All orders and other instruments shall be made and executed in the name of the Board and shall be authenticated by such persons, as the Board may specify.
Section 62 (2)
(zg) Section 24 (2) Section 24 (2) Sections 26 and 62 (2) (zg) Sections 27 and 62 (2) (zg) Section 62 (2)
(zg) Section 62 (2)
(zg) 133
SCHEDULE I (See rule 4) PERMISSIBLE EXPOSURE IN CASES OF CONTINUOUS NOISE
1. Application.—This Schedule shall apply to all operations in any construction activity having noise level.
2. Definitions.—for the purpose of this Schedule—
(a) “noise” means any unwanted sound;
(b) “high noise level” means any noise level, when measured on A-weighted scale is 90 db or above:
(c) “Decibel” means one-tenth of “Bel”, which is the fundamental division of a logarithmic scale, used to express the ratio of two specified or implied quantities, the number of “Bels” denoting such a ratio being the logarithm to the base of 10 of this sound pressure level corresponds to a reference pressure of 2.0×10-6 newtons per square metre or 0.0002 dynes per square centimetre which is the threshold of hearing, that is, the lowest sound pressure level necessary in average healthy listeners. The decibel, if abbreviated form is db.
(d) “frequency” is the rate of pressure variations, expressed in cycles per second of hertz.
(e) “dBA” refers to sound level in decibels as measured on a sound level metre operating on the A-weighting net work with slow metre response; and
(f) “A-weighting” means making graded adjustments in the intensities of sound of various frequencies for the purpose of noise measurement so that the sound pressure level measured by an instrument reflects the actual response of human ear to the sound measured.
3. Protection against noise.—(1) At every construction site, suitable engineering control or administrative measures shall be taken to ensure, 134 so for exposed to sound levels exceeding the maximum permissible noise exposure levels, specified in Tables 1 and 2, given below :— TABLE 1 Permissible exposure in cases of continuance noise Total time of exposure Sound pressure (continuous or a number level in dBA.
of short term exposures) per day, in hours 1 2 8 90 6 92 4 95 3 97 2 100 1-1/2 102 1 105 ¾ 107 ½ 110 ¼ 115 Note .—No exposure in excess of 115 dBA is to be permitted.
For any period of exposure, falling in between any figure and the next higher or lower figure as indicated in column 1, the permissible sound pressure level, is to be determined by extrapolation on a proportionate basis.
135 TABLE 2 Permissible exposure levels of impulsive or impact noise Peak sound pressure Permitted number of Level in dB. Impulses or impact per day 1 2 140 100 135 315 130 1,000 125 3,160 120 10,000 Notes.— (1) No exposure in excess of 140 dB peak sound pressure level is permitted.
(2) For any peak sound pressure level, falling in between any figure and the next higher or lower figure as indicated in column 1, the permitted number of impulses or impacts per day, is to be determined by extrapolation on a proportionate basis.
(3) For the purpose of this Schedule, if the variations in the noise level involve maximum at intervals of one second or less, the noise shall be considered as a continuous on and the criteria given in Table 1, shall apply and in other cases, the noise shall be considered as impulsive or impact noise and the criteria given in Table 2, shall apply.
(4) When the daily noise exposure is at different levels, their combined effect shall be considered rather than the individual effect of each. The mixed exposures shall be considered to exceed the time limit value, if the sum of the fractions C1 / T1 + C2 / TA + 4 Cn / Tn /, exceeds unity. Where the C1, C2 etc.
indicate the total time of actual exposure at a specified noise level and T1,T2, etc. donate the time of exposure permissible at that level, the noise exposure of less than 90 dBA may be ignored in the above calculation.
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(5) Where it is not possible to reduce the noise exposure to the levels, specified in sub-rule (1) by reasonability practicable engineering control or administrative measures, the noise exposure shall be reduced to the greatest extent feasible by such control measure, and each building worker so exposed, shall be provided with suitable ear protectors so as to reduce the exposure to noise to the levels specified in sub-rule (1).
(6) Where ear protectors provided in accordance with sub- paragraph
(5) and worn by a building worker, cannot still attenuate the noise reaching near his ear, as determined by subtracting the attenuation value in dBA of the ear protectors concerned from the measured sound, pressure levels, to a level permissible under Table 1 of Table 2, as the case may be, the noise exposure period shall be suitably reduced to correspond to the permissible noise exposure specified in paragraph (1).
(7) (1) In all cases, where the prevailing sound levels exceed the permissible levels in sub–paragraph (1), there shall be determined an effective hearing conservation programme, which shall include among other hearing conservation measures, pre-employment and periodical auditory surveys conducted on building workers, exposed to habitation of such building workers either by reducing the exposure to the noise levels or by transferring them to places where noise levels are relatively less or by any other suitable means.
(2) Every building worker employed in areas, where the noise exceeds the maximum permissible exposure levels, specified in sub-paragraph (1), shall be subjected to an auditory examination by a certifying Surgeon within fourteen days of his first employment and thereafter, shall be reexamined at least once in every twelve months. Such initial and periodical examinations and re-examinations shall include test, which the certifying Surgeon may consider appropriate, and shall include determination of auditory thresholds for pure tones of 125,250,500,1000,2000,4000 and 8000 cycles per second.
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SCHEDULE II [See rules 26(a), 40(a), 41(a) and 42] MANNER OF TESTING AND EXAMINATION BEFORE PROCUREMENT OF LIFTING APPLIANCES, LIFTING GEARS AND WIRE ROPES FOR USE FOR THE FIRST TIME.
1. For testing of safe working load of machinery, equipment, the following BIS codes are to be followed :—
(i) Code of Practice for Electric overload travelling cranes IS : 3177 and Gantry Cranes other than Steel Works Cranes
(ii) Shovels IS : 274
(iii) Volumetric Rating of Dumper Bodies IS : 10859
(iv) Bulk Handling Equipment—Dumper, Supplier’s IS :13652 Datasheet
(v) Derrick, heavy lift gooseneck pin and bearing IS : 5521
(vi) Hoists and cranes, design, manufacture, erection and IS : 807 testing
(vii) Specification for formed ends for tanks and pressure IS : 4049 vessels (Part I)
(viii) Code for unfired pressure vessels IS : 2825
(ix) Specification for hand-operated chain pulley blocks IS : 3832
(x) Specification for steel wire suspension ropes for IS : 2365 lifts, elevators and hoists
(xi) Round Strand Galvanized steel wire ropes for IS : 2581 shipping purpose – specification
2. For the testing and examination of any other equipment and machinery, the relevant Indian code shall be followed, in the absence of which, the relevant International codes shall be referred to.
3. Before any test is carried out, a visual inspection of the lifting appliance or lifting gear involved, shall be conducted and any visible defective gear shall be replaced or renewed.
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4. After being tested, all the lifting gears shall be examined to see whether any parts have been injured or permanently deformed by the test.
