OSH Code · Form XII (Form 12)
Form XII — Notice of Periods of Work
Form XII of the OSH & Working Conditions (Central) Rules 2026, prescribed under Rule 71.
Rule: Rule 71 · Signed by: Manager
What the form records
- Name of the Establishment
- Place
- District
- Periods of work Groups, Relays
- Total no. of men employed
- Total no. of women employed
- Description of Groups, Nature of work
- Remarks
- On working days - From
- On working days - To
- On partial working days - From
- On partial working days - To
- Date on which this notice is first exhibited
- Signature of employer
- Date
OSH Code Form XII is the 12th form of the Seventh Schedule, so it is also written OSH Code Form 12. Both refer to this same form: Notice of Periods of Work.
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open Form XII in MedFactory.
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