OSH Code · Form XX (Form 20)
Form XX — Register for Leave with Wages
Form XX of the OSH & Working Conditions (Central) Rules 2026, prescribed under Rule 76.
Rule: Rule 76 · Signed by: Manager
Register columns
- Sl. No
- Sl.no. in the register of workers
- Date of entry into service
- Interruptions - Sickness and accidents
- Interruptions - Authorised Leave
- Interruptions - Lock Out or Legal Strike
- Interruptions - Involuntary unemployment
- Interruptions - Others
- Leave due with effect from
- Whether leave not desired during the next 12 months
- Date from which the worker is allowed leave
- Wages for Leave Paid in
- Discharged worker - Date of Discharge
- Discharged worker - Date and amount of payment made in lieu of leave due
- Leave - Accumulated carry forward leave
- Remarks
OSH Code Form XX is the 20th form of the Seventh Schedule, so it is also written OSH Code Form 20. Both refer to this same form: Register for Leave with Wages.
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open Form XX in MedFactory.
MedFactoryOpen Form XX to fill, save and print.
Open MedFactory →