5. During the test and examination, if any defect is noticed, the same shall be removed and any unrepairable part shall be replaced by a new part.
SCHEDULE III [See rule 94(1)] LIGHTING AT CONSTRUCTION ACTIVITY General:
1. The general illumination at construction activity, where persons are regularly employed, shall be not less than (150 lux), measured in the horizontal plane at a level of 90 cm. above the floor :
Provided that in any such parts in which the mounting height of the light source for general illumination necessarily exceeds 7.5 metres measured from the floor or where the structure of the room or the position or construction of the fixed machinery or plant prevents the uniform attainment of this standard, the general illumination at the said level, shall be not less than 50 lux, and where work is actually being done, the illumination shall not be less than 150 lux.
2. The illumination over all other interior parts of Construction site if a light point is horizontally directly above a fan, uniformity of the light shall be disturbed. In such a case, the fan and the light point should be horizontally staggered, which persons employed pass shall, when and where a person is passing, not be less than 25 lux at floor level.
3. The standard, specified in this rule, shall be without prejudice to the provision of any additional illumination, required to render the lighting sufficient and suitable for the nature of the work.
Prevention of glare :
1. Where any source of artificial light in the factory is less than 480 cm.
above floor level, no part of the light source or of the lighting fitting having a brightness greater than 10 candles per square inch shall be visible to persons whilst normally employed within 33 metres of the source or part of the fitting, as the case may be, exceeds 20 degrees.
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2. Any local light, that is to say, an artificial light, designed to illuminate particularly the area or part of the area of work of a single operative or small group of operatives working near each other shall be provided with a suitable shade of opaque material to prevent glare or with other effective means by which, the light source is completely screened from the eyes of every person employed at a normal working place or shall be so placed that no such person is exposed to glare therefrom.
SCHEDULE IV [See rule 122(a)] PERMISSIBLE LEVELS OF CERTAIN CHEMICAL SUBSTANCES IN THE WORK ENVIRONMENT
(1) Carbon monoxide 50ppm / 40mg / m3
(2) Nitric oxide 25ppm / 30mg / m3
(3) Sulphur dioxide 2ppm / 5mg / m3
(4) Welding Fumes Xylene (0-,m,p-180 mers) 100 ppm / 435 mg/ m³ Zirinium Compounds 5mg / m3 (A) Silica
(a) Crystalline
(i) Quartz
(1) In terms of dust count = 1060 % Quartz + 10 mppcm
(2) In terms of 10 respirable dust = mg/m³ % respirable Quartz + 2
(3) In terms of 30 total dust = ________________ mg/m³ % Quartz + .3
(ii) Cristobalite : Half the limits given against quartz.
(iii) Tridvmite : Half the limits given against quartz.
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(iv) Silica, fused : Same limits as for quartz.
(v) Tripoli : Same limits as in formula in item (2) given against quartz.
(b) Amorphous = 705 mpp cm
(5) Silicates having less than one % free silica by weight
(a) Asbestos fibres longer Than 5 microns 2 fibres per cubic centimetre
(b) Mica 705 mpp cm
(c) Mineral wool fibre 10 mg / m3 All porlite
(d) porlite 1060 m pp cm
(e) Portland cement 1060 m pp cm
(f) Soaps Stone 705 mm pp cm
(g) Talc (non-bostform) 705 mm pp cm
(h) Talc (Fibrous) Same Limit as for as asbestos
(i) Temlite Same as limit as for as asbestos
1. Coal dust :
(i) for airborne dust 2mg / m3 having less than 5 % Silicon dioxide By weight
(ii) for airborne dust Same limit as prescribed by having over 5% formula in item 2 against quartz Silicon mg /m3 - milligram per cubic metre of air ppm - parts per million of air mppcm - million parts per cubic metre of air 141
SCHEDULE V [See rule 179(1) and (2)] NUMBER OF SAFETY OFFICERS, QUALIFICATION, DUTIES ETC.
Appointment of Safety Officers :
Number of Safety Officers.—Within six months of coming into operation of these rules, every establishment employing more than 500 building workers and every other employer of the building worker shall appoint safety officers, as laid down in the scale given below :—
1. upto 1000 building workers – one safety officer;
2. upto 2500 building workers – two safety officers;
3. upto 5000 building workers – three safety officers;
4. upto 10000 building workers – four safety officers;
5. for every additional 5000 building workers in excess of 10000 building workers, one additional safety officer.
Any appointment, when made shall be notified to the inspector having jurisdiction in the area, giving full details of the qualifications, terms and conditions of service of such safety officer.
Qualification.—(a) A person shall not be eligible for appointment as a safety officer unless he—
(i) possesses a recognised degree in any branch of engineering or technology or architecture, and had a practical experience of working in a building or other construction work in a supervisory capacity for a period of not less than two years or possesses a recognised diploma in any branch of engineering or technology, and has had practical experience of building or other construction work in a supervisory capacity for a period of not less than five years;
(ii) possesses a recognised degree or diploma in industrial safety with at least one paper in construction safety as an elective subject; and
(iii) has adequate knowledge of the language, spoken by majority of building workers from the construction site in which he is to be appointed.
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(b) Notwithstanding the provision contained in clause (a), any person, who—
(i) possesses a recognised degree or diploma in engineering or technology or architecture and has had experience of not less than five years in the field, dealing with the administration of Factories Act, 1948 or the Dock Workers (Safety, Health and Welfare) Act, 1986 or Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996, or
(ii) possesses a recognised degree or diploma in engineering or technology, and has had experience of not less than five years or has undergone training in education, consultancy or research in the field of accident prevention in industry, port, or in any institution or an establishment dealing with building or other construction work, shall also be eligible for appointment as a safety officer :
Provided that in case of a person, who has been working as safety officer in industry or port, institution or an establishment dealing with building or other construction work for a period not less than three years on the date of commencement of these rules, the Chief Inspector may, subject to such conditions that he may specify, relax all or any of the above said qualifications.
Conditions of Service :—
(a) Where number of safety officers exceeds one, one of them shall be designated as Chief Safety Officer and he shall have the status higher than the others. The Chief Safety Officer shall be over all in charge of the safety functions as envisaged in subclause (iv), and also of other safety officers, working under his control.
(b) the Chief Safety Officer or Safety Officer where only one safety officer is appointed, shall be given the status of a Senior Executive and he shall work directly under the control of his Chief Executive. All other safety officers shall be given appropriate status to enable them to discharge their functions effectively.
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(c) The scale of pay and allowances to be granted to the safety officers including the Chief Safety Officer and the other conditions of their service shall be the same as those of the officers of corresponding status of the establishment in which they are employed.
