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Factories Act 1948

Factories Act 1948 — statutory forms

Every prescribed form under the Factories Act 1948 and the Model / State Factories Rules, with its rule and signatory.

FormTitleRuleSigned by
Form 1Application for permission to construct, extend or take into use any building as a factoryRule 4(2)Occupier
Form 2Application for Registration and Notice of OccupationRules 6, 8(2), 15Occupier, Manager
Form 3Licence to Work a FactoryRule 7(1)State Authority
Form 4Notice of Change of ManagerRule 16Occupier, Manager
Form 5Certificate of FitnessRule 19(2)Authorized Certifying Surgeon
Form 6Record of Eye ExaminationRule 77(4)Ophthalmologist
Form 7Record of Lime-washing, Painting, etc.Rules 20, 51, 88(7)(iii)(b)Manager
Form 8Humidity RegisterRule 28Worker
Form 9Register of Workers Employed for Work on or near Machinery in MotionRule 58Occupier
Form 10Report of Examination of Hoists and LiftsRule 60(1)Competent Person, Safety Officer
Form 11Report of Examination or Test of Pressure Vessels or PlantRule 62(9)(b)Competent Person, Safety Officer
Form 12Register of Examination of GasholdersRule 63(8)(b)Occupier, Manager
Form 13Report of Examination of Water-Sealed GasholderRule 63(8)(c)Competent Person, Safety Officer
Form 14Register of Compensatory HolidaysRule 102(4)(a)Manager
Form 15Overtime Muster Roll for Exempted WorkersRule 103Manager
Form 16Notice of Periods of Work for Adult WorkersRule 104Manager
Form 17Register of Adult WorkersRule 105Manager
Form 18Notice of Periods of Work for Child WorkersRule 110Manager
Form 19Register of Child WorkersRule 111Manager
Form 20Register of Leave with WagesRule 112Manager
Form 21Leave BookRule 113(1)Manager, Worker
Form 22Nomination for Pay Due in Event of Death of WorkerRule 118Worker
Form 23Certificate of Fitness (Hazardous Processes)Schedules to Rule 19(5) & Rule 120Authorized Certifying Surgeon
Form 24Health RegisterSchedules to Rule 19(5) & Rule 120Authorized Certifying Surgeon
Form 25Report of Accident or Dangerous Occurrence Resulting in Death or Bodily InjuryRule 121(3)Manager
Form 26Report of Dangerous Occurrence (No Death or Injury)Rule 121(3)Manager, Safety Officer
Form 27Notice of Poisoning or DiseaseRule 122Manager
Form 28Abstract of Factories Act 1948 and Factories RulesRule 124Manager
Form 29Annual ReturnRule 125Manager
Form 30Half-Yearly ReturnRule 125Manager
Form 31Muster RollRule 129Manager
Form 32Register of Accidents and Dangerous OccurrencesRule 130Manager