towards a recognized provident fund or an approved superannuation fund u/s 36(1)(iv) of Income Tax Act: Financial Year Contribution Tax benefit UPLOAD DCOUMENTS: S. No. DOCUMENT Name <upload field in portal> 1. Balance Sheet* • <upload field for Balance Sheet of the financial year> 2. Form 26AS* • <upload field for Form 26AS of the financial year> 3. Form 26Q* • <upload field for Form 26Q of the financial year> *mandatory field (Signature of the Employer/authorized representative) *Section 36(1)(iv) of Income Tax Act: any sum paid by the assessee as an employer by way of contribution towards a recognised provident fund or an approved superannuation fund, subject to such limits as may be prescribed for the purpose of recognising the provident fund or approving the superannuation fund, as the case may be; and subject to such conditions as the Board may think fit to specify in cases where the contributions are not in the nature of annual contributions of fixed amounts or annual contributions fixed on some definite basis by reference to the income chargeable under the head "Salaries" or to the contributions or to the number of members of the fund; FORM XVIII [See rule 72(5) and 98(7)] Half Yearly Return (January to June / July to December) to be submitted electronically by the contractor to the Deputy Chief Labour Commissioner (Central) 1. Name and address of the contractor: 2. Name and address of the principal employer and LIN: 3. LIN of the contractor: 4. Licence number of the contractor (if applicable): 5. Name of the contract work with location/station: 6. Details of the number of Contract Labour, Wages Paid etc.: Sl. No. Months Number of Contract Labour employed Total amount of wages paid in a month Overtime Bonus Date and amount of Wage bill received by contractor from Principal Employer ECR number of ESIC ECR number of EPF Wages paid by 7th of the month or due date as applicable Yes/No Remarks January February March April May June Signature of the contractor: Date: FORM-XIX (See rule 75) REGISTER OF ACCIDENTS AND DANGEROUS OCCURRENCES Name of injured/deceas ed person (if any) Date of accident or dangerous occurrence Date of report to Inspector-cum-Facilitator Nature of accident or dangerous occurrence Date of return of injured person to work Number of days the injured person was absent from work Signature of employer/repres entative 1 2 3 4 5 6 7 FORM-XX (See rule 76) REGISTER FOR LEAVE WITH WAGES Part I - Adults Part II - Adolescents Establishment: Name of worker : Department : Father’s Name: Sl. No Sl.no. in the register of workers Date of entry into service Interruptions Leave due with effect from Whether leave not desired during the next 12 months Date from which the worker is allowed leave Wages for Leave Paid in Discharged worker Leave Remarks Sickness and accidents Authori sed Leave Lock Out or Legal Strike Involuntar y unemploy ment Others Date of Discharge Date and amount of payment made in lieu of leave due Accumulated carry forward leave 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Note: - Separate page shall be allotted to each worker Signature of Employer/Register Keeper/Representative FORM-XXI [See rule 87, rule 88(1) and rule 96(1)] Application for Grant of Licence/ Renewal of Licence/Amendment of Licence (including common/single licence) Government of India, Ministry of Labour and Employment ESTABLISHMENT PROFILE: Labour Identification Number Date Acknowledgement Number: ………………………………… Date of Application: …………………. I. Particulars of Establishment for which licence required: 1. Name of Establishment: 2. Address of establishment (a) Head Office address along with email Id : (b) Corporate office address along with email Id: 3. Telephone Number : 4. Activity as per National Industrial Classification : (Select all applicable activities given) 5. Details of selected NIC Code: 6. Nature of work carried on in main establishment : 7. Identifier of the Establishment : (Select) : e-sign/digital sign II. Details of Employer: 1. Full Name of Employer: relationship with establishment. 2. Full Address of Employer: 3. Email Id of employer: 4. Mobile No. of employer: III. Particulars of the Contract Labour to be employed / is employed (If licence is required work wise) Locations of worksites Name of works Activity as per national industrial classification Date of commencement Date of completion Name of Establishments in which contract labour is/proposed to be employed Name Address, email id of the Site Incharge 1 2 3 4 5 6 5. Maximum number of workmen proposed to be employed on the establishment on any date: 6. Amount of Licence Fee: INR ( Transaction Id : ) 7. Amount of Security Deposit: INR ( Transaction Id : ) IV. DETAILS OF ESTABLISHMENTS FOR WHICH COMMON LICENCE REQUIRED , (IF APPLYING FOR) Type of Establishments Name & Address of establishment (i)Nature of work carried out in the establishment (ii) Activity as per National Ind’l classification Date of commenceme nt Permanent establishme nt or probable date of completion Maximum number of contract labour employed/ proposed to be employed 1 2 3 4 5 6 V. DETAILS OF ESTABLISHMENTS FOR WHICH SINGLE LICENCE IS REQUIRED (IF APPLYING FOR) Name of States in which the establish ments are situated Name of each work Maximum number of labour will be/is employed Date of commence ment Permanent establishment or probable date of completion Registration number, if obtained, then details thereof 1 2 3 4 5 6 Signature of Contractor (e-Sign/DSC) Note: This is an