Duties of Safety Officer.—The duties of a safety officer shall be to advise and assist the employer in the fulfilment of his obligations, statutory or otherwise concerning prevention of personal injuries and maintaining a safe working environment. These duties shall include the following, namely :—
(i) to advise the building workers in planning and organising measures, necessary for effective control of personal injuries;
(ii) to advise on safety aspects in a building or other construction work and to carry out detailed safety studies of selected activities;
(iii) to check and enhance the effectiveness of action taken or proposed to be taken to prevent personal injuries and other health hazard;
(iv) to advise purchasing and ensuring quality of personal protective equipment conforming to national standards;
(v) to carry out safety inspections of building or other construction work in order to observe the physical conditions of work and the work practices and procedures, followed by building workers and to render advice on measures, to be adopted for removing unsafe physical conditions and preventing unsafe actions by building workers;
(vi) to investigate all fatal and other selected accidents;
(vii) to investigate the cases of occupational diseases contracted and reportable dangerous occurances;
(viii) to advise on the maintenance of such records, as are necessary with regard to accidents, dangerous occurances and occupational diseases;
(ix) to promote the working of safety committees and to act as an advisor to such committees;
(x) to organise with concerned departments, campaigns, competitions, contents and other activities, which will develop and maintain the interest of workers in establishing and maintaining safe conditions of work and procedures;
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(xi) to design and conduct, either independently or in collaboration with other agencies, suitable training and educational programmes for prevention of accidents to building workers;
(xii) to frame rules and safe working practices in consultation with senior officials of the establishment; and
(xiii) to supervise advise and suggest safety precautions, to be taken in building and other construction work of the establishment.
Facilities to be provided to safety officers.—The employer shall provide to each safety officer with such facilities, equipment and information, as that are necessary to enable him to discharge his duties effectively.
Prohibition of performance of other duties.—No safety officer shall be required or permitted to do any work, which is unconnected to, inconsistence with or detrimental to the performance of the duties prescribed in this Schedule.
Exemptions.—Chief Inspector may, in writing, exempt any employer or group of employers from any or all of the provisions of these rules, subject to compliance with such alternative arrangements, as may be approved by him.
SCHEDULE VI [See rules 51 (iv) and 193(a)(iii)] PERIODICITY OF MEDICAL EXAMINATION OF BUILDING WORKERS
1. The employer shall arrange medical examination of all building workers employed as drivers, operators of lifting appliances and transport equipment before employing them after illness or injury, if it appears that illness or injury might have affected his fitness and thereafter, once in every two years up to the age of forty and once in a year thereafter.
2. Complete and confidential records of medical examination shall be maintained by the employer or the physician, authorised by the employer.
3. The medical examination shall include—
(a) full medical and occupational history;
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(b) clinic and examination with particular reference to—
(i) General Physique;
(ii) Vision—Total visual performance using standard orthorator like Titmus Vision Tester should be estimated and suitability for placement ascertained in accordance with the prescribed job standards;
(iii) Hearing :—Person with normal hearing must be able to hear a forced whisper at 7.7 metres (twenty four feet).
Person using hearing aids must be able to hear a warning shout under noisy working conditions;
(iv) Breathing—Peak flow rate using standard peak flow metre and the average peak flow rate determined out of these readings of the test performed. The result record at preplacement medical examination could be used as a standard for the same individual at the altitude for reference during subsequent examination;
(v) Upper limbs—Adequate arm function and grip (both arms);
(vi) Lower limbs—Adequate leg and foot function;
(vii) Spine—Adequately flexible for the job concerned; and
(viii) General—mental alertness and stability with good eye, hand and foot co-ordination; and
(c) Any other test which the examining doctor considers necessary.
SCHEDULE VII [See rule 195] HAZARDOUS PROCESSES
1. Roof Work.
2. Steel erection.
3. Work under and over water.
4. Demolition.
5. Work in confined spaces.
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SCHEDULE VIII [See rule 195(b)] SERVICES AND FACILITIES TO BE PROVIDED IN OCCUPATIONAL HEALTH CENTRES
(1) One full time construction medical officer for building or other construction work, employing building workers up to one thousand and one additional construction medical officer for every additional one thousand building workers or part thereof.
(2) The staff, including one nurse, one dresser–cum–compounder, one sweeper–cum-ward boy with each construction medical officer for full working hours.
(3) The occupational health centre with a floor area of minimum fifteen metre constituting two rooms with smooth walls and inpern service, adequately illuminated and ventilated.
(4) Adequate equipments for day-to-day treatment.
(5) Necessary equipments to manage any medical emergency.
SCHEDULE IX [See rules 89(2) and 195(c)] QUALIFICATION OF CONSTRUCTION MEDICAL OFFICER
(1) M.B.B.S. degree from a medical institute, recognised by the Medical Council of India; and
(2) Diploma in Industrial health or equivalent post graduate certificate of training in industrial health or health.
(3) A medical officer having working experience in organisation or establishment, involved in policy, execution and advice and safety and health of building workers, employed in mines, ports and docks, factories and buildings and other construction work, for a period of not less than three years, subject to the satisfaction of the Chief Inspector, may not be required to possess the training referred to in item (2) above.
(4) The syllabi of the courses leading to the above certificates and the organisation conducting such courses, shall be approved by the State Government, who may also from time to time, prepare a panel of such organisations.
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(5) Complete particulars including name, qualification and experience of the construction medical officer, will be intimated to the inspector having jurisdiction.
SCHEDULE X [See rule 196(b)] ARTICLES FOR AMBULANCE ROOM
(i) A glazzed sink with hot and cold water always available.
(ii) A table with a smooth top at least 180 cm × 105 cm.
(iii) Means for sterilising instruments.
(iv) A couch.
(v) Two stretchers.
(vi) Two buckets or containers with close fitting lids.
(vii) Two rubber hot water bags.
(viii) A kettle and spirit stove or other suitable means of boiling water.
(ix) Twelve plain wooden splints 900 cm × 100 cm × 6 cm.
(x) Twelve plain wooden splints 350 cm × 75 cm × 6cm.
(xi) Six plain wooden splints 250 cm × 50 cm × 12 cm.
(xii) Six woollen blankets.
(xiii) Three pairs artery forceps.
(xiv) One bottle of spirit annemiae aremation (120 ml.).
(xv) Smelling salt (60 gm).
(xvi) Two medium size sponges.
(xvii) Six hand towels.
(xviii) Four kidney trays.
(xix) Four cakes of toilet, preferably antiseptic soap.
(xx) Two glass tumblers and two wine glasses.
(xxi) Two clinical thermometers.
(xxii) Two tea spoons.
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(xxiii) Two graduated (120 ml.) measuring glasses.
(xxiv) Two minimum measuring glasses.
(xxv) One wash bottle (1000 cc) for washing eyes.
(xxvi) One bottle (one litre) carbolic lotion 1 in 20.
(xxvii) Three chairs.
(xxviii) One screen.
(xxix) One electric hand torch.
(xxx) Four first–aid boxes or cup-boards stocked to the standards, prescribed in Schedule XIII
(xxxi) An adequate supply of tetnus toxide.
(xxxii) Injections – morphia, pethidine, atrophine, adrenaline, coramine, novocaine (6 each).
