Factories Act 1948 — statutory forms
Every statutory form under the Factories Act 1948 / Model Factories Rules 2020, blank and ready to fill, save and print. See the forms reference for the rule and signatory behind each one.
- Form 1 — Application for permission to construct, extend or take into use any building as a factory · Rule 4(2) · signed by Occupier
- Form 2 — Application for Registration and Notice of Occupation · Rules 6, 8(2), 15 · signed by Occupier, Manager
- Form 3 — Licence to Work a Factory · Rule 7(1) · signed by State Authority
- Form 4 — Notice of Change of Manager · Rule 16 · signed by Occupier, Manager
- Form 5 — Certificate of Fitness · Rule 19(2) · signed by Authorized Certifying Surgeon
- Form 6 — Record of Eye Examination · Rule 77(4) · signed by Ophthalmologist
- Form 7 — Record of Lime-washing, Painting, etc. · Rules 20, 51, 88(7)(iii)(b) · signed by Manager
- Form 8 — Humidity Register · Rule 28 · signed by Worker
- Form 9 — Register of Workers Employed for Work on or near Machinery in Motion · Rule 58 · signed by Occupier
- Form 10 — Report of Examination of Hoists and Lifts · Rule 60(1) · signed by Competent Person, Safety Officer
- Form 11 — Report of Examination or Test of Pressure Vessels or Plant · Rule 62(9)(b) · signed by Competent Person, Safety Officer
- Form 12 — Register of Examination of Gasholders · Rule 63(8)(b) · signed by Occupier, Manager
- Form 13 — Report of Examination of Water-Sealed Gasholder · Rule 63(8)(c) · signed by Competent Person, Safety Officer
- Form 14 — Register of Compensatory Holidays · Rule 102(4)(a) · signed by Manager
- Form 15 — Overtime Muster Roll for Exempted Workers · Rule 103 · signed by Manager
- Form 16 — Notice of Periods of Work for Adult Workers · Rule 104 · signed by Manager
- Form 17 — Register of Adult Workers · Rule 105 · signed by Manager
- Form 18 — Notice of Periods of Work for Child Workers · Rule 110 · signed by Manager
- Form 19 — Register of Child Workers · Rule 111 · signed by Manager
- Form 20 — Register of Leave with Wages · Rule 112 · signed by Manager
- Form 21 — Leave Book · Rule 113(1) · signed by Manager, Worker
- Form 22 — Nomination for Pay Due in Event of Death of Worker · Rule 118 · signed by Worker
- Form 23 — Certificate of Fitness (Hazardous Processes) · Schedules to Rule 19(5) & Rule 120 · signed by Authorized Certifying Surgeon
- Form 24 — Health Register · Schedules to Rule 19(5) & Rule 120 · signed by Authorized Certifying Surgeon
- Form 25 — Report of Accident or Dangerous Occurrence Resulting in Death or Bodily Injury · Rule 121(3) · signed by Manager
- Form 26 — Report of Dangerous Occurrence (No Death or Injury) · Rule 121(3) · signed by Manager, Safety Officer
- Form 27 — Notice of Poisoning or Disease · Rule 122 · signed by Manager
- Form 28 — Abstract of Factories Act 1948 and Factories Rules · Rule 124 · signed by Manager
- Form 29 — Annual Return · Rule 125 · signed by Manager
- Form 30 — Half-Yearly Return · Rule 125 · signed by Manager
- Form 31 — Muster Roll · Rule 129 · signed by Manager
- Form 32 — Register of Accidents and Dangerous Occurrences · Rule 130 · signed by Manager
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