Form 26 — Report of Dangerous Occurrence (No Death or Injury)

Rule: Rule 121(3) · Signed by: Manager, Safety Officer · Under: Factories Act 1948 / Model Factories Rules 2020

Notice to Inspector of dangerous occurrences (boiler burst, gas leak, collapse) even without injury — Section 88-A.

What the form records

• Factory name + address
• Occupier + manager
• Nature of industry
• Department + exact place
• Date + hour
• Nature of occurrence (what happened)
• Manager signature + date despatched

This page opens the blank statutory form in MedFactory, ready to fill, save and print. See the Form 26 reference page for the rule and signatory detail.

MedFactory — Occupational Health Centre software for Indian factories