(xxxiii) Tablets – antihistaminic antispasmodic (25 each).
(xxxiv) Syringes with needles – 2 cc, 5 cc, 10 cc and 500 cc.
(xxxv) Three surgical scissors.
(xxxvi) Two needle holders, big and small;
(xxxvii) Suturing needles and materials.
(xxxviii) Three dissecting forceps.
(xxxix) Three dressing forceps.
(xxxx) Three scalpels.
(xxxxi) One stethoscope and a B.P. apparatus.
(xxxxii) Rubber bandage – pressure bandage.
(xxxxiii) Oxygen cylinder with necessary attachments.
(xxxxiv) Atropine eye ointments.
(xxxxv) I.V. Fluids and sets 10 nos.
(xxxxvi) Suitable, foot operated, covered refuse containers.
(xxxxvii) Adequate number of sterilised, paired, latex hand gloves.
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SCHEDULE XI [See rule 197] CONTENTS OF AMBULANCE VAN OR CARRIAGE The Ambulance Van shall have equipments prescribed as under :—
(a) General.—A portable stretcher with folding and adjusting devices with the Head of the stretcher capable of being titled upward. Fixed suction unit with equipment. Fixed oxygen supply with equipment. Pillow with case, sheets, blankets, towels, emergency bag, bed, pan, urinal glass.
(b) Safety Equipment.—Flaros with life of three thousand minutes, floor lights, flash lights, fire extinguishers (dry power type) insulated guntlets.
(c) Emergency Care Equipment :
(i) Resuscitation.—Portable suction unit, portable oxygen unit, bagvalve mask, hand operated artifical ventilation unit, airways, mouthgag tracheostony adapters, shorts spine board, I.V.
FLUIDS with administation unit, B.P. manometer cuff stethoscope.
(ii) Immobilisation.—Long and short padded boards, wire ladder splints, triangular bandage – long and short boards.
(iii) Dressing.—Gauaze pads – 100 mm ×100 mm universal dressing 250 × 1000 mm, roll of alluminium foils – soft roller bandages 150 mm × 5 mm yards adhesive tape in 75 mm roll safety pins, bandage sheets, burn sheet.
(iv) Poisoning.—Syrup of Ipecac, activated charcol prepacketed dose, snake bite kit, drinking water.
(v) Emergency Medicines.—As per requirement (under the advice of construction Medical Officer).
SCHEDULE XII [See rule 200(a)] NOTIFIABLE OCCUPATIONAL DISEASES IN BUILDING AND OTHER CONSTRUCTION WORK
1. Occupational dermatitis.
2. Occupational cancer.
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3. Asbestosis.
4. Silicosis.
5. Lead poisoning including poisoning by occupational diseases in building and other construction work to be notified by any preparation or compound of lead or their sequela.
6. Benzene poisoning, including poisoning by any of its homologues, their nitro or amino derivatives or its sequela.
7. Occupational asthama.
8. Pesticide poisoning.
9. Toxic jaundice.
10. Toxic anaemia.
11. Compressed air illness (Caissons diseases).
12. Noise induced hearing loss.
13. Toxic nephritis.
SCHEDULE – XIII [See rule 201(b)] CONTENTS OF A FIRST–AID BOX
(i) A sufficient number of eye wash bottles filled with distilled water or suitable liquid clearly indicated by a distinctive sign which shall be visible at all times.
(ii) Four per cent xylocaine eye drops, and boric acid eye drop and soda bycarbonate eye drops.
(iii) Twenty four small sterilised dressings.
(iv) Twelve medium size sterilised dressings.
(v) Twelve large size sterilised dressings.
(vi) Twelve large size sterilised burn dressing.
(vii) Twelve (fifteen cm) packets of sterilised cotton wool.
(viii) (Two hundred ml) bottle certified solution (1 per cent) or suitable antiseptic solution.
(ix) One (two hundred ml) bottle of mercurochrome (2 per cent) solution in water.
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(x) One (one hundred twenty ml) bottle of salvolatile having the doses and mode of administration indicated on the label.
(xi) One pair of scissors.
(xii) One roll of adhesive plaster (six cm x one metre).
(xiii) Two rolls of adhesive plaster (two cms x one metre).
(xiv) Twelve pieces of sterilised eye pads in separate sealed packets.
(xv) A bottle containing hundred tablets (each of three hundred twenty five mg) of aspirin or any other analgesic.
(xvi Twelve roller bandages ten cms wide.
(xvii) Twelve roller bandages five cms wide.
(xviii) One toruniquet.
(xix) A supply of suitable splints.
(xx) Three packets of safety pins.
(xxi) Kidney tray.
(xxii) A snake bite lancet.
(xxiii) One (thirty ml.) bottle containing potassium permanganate crystals.
(xxiv) One copy of first–aid leaflet issued by the Chief Inspector.
(xxv) Six triangular bandages.
(xxvi) Two pairs of suitable, sterilised, latex hand gloves.
FORM - I [See rule 44(b)] REGISTER OF PERIODICAL TEST - EXAMINATION OF LIFTING APPLIANCE AND GEARS ETC.
PART-I Initial and periodical load test of lifting appliances and their annual thorough examination.
“Thorough examination” means a visual examination, supplemented, if necessary, by other means such as a hammer test, carried out as carefully as the conditions permit, in order to arrive at a reliable conclusion as to the safety of the parts examined and if necessary, for 152 such examination parts of the lifting appliances and gear shall be dismantled.
(A) Initial and periodical load tests of lifting appliance Situation and No. of I certify that on the date on Remarks (to description of certificate of which I have appended my be signed lifting appliances test and signature the lifting appliance and dated) tested with examination of shown in column (1), was distinguishing competent tested and no defects, number of marks, person affecting its safe working if any conditions, were found other than those, shown in column (5) Date and Date and Signature with Signature seal with seal 1 2 3 4 5 (B) Annual thorough examination I certify that on the date on which I have appended my Remarks to be signature, the lifting appliance shown in column (1) signed and dated was thoroughly examined and no defects affecting its safe working conditions were found, other than those, shown in column (12) Date and signature with seal 6 7 8 9 10 11 12
1.
2.
Note.— If all the lifting appliances are thoroughly examined on the same date it will be sufficient to enter in column (1) “All lifting appliances”. If not, the parts, which have been thoroughly examined on the dates, must be clearly indicated.
Date and signature with seal Date and signature with seal Date and signature with seal Date and signature with seal Date and signature with seal Remarks to be signed and dated 153
PART II Initial and periodical load test of loose gears and annual thorough examination List of loose gear :
The following classes of loose gears, namely :—
1. Chains made of malleable cast iron;
2. Plate link chains;
3. Chains, rings, hooks, shackles and swivels made of steel;
4. Pitched chains;
5. Rings, hooks, shackles and swivels permanently attached to pitched chains, pulley blocks, container spreaders, trays, slings, baskets, etc. and any other similar gear;
6. Hooks and swivels having screw-threaded parts or ball bearings or other case hardened part; and
7. Bordeaux connections.
Initial Test and periodical load test of loose gears 1 2 3 4 5
1.