online application summary applied on Shram Suvidha Portal or designated Portal. APPLICATION FOR RENEWAL OF LICENCE 1. Licence No. Date : 2. LIN & PAN 3. Name and address of the establishment: 4. Date of expiry of previous licence : 5. Whether the licence of the employer/contractor was suspended or revoked: 6. Details of fees paid : (Enclose e-payment receipt): Amount …. Date of payment : E-sign /digital sign of the employer/contractor date: APPLICATION FOR AMENDMENT OF LICENCE : 1. Licence No Date: 2. LIN & PAN 3. Name and address of the establishment: 4.Details for which amendment is sought : (a). Maximum number of contract labour presently employed : When there is an increase in the maximum number of contract labour to be employed, the additional fee/security deposit required under law shall be deposited: (b). Details of fees paid through e-payment date on which made : (c). Other details requiring amendment in the licence issued (Necessary documents may be uploaded in support of change required) E-sign /digital sign of the employer/contractor Date of application. Date:-Place:- FORM-XXII (See rule 89(1) and rule 90(2)) PROFORMA OF LICENCE Licence No. ------------- Reg. No. ----------- Date of Reg. ---------- Licence is hereby granted to for the premises known as situated at nature of work for use as a establishment within the limits stated herein after, subject to provisions of the Occupational Safety, Health and Working Conditions Code, 2020, and the rules made there under. The ------------ 20.. Issuing Authority Sl.No. Period of issue Valid For Fee Date of Payment Excess fee for late payment Date of payment Signature of the Issuing Authority Maximum number of Contract labour on any one day AMENDMENTS: Year when Amended Maximum number of Contract labour on any one day Date of payment of amendment fee Date of Payment Signature of the Issuing Authority E-sign /digital sign of the designated authority FORM-XXIII (See rule 100) EXPERIENCE CERTIFICATE OF CONTRACT LABOUR To whomsoever it may concern 1. Name of contractor/employer*: 2. LIN/PAN No. of the contractor/employer *: 3. Email Id of the contractor /employer *: 4. Mobile No. of the contractor/employer *: 5. Nature and location of work: 6. Name of principal employer*: 7. LIN/PAN No. of the principal employer :* 8. Email Id of the principal employer : * 9. Mobile No. of the principal employer :* 10. Name of the labourer*: 11. UAN / Aadhaar No.: 12. Mobile No. : 13. Serial Number in the employee register : 14. Registration number, date and name of the Board where the building or other construction work is registered as a beneficiary: 15. Period of employment: 16. Designation: 17. Work performed: Seal and Signature of Contractor *Strike off whichever is not applicable. FORM-XXIV (See rule 105) Agreement between Producer and Audio-visual worker This agreement is made on this day ............ month ................year.......... between M/s ................... having office at (hereinafter referred to as the “Producer”) on the first part and Shri/Smt/Kumari .....................son/daughter/wife of Shri .................. residing at (herein after referred to as the “audio- visual worker”) on the second part. The terms ‘Producer’ and ‘audio-visual worker’ shall include their heirs, successors, administrators and legal representatives: Now, therefore this agreement is made as follows: 1. That both the parties agree that the duration of this agreement shall be from the date hereof till the completion of the audio-visual production and this period shall not exceed consecutive months. 2. That the audio-visual worker agrees to attend studio, location or work place, as the case may be, subject to the requirement of his previous engagement and on their confirmation, to perform their respective job punctually as and when he shall be required by a written intimation by the Producer or the person duly authorised by them in writing. 3. That inconsideration of the audio-visual worker’s services, as aforesaid, the producer agrees to pay and the audio-visual worker agrees to receive a sum of Rs. ...............................(Rupees ........................) payable as advance on signing of this agreement and the balance of Rs. .........................payable in ......................... equal installments. 4. That in the event of the audio-visual production being not complete within the stipulated period and the Producer still needing the services of the audio-visual worker to complete the audio-visual production, the producer agrees to pay and the audio-visual worker agrees to receive additional remuneration on pro-rata basis, payable in the same manner as stated in Clause 3 above, till the completion of the production. 5. That in case the assignment of the audio-visual worker is completed earlier than the period stipulated in Clauses 1 and 4 above, the producer shall settle the account of the audio-visual worker and pay the remaining balance of the agreement amount in full before the commencement of re-recording work/censor of the production, whichever is earlier. 6. That the audio-visual worker shall, if so required, (a) attend the studios, location or work-place, as the case may be, earlier than the scheduled time of the shift, for preparatory work, and in that case, audio-visual worker shall be paid by the Producer extra wages at the rate of Rs. per hour or part thereof for such early attendance. (b) continue to work beyond the working day, with one hour break and in that case, audio-visual worker shall be paid by the Producer extra wages at the rate of Rs. for the work during the extended hours and refreshments, and transport facilities. 