Form XIV — Attendance Register-cum-Muster Roll

Rule: Rule 72(1)(ii) · Signed by: Manager · Under: OSH & Working Conditions (Central) Rules 2026

What the form records

• For the Month of / year
• Name of Establishment
• Name of the Employer/owner
• Registration Number of the establishment (LIN)
• Serial Number
• Employee Code
• Name
• Designation
• Shift
• Place of work/department/section
• Date and timings of In and Out
• Total number of days worked
• Total number of overtime hours worked
• Brief details of tour or assignment outside the work place, if any
• Signature of Register keeper

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

MedFactory — Occupational Health Centre software for Indian factories