2.
3.
4.
5.
Distinguishing No. or marks Description of loose gear tested and examined No. of certificates of test and examination of competent person I certify that on the date on which I have appended my signature, the loose gears, shown in columns (1) and (2), were tested and no defects affecting the safe working condition, were found other than those, shown in column (6) Date and signature with seal Date and signature with seal 154 Annual thorough examination of loose gears Remarks (to be I certify that on the date on which I have appended my signed and dated) signature the loose gear shown in columns (1) and (2) were thoroughly examined by me and no defects affecting their safe working condition were found other than those, shown in column (10) 6 7 8 9 10
1.
2.
3.
4.
5.
PART III Annealing of Chains, Rings, Hocks, Shackles and Swivels (other than those exempted ) (See PART II)
12.5 mm and smaller chains, If used with lifting appliance driven by power, rings, hooks, shackles and must be annealed once at least in every six months.
swivels in general use. Other If used solely with lifting appliance worked by chains, rings, hooks, shackles hand must be annealed once at least in every and swivels in general use. twelve months.
If used with lifting appliance driven by power, must be annealed once at least in twelve months.
If used solely with lifting appliance worked by hand, must be annealed once at least in every two years.
Note.— It is recommended though not required by rules that annealing should be carried out in a suitably constructed furnace heated to temperature between 1100 degree and 1300 degree Fahrenheit or 600 degree and 700 degree Centigrade, for a period between 30 and 60 minutes.
Date and signature with seal Date and signature with seal Date and signature with seal Date and signature with seal 155 Form-II [See rule 26 and 44 (b) (i) (a), Schedule-II] CERTIFICATE OF INITIAL AND PERIODICAL TEST AND EXAMINATION OF WINCHES, DERRICKS AND THEIR ACCESSORY GEAR Test Certificate No……………………. Date………………
(a) In case of construction site, name of the construction site where lifting appliances are fitted/installed/located.
___________________________________________________________ Distinguishing No. or mark Description of gear annealed No. of the certificate of test and examination Remarks (to be signed and dated) I certify that on the date on which I appended my signature, the gear described in Cols. 1 & 2, was effectually annealed under my supervision, that after being so annealed, every article was carefully inspected and that no defects affecting its safe working condition were found other than those, shown in Col. 7 Date and signature with seal Date and signature with seal Date and signature with seal 1 2 3 4 5 6 7 Situation and Description of lifting appliances and gear with distinguishing number of marks (if any) which have been tested, thoroughly examined Angle to the horizontal of derrick boom at which test load applied Test load applied Safe working load at the angle shown in column
(2) 1 2 3 4 Degrees (Tonnes) (Tonnes) 156 Name and address of public service, association, company or firm or testing establishment making the test and examination 5 6 I certify that on the ______________ day of 20________ the lifting appliances shown in column (1) together with its necessary gear was tested in the manner set forth overleaf in my presence; that a careful examination of the said lifting appliances after the test showed that it had withstood the test load without injury or permanent deformation; and that the safe working load of the said lifting appliance and accessory gear is, as shown in column (4).
Signature and Seal of the Competent Person Registration/Authority number of the Competent Person.
Form-III [See rule 26 and 44 (b) (i) (a)] CERTIFICATE OF INITIAL AND PERIODICAL TEST AND EXAMINATION OF CRANES OR HOISTS AND THEIR ACCESSORY GEAR Test Certificate No……………………. Date…………….
(a) In case of construction site, name of the construction site where cranes or hoists are fitted/ installed/located.
1 2 3 4 (Metres) (Tonnes) (Tonnes) Name and position of the Competent Person of public service, association, company or firm or testing establishment Safe working load for jib cranes of radius shown in Column (2) Situation and description For jib cranes radius at the test load was applied Test load applied 157 5 6 I certify that on the _____day of _____________ 20_____, the above lifting appliance together with its necessary gear, was tested in the manner set forth overleaf; that a careful examination of the said lifting appliance and gear after the test showed that it had withstood the test load without injury or permanent deformation; and the safe working load of the said lifting appliance and gear is as shown in Column (4).
Signature and Seal of the Competent Person Registration/Authority number of the Competent Person.
Form-IV [See rules 40 and 44(b)(ii)] CERTIFICATE OF INITIAL AND PERIODICAL TEST AND EXAMINATION OF LOOSE GEARS Test Certificate No…………………… Date………………
(a) In case of construction site, name of the construction site where loose gears are fitted/ installed/located.
1 2 3 4 5 6 7 8 9 10 Name and address of public service, association or firm or testing establishment making the test and examination Name and position of the Competent Person of public service, association, company or firm or testing establishment Distinguishing number or mark Description dimension and material of gear/ device Number tested Date of test Test load app l i ed (tonnes) Safe working load (SWL) (tonnes) Name and address of manufacturer or supplier Initial test and examination certificate No. and date (only in case of periodical test and examination) Name and address of public service, association, company or firm or testing establishment making the test and examination Name and position of Competent Person in public service, association, company or firm or testing establishment 158 I certify that on the ________ day of ________ 20______ the above gear was tested and examined in the manner set forth overleaf; that the examination showed the said gear/device withstood the test load without injury or deformation;
and that the safe working load of the said gear/device is as shown in column 6.
Signature and Seal of the Competent Person Registration/Authority number of the Competent Person.
Form-V [See rules 32 and 44(b)(iii)] CERTIFICATE OF TEST AND EXAMINATION OF WIRE ROPE BEFORE BEING TAKEN INTO USE Test Certificate No. ……………….. Date……………..
(1) Name and address of maker or supplier;
(2) (a) Circumference/diameter of rope
(b) Number of strands
(c) Number of wires per strand
(d) Lay
(e) Core
(3) Quality of wire (e.g. Best Plough steel)
(4) (a) Date of test of sample of rope
(b) Load at which sample broke (tonnes)
(c) Safe working load of rope (tonnes)
(d) Intended use
(5) Name and address of public service, association, company or firm or testing establishment making the test and examination.
159
(6) Name and position of Competent Person in public service, association, company or firm or testing establishment making the test and examination.
I certify that the above particulars are correct and that the test and examination were carried out by me and no defect affecting its safe working load (SWL) were found.
Signature and Seal of the Competent Person Registration/Authority Number of Competent Person.
Form-VI [See rules 42 and 44(b)(iv)] CERTIFICATE OF ANNEALING OF LOOSE GEARS Test Certificate No…………………. Date……………..
(a) In case of construction site, name of the construction site where loose gears are fitted/ installed/ located.
