Form VI — Notice of Commencement / cessation of operations

Rule: Rule 4(1) · Signed by: Occupier · Under: OSH & Working Conditions (Central) Rules 2026

What the form records

• Registration No
• Name and Address of establishment
• Name and Designation of employer
• Full address to which communication relating to the establishment to be sent
• Nature of work of the establishment
• (Commencement) Operation of establishment having registration No.
• (Commencement) dated
• (Commencement) has commenced with effect from
• Approximate duration of operation (year)
• Approximate duration of operation (month)
• (Cessation) Operations of establishment having registration No.
• (Cessation) dated
• (Cessation) has ceased with effect from
• (Certificate) Payment of all dues to workers made — registration no.
• (Certificate) dated
• (Certificate) Kept free from storage of hazardous chemicals and substances — registration no.
• (Certificate) dated
• Signature of the Employer

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

MedFactory — Occupational Health Centre software for Indian factories