Form I — Application for registration of establishment (incl. amendment / updation of particulars)
Rule: Rule 3(1) · Signed by: Occupier · Under: OSH & Working Conditions (Central) Rules 2026
What the form records
- Retrieve details of Establishment through LIN
- Name of Establishment
- Location and Address of the Establishment
- PAN
- Total Number of employees engaged directly in the establishment
- Total Number of the contract employees engaged
- Total Number of Inter-State Migrant workers employed
- For factories: Details of the manufacturing process
- For factories: Full postal address and situation of the factory
- For factories: Name and address of the occupier and manager
- For factories: Maximum number of workers to be employed on any day
- For mines: Name of Mineral(s)
- For mines: Lease extent of the mine (in Acres)
- For mines: Name and address of the owner
- For mines: Average Monthly output, targeted (Tonne)
- For mines: Maximum number of persons to be employed on any day
- For Dock work: Name of dock Work/Major Port
- For Dock work: Types of Dock Works
- For Dock work: Name of the Cargo handled and stored along with quantity
- For Dock work: Name of the chemicals handled and stored along with quantity
- For Dock work: Name of the hazardous Chemicals handled and stored along with quantity
- For building or other construction work: Type of Construction work
- For building or other construction work: Probable period of commencement of work
- For building or other construction work: Expected period for completion of work
- For building or other construction work: Details of approval of the local authority
- Any Other establishment
- Ownership Type/Sector
- Activity as per National Industrial Classification
- Details of Selected NIC Code
- Identification of the establishment e-sign/digital sign of employer/representative
- Name & Address of Employer / Occupier / Owner/Agent/ Chief Executive/ port authority etc.
- Designation
- Father's/ Husband's Name of the Employer
- Email Address, Telephone & Mobile No.
- Full name & Address of Manager/ Agent or person responsible for supervision and control of the Establishment
- Address of Manager/ Agent
- Email Address, Telephone & Mobile No. (Manager/Agent)
- Contractor Details: Name and Address of Contractor
- Contractor Details: Email address & Mobile No. of Contractor
- Contractor Details: Name of Work
- Contractor Details: Maximum No. of Contract labour engaged
- Contractor Details: Date of Commencement /Probable date of Completion of work
- Others Details
- Dated
- Place
- Signature/ E-sign/digital sign of employer
This page opens the blank statutory form in MedFactory, ready to fill, save and print. See the Form I reference page for the rule and signatory detail.
MedFactory — Occupational Health Centre software for Indian factories