__________________________________________________________ 1 2 3 4 5 6 7 8 Distinguishing number or mark Description of gear Number of the certificate of test and examination Number annealed Date of annealing Defects found at careful inspection after annealing Name and position of the Competent Person of public service association, company or firm or testing establishment Name and address of public service, association, company or firm or testing establishment carrying out the annealing and inspection 160 I certify that on the date shown in column (5), the gear described in columns (1) to (4), was effectually annealed under my supervision that after being so annealed, every article was carefully inspected ; and that no defect affecting its safe working condition were found other than those indicated in column (6).
Signature and Seal of the Competent Person Registration/Authority Number of the Competent Person.
Form-VII [See rules 39 and 43] CERTIFICATE OF ANNUAL THOROUGH EXAMINATION OF LOOSE GEARS EXEMPTED FROM ANNEALING
(a) Name of the Construction site where loose gears are fitted/ installed/ located:— ___________________________________________________________ 1 2 3 4 Distinguishing number or mark Description of gear Number of certificate of initial and periodical test and examination Defects, if any Name and address of public service, association, company or firm or testing establishment making the test and examination Name and position of the Competent Person of public service, association, company or firm or testing establishment.
5 6 161 I certify that on the _________ day of _________ 20 ________ the above gear, described in column (2), was thoroughly examined ; and that no defects affecting its safe working condition, were found other than those, indicated in column (4).
Signature and Seal of the Competent Person Registration/Authority Number of the Competent Person.
Form-VIII [(See rule 180 (7)] REPORT OF ACCIDENTS AND DANGEROUS OCCURRENCES
1. Name of the project/ work
2. Location of project/ work
3. Stage of construction work
4. Particulars of Employer :
(i) Name, Address and telephone/ contact number of the Principal Employer, if any :
(ii) Name, Address and telephone/ contact number of the Contractor :
(iii) Name, Address and telephone/contact number of the Sub-contractor, if any :
5. Particulars of injured person :
(a) Name :
(b) Father’s name :
(c) Date of birth/age :
(d) Designation :
(e) Home Address :
(f) Date of employment :
(g) Marital Status: Married/unmarried/divorced 162
6. Particulars of Accident
(a) Date and time of accident:
(b) Exact place where accident occurred:
(c) What the injured person was doing at the time of accident?
(d) Weather conditions:
(e) Since how long was the building worker employed by you for this particular job?
(f) Particulars of equipment/ machine/ tool involved and condition of the same after the accident occurred.
(g) Brief description of the accident.
7. Nature of injuries
(a) Fatal
(b) Non-fatal
(c) If non-fatal, state precisely the nature of injuries. (Describe in detail the nature of injury, for instance fracture of right arm, sprain etc.)
(d) First Aid: Given: Not given:
(e) If not, give the reasons
(f) Name and designation of the person by whom first aid was given
(g) If admitted to hospital, Name of the hospital:
Address of the hospital:
Phone No. Name of the Doctor
8. Mode of transport used Ambulance Truck Tempo Taxi Private Car 163
9. How much time was taken to shift the injured person? If very late, state the reasons.
(a) How the reporting was made?
Telephone Telegram Special Messenger Letter
(b) Who visited the accident site first and what action was proposed by him?
(c) What are the actions taken for the investigation of the accident by the employer? (Describe about photographs/ video film/ measurements taken etc.)
10. Particulars of the persons given witness.
(a) Name Address Occupation
1.
2.
3.
4.
(b) Whether Temporary Permanent
11. Particulars in case of fatal accident;
Date Time
12. Whether registered with Building and other Construction Board: Yes/no If yes, give Reg. No.
13. Dangerous Occurrences as covered under the Regulation No.
(a) Collapse or failure of lifting appliance, hoist, conveyors etc;
(b) Collapse or subsidence of soil, any wall, floor, gallery etc;
(c) Collapse of transmission towers, pipeline, bridges, etc;
(d) explosion of receiver, vessel etc;
(e) fire and explosion;
(f) Spillage or leakage of hazardous substances;
164
(g) collapse, capsizing, toppling or collisions of transport equipment;
(h) leakage or release of harmful toxic gases at the construction site; and
(i) failure of lifting appliance, loose gear, hoist and building and other construction work machinery, transport equipment etc;
14. Certificate from the employer or authorised signatory.
I certify that to the best of my knowledge and belief, the above particulars are correct in every respect.
Place: Signature:
Date: Designation:
c.c. forwarded for information and follow-up action
1.
2.
3.
Note: If more than one person is involved, then for each person, information is to be filled up in separate forms.
Form-IX [See rule 193 (c)] CERTIFICATE OF MEDICAL EXAMINATION
1. Certificate Serial No. ……………. Date………….
2. Name _____________________________ Identification marks: (1) __________________
(2) __________________
3. Father’s Name ________________________
4. Sex _________________________
5. Residence __________________________________________________________ ________________________________________________________________________ 165
6. Date of birth/age _______________________
7. Physical Fitness _____________________________
8. Reason for refusal/revocation of medical certificate______________ _______________________________________________________________________ I hereby certify that I have personally examined (name) ____________________Son/ daughter/ wife of _____________________who is desirous of being employed in building and construction work and that his/her age as nearly as can be ascertained from my examination is ______________ years and that he/she is fit/unfit for employment in _________________ as an adult/adolescent.
Signature/Thumb Signature with Seal of Impression of building worker Medical Inspector/C.M.O.
Note: 1. Exact details of cause of physical disability should be clearly stated.
2. Functional productive abilities should also be stated if disability is stated.
FORM X [See rule 193 (d)] HEALTH REGISTER (In respect of workers employed in Building and other construction work involving hazardous processes) Name of the Construction Medical Officer/ Medical Inspector (A) Mr. _________________ From __________ to _______________ (B) Mr. _________________ From __________ to _______________ (C) Mr. _________________ From __________ to _______________ 166 1 2 3 4 5 6 7
1.
2.
3.
4.
5.
8 9 10 11 12 13 Certified fit to resume duty Whether certificate of unfitness or Signature of Medical Inspector/ CMO suspension issued to building worker 14 15
1.
2.
3.
Date : Signature with date of Medical Inspector/ CMO Note : (i) Column (8) – Detailed summary of reason for transfer or discharge should be stated
(ii) Column (12) should be expressed as fit/ unfit/ suspended.
Sr. No. Works No. Name of building worker Sex Age (last birthday) Date of employment on present work Date of leaving or transfer to other work Reason for leaving transfer or discharge Nature of job or occupation Raw Material or byproduct handled Date of medical examination by certifying Surgeon Medical Inspector/ CMO Results of medical examination If suspended from work, state period of suspension with detailed reasons.
167 FORM XI [See rule 200 (a)] NOTICE OF POISONING OR OCCUPATIONAL NOTIFIABLE DISEASES
1. Name and address of the employer :
2. Name of the building worker and his work No., if any :
3. Address of the building worker :
4. Sex and Age :
5. Whether poisoned or suffering from occupational disease :
6. State exactly what the patient was doing at the time of contracting the disease :
7. Nature of poisoning or disease from which the building worker is suffering from :
Date: Signature of the employer / CMO Note: When a building worker contracts any disease specified in Schedule XII, a notice in this form shall be sent forthwith to the Chief Inspector under the Act.