7. That the Producer shall provide transport and food or pay traveling allowances to and fro to report to duty and food allowance while on duty as are customary or fixed by bilateral arrangements between the Producer’s and audio-visual worker’s representative organizations. 8. That the Producer shall also pay for all travelling and accommodation expenses, fares, cost of food and such other allowances as are customary when the audio-visual worker is required to work on location outdoors. 9. That the Producer shall get the audio-visual worker insured for any injury or damage to such person including death caused by accident arising out of or in the course of their employment and/or during the period of their assignment under this agreement. 10. That where the Producer is prevented from proceeding with the production of the audio-visual by reason of fire, riot, natural calamity, order of the public authority or any other reason beyond their control :- (a) he shall be entitled to suspend the operation of this agreement during the period of suspension of production in case the production is suspended. The producer shall serve notice in writing of such suspension on the audio-visual worker and shall pay all their dues up to the date of service of such notice. Upon resumption of work on the film, this agreement shall revive and shall remain valid for the period stipulated in Clause I excluding the period of suspension there from ; or (b) he shall be entitled to terminate this agreement as from the cessation of production, in case the production ceases completely. The producer shall serve a notice in writing of such cessation on the audio-visual worker and make payment of all the amount due to the audio-visual worker at the time of termination. 11. That in case if the Producer desires to terminate this agreement before the expiry of its term for reasons other than misconduct in relation to performance of the audio-visual worker’s duties or of their unwillingness to perform the services required under this agreement, the producer shall be entitled to do so only upon payment of the balance of the stipulated amount of the agreement. Only after such payment to the audio-visual worker, the Producer shall be entitled to employ another audio-visual worker in their place. 12. That the Producer shall have the right to terminate this agreement on ground of misconduct on the part of the audio-visual worker in relation to performance of their duties or their unwillingness to perform the service required under the agreement, upon payment to the audio-visual worker of the amount due at the time of termination, calculated taking into consideration the audio-visual worker’s total work in the audio-visual and the work has completed till the date of termination of this agreement. Termination under this clause shall not be made unless the charges of the Producer against the audio-visual worker are proved before a forum comprising equal number of representatives of the Producers’ Organisation and the audio-visual worker’s Organisation to which the Producer and the audio-visual worker respectively may belong. The decision of the forum shall be binding on both the parties. The producer can engage another audio-visual worker for the job towards this agreement only after the forum has given a decision in favour of such termination and the audio-visual worker has been paid all his dues. 13. That in case of premature termination of this agreement, it shall be the option of the Producer whether or not to retain the work of the audio-visual worker in the audio-visual and at the same time, it shall be the option of the audio-visual worker whether or not to allow their name to go on the credit titles of the film. 14. That the Producer shall have the right to decide the manner of representing the audio-visual worker’s personality on the screen, their clothes, make-up and hair-style and the audio-visual worker shall fully and willingly comply with the direction of the Producer in this regard, provided that the requirements of the Producer in this respect have been notified to the audio-visual worker and accepted by them. 15. That the audio-visual worker agrees to render their services to the best of their ability in such manner as the Producer or, at their instance, the Director of the audio-visual may direct and shall comply with all reasonable instructions that he may give for the production of the film. 16. That the audio-visual worker shall comply with all the regulations of the studio, location or work place as the case may be. 17. That the Producer shall not without the consent in writing of the audio-visual worker, assign or transfer the benefit of this agreement to any other person. 18. That the provisions of Chapter-III of Code on Social Security, 2020 (36 of 2020) shall be applicable to this agreement. 19. That the Producer shall not utilise the work of the audio-visual worker in any film, other than the audio-visual under this agreement, without prior permission of the audio-visual worker. The parties have put their hands to this agreement on the date, month and year said above in the presence of each other and in the presence of the witnesses. 1. Witness Producer Name Address 2. Witness audio-visual worker Name Address
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