168 FORM XII [See Rule 222 (1)] APPLICATION (IN TRIPLICATE) FOR REGISTRATION OF ESTABLISHMENTS EMPLOYING WORKERS FOR BUILDING AND OTHER CONSTRUCTION WORK
1. Name and address of the employer :
2. Name and location of the establishment where the building or other construction work is to be carried on :
3. Postal address of the establishment :
4. Full name and address of the Principal Employer, if any :
5. Full name and address of the Manager or person responsible for the supervision and control of the establishment :
6. Nature of building or other construction work carried on or to be carried on in the establishment :
7. Maximum number of building workers, to be employed on any day during the work :
8. Estimated date of commencement of the building or other construction work :
9. Estimated date of completion of the building or other construction work :
10. Particulars of fee deposited :
Declaration by the employer :
(i) I hereby declare that the particulars given above are true to the best of my knowledge and belief.
(ii) I undertake to abide by the provisions of the Building and other Construction workers (Regulation of Employment and Conditions of Service) Act, 1996 and Rules made thereunder.
Date…………….. Signature and Seal of the employer 169 FORM-XIII [See Rule 223 (1)] REGISTRATION CERTIFICATE No. …………….. Date:…………… GOVERNMENT OF PUNJAB Office of the Registering Officer A certificate of Registration is hereby granted under Sub-section (3) of section 7 of the Building and Other Construction Work (Regulation of Employment and Conditions of Service) Act, 1996 and the rules made thereunder to M/s.______________________________________________________ having the following particulars subject to the conditions laid down in the Annexure :—
1. Postal address/ location where building or other construction work is to be carried on by the employer :
2. Name and address of employer including location of the building and other construction work :
3. Name and permanent address of the establishment :
4. Nature of work in which building workers are employed or are to be employed :
5. Maximum number of building workers to be employed on any day by the employer :
6. Probable date of commencement of work :
7. Probable date of completion of work :
8. Other particulars relevant to the employment of building workers :
Signature and Seal of Registering Officer.
170 ANNEXURE The registration granted herein above, is subject to the following conditions, namely :—
(a) the certificate of registration shall be non-transferable ;
(b) the number of workmen employed or building workers in the establishment shall not, on any day, exceed the maximum number, specified in the certificate of registration ;
(c) save as other-wise provided in these rules, the fees paid for the grant of registration certificate shall be non-refundable ;
(d) the rates of wages payable to the building workers by the employer, shall not be less than the rates, prescribed under the Minimum Wages Act, 1948 (II of 1948) for such employment wherever applicable, and where the rates have been fixed by agreement, settlement or award, not less than the rates so fixed ; and
(e) the employer shall comply with the provisions of the Act and the rules made thereunder.
FORM-XIV [See rule 223(2)] REGISTER OF ESTABLISHMENTS 1 2 3 4 5 6 7 8 9 10 Serial No.
Registration number and date Name, address and location of the establishment registered, where a building or other construction work is to be carried on Name of the employer and his address Nature of building or other construction work Name and permanent address of Establishment Probable date of commencement of work Maximum No. of building workers to be employed on any day Probable duration of building or other construction work and probable date of completion.
Remarks 171 FORM-XV [See rule 225 (3) and 233] NOTICE OF COMMENCEMENT/COMPLETION OF BUILDING OR OTHER CONSTRUCTION WORK
1. (i) Name and address (Permanent) of the establishment.
(ii) Name of the employer and address _____________________
2. Name and situation of place where the building and other construction is proposed to be carried on.
3. No. and date of Certificate of registration:
4. Name and address of the person in-charge of the construction work.
5. Address to which the communications relating to building or other construction work may be sent.
6. Nature of work involved and the facilities including plant or machinery provided.
7. The arrangement of storage of explosives, if any, to be used in building or other construction work.
8. In case, the notice is for commencement of work, the approximate duration of work.
I/ We hereby intimate that the building or other construction work________________________________________________ (name of work) having registration No._____________ dated ___________ is likely to commence/ is likely to be completed with effect from ______________ (date).
Signature and Seal of the Employer Date…………..
To The Inspector, _____________ 172 FORM-XVI [See rule 234] REGISTER OF BUILDING WORKERS EMPLOYED BY THE EMPLOYER
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment :
3. Nature of work _________________________ Serial Name and Age and Father’s/ Nature of Permanent No. Surname Sex Husband’s Employ- home of workman Name ment/ address of Designation workman (Village and District) 1 2 3 4 5 6 1 2 3 7 8 9 10 11 1 2 3 If the building worker is/was beneficiary, the date Remarks of registration as a beneficiary, the registration No. and the name of Welfare Board 12 13 1 2 3 Local Address Date of commencement of employment Signature or Thumb impression of workman Date of termination of employment Reasons of termination 173 FORM-XVII [See rule 235(1) (a)] MUSTER ROLL For the month of __________
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment :
3. Nature of work _________________________ Serial Name of the Father’s/ Sex Dates Remarks No. building Husband’s worker name 1 2 3 4 5 6 1 1 2 2 3 3 4 4 5 5 FORM-XVIII [See rule 235(1) (a)] REGISTER OF WAGES Wages for the month of ____________
1. Name and address of the establishment where building and other construction work is to be carried on :
2. Name and permanent address of the establishment:
3. Nature of work _________________________ 174 Serial Name of Serial No. Designation/ No. of days Units of No. workman in the nature of worked work done register of work done workman 1 2 3 4 5 6 Daily Basic Dearness Overtime Other cash payments Total rates of wages Allowances (Nature of payment wages/ to be indicated) piece rate 7 8 9 10 11 12 Deductions, if any Net amount paid Signature/Thumb Initial of employer (indicate nature) impression of or his representative workman 13 14 15 16 175 FORM-XIX [See rule 235(1) (a) proviso] FORM OF REGISTER OF WAGES CUM-MUSTER ROLL Month: ______________
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Serial Serial No. in Name of Designation/ Daily Total No. Register of building nature of attendance/ attendance/ bilding worker work units units of workers worked work done 1 2 3 4 5 6 1 2 3 Daily Basic Dearness Overtime Other cash payments Total rates of wages Allowances (Nature of payment wages/ to be indicated) piece rate 7 8 9 10 11 12 Deductions, if any, Net amount paid Signature/Thumb Initial of employer (indicate nature) impression of or his representative workman 13 14 15 16 176 FORM-XX [See rule 235 (1) (b)] REGISTER OF DEDUCTIONS FOR DAMAGE OR LOSS
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Serial Name of Father’s/ Designation/ Particulars Date of Whether No. building Husband’s nature of of damage damage building worker name employment or loss or loss worker showed cause against deduction 1 2 3 4 5 6 7 Name of Amount of Number of Date of Recovery person in deduction instalments whose imposed presence building worker’s explanation First Instalment Last Instalment was heard 8 9 10 11 12 177 FORM-XXI [See rule 235 (1) (b)] REGISTER OF FINES
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Serial Name of Father’s/ Designation/ Act/omission Date No. building Husband’s nature of for which offence workers name employment fine imposed 1 2 3 4 5 6 Whether Name of Wage Amount of Date on Remarks building person in period and the fine which fine worker whose wages imposed realised showed presence payable cause building against worker’s fine explanation was heard 7 8 9 10 11 12 178 FORM-XXII [See rule 235 (1) (b)] REGISTER OF ADVANCES
1. Name and address of the establishment where building and other construction work is to be carried on :
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Serial Name Father’s/ Nature of Wage period Date and No. Husband’s employment/ and wages amount of name Designation payable advance given 1 2 3 4 5 6 Pupose(s) for No. of Date and Date on which Remarks which advance instalments amount of last instalment given by which each was repaid advance to instalment be repaid repaid 7 8 9 10 11 179 FROM-XXIII [See rule 235(1) (c)] REGISTER OF OVERTIME
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Serial Name of Father’s/ Sex Designation/ Date on which No. the building Husband’s Nature of overtime worker name Employment worked 1 2 3 4 5 6 Total overtime Normal Overtime Overtime Date on which Remarks worked or rates of rate of earning overtime production in wages wages wages paid case of piece rated 7 8 9 10 11 12 FORM-XXIV [See rule 235 (2) (a)] WAGE BOOK For the Week/ Fortnight/Month ending_____________.
Name and address of the establishment where building and other construction work is to be carried on :
Name and permanent address of the establishment :
Nature of work _________________________ 180
1. No. of days, worked _______________
2. No. of units, worked in case of piece rate workers ___________
3. Rate of daily/ monthly wages/ piece-rate __________________
4. Amount of overtime wages _____________________________
5. Gross wages payable __________________________________
6. Deductions, if any, on account of the following :—
(a) fines
(b) damage or loss
(c) loans and advances
(d) subscription towards provident fund
(e) subscription towards the Building Workers Welfare Fund.
(f) any other deduction e.g. subscriptions to co-operative society or account of loan from co-operative society/ housing loan, or contribution to any relief fund as per provision of clause (P) of sub-section (2) of section 7 of the Payment of Wages Act or for payment of any premium of Life Insurance Corporation.
7. Net amount of wages paid ___________________ Initials of the employer or his representative 181 FORM-XXV [See rule 235 (2) (b)] SERVICE CERTIFICATE
1. Name and address of the establishment where building and other construction work is to be carried on:
2. Name and permanent address of the establishment:
3. Nature of work _________________________ Name and address of the workman __________________________________ Age or Date of Birth _______________________________________________ Identification Marks _______________________________________________ Father’s/ Mother’s Name ___________________________________________ Serial Total period for which Nature of Rate of wages If the building worker No. employed work done (with particulars was a beneficiary, his of unit in case of registration No. date (piece work) and the name of the Board From To 1 2 3 4 5 6 Reasons/ grounds on which the Remarks employment terminated 7 8 182 FORM-XXVI [See rule 236] ANNUAL RETURN OF EMPLOYER TO BE SENT TO THE REGISTERING OFFICER Year ending 31st December _____________
1. Full name and full address of the establishment of the building and other construction work (Place, Post Office, District).
2. Name and permanent address of the establishment.
3. Name and address of the Employer
4. Nature of building and other construction work carried on
5. Full name of the Manager or person responsible for supervision and control of the establishment.
6. Number of building workers ordinarily employed.
7. Total number of days during the year on which building workers were employed.
8. Total number of man-days worked by building workers during the year.
9. Maximum number of building workers employed on any day during the year.
10. The number of accident that took place during the year as under :—
(a) The total number of accidents;
(b) The number of accident resulting in disablement of building workers for less than 48 hours, the number of building workers involved, and the number of man-days lost.
(c) The number of accidents resulting in disablement of building workers beyond 48 hours but not resulting in any permanent partial or permanent total disablement, the number of building worker involved and the number of man days lost on account of such accidents.
(d) The number of accidents resulting in permanent partial or total disablement, the number of building workers involved and the number of man days lost on account of such accidents.
(e) The number of accidents resulting in deaths of building workers and the number of resultant deaths.
11. Change if any, in the management of the establishment, its location, or any other particulars furnished to the Registering Officer in the application for Registration indicating also the dates.
Employer Place ______________ Date _______________ 183 FORM NO. XXVII [See rule 260(3)] CERTIFICATE BY EMPLOYER/CONTRACTOR REGARDING EMPLOYMENT OF BUILDING WORKER No.___________ Date:________ TO WHOMSOEVER IT MAY CONCERN This is to certify that Sh./Smt./Miss/___________________ son/daughter/wife of Sh. _______________________ r/o of _____________________________ is employed with my/our establishment as __________________ since______.
Signature and Seal of the employer/contractor.
FORM NO. XXVIII [See rule 260 (4)] APPLICATION FOR REGISTRATION AS MEMBER
1. Name :
2. Address :
3. Whether Scheduled Cast/ :
Scheduled Tribe
4. Name of Father :
5. Marital Status : (Married, Unmarried or Widow)
6. Date of Birth :
7. Name, address and Register :
No. of the Establishment where the applicant is working
8. E.S.I./ P.F. No. :
184
9. Name and address of employer :
10. Total service :
11. Rate of subscription :
12. Name of Bank and branch, where :
Subscription is to be paid
13. If the applicant is already a member :
of any other Welfare Board, the name of such Board and Registration No. of the applicant The above facts are true to the best of my knowledge and information.
Place:
Date:
Signature of the applicant.
Name and Signature of Employer FORM NO. XXIX [See Rule 260 (7)] NOMINATION FORM I nominate the following persons as rightful dependents, to receive all the dues form the Fund on my behalf and in the event of my death, as rightful heirs to receive all benefits due to me :— Name and address Relationship with Age of Nominee Amount to be given of Nominee/ member to each Nominee Nominees Place :
Date :
Name, Address, Registration No. and Address, of the building worker.
185 FORM NO. XXX [See rule 260 (8)] FORM OF IDENTITY CARD PAGE-I Signature, date and official designation of the registering Authority (with office seal) PAGE-II Name of Member Address Male/ Female Name of job Registration No.
District Name of Bank and branch in which subscription is tobe paid Subscription rate: ________ PAGE-III Date of birth :
Completed age :
Date of retirement :
Marital status :
Married/ Unmarried Name of Wife/Husband :
Address :
Whether wife/ husband, a : Yes/No member of this Board If so, name and registration Number :
Name of Nominees :
Relationship with the member :
Signature/ Thumb impression :
of the member Official designation and :
Signature of registering Authority Photo 186 FORM NO. XXXI [See rule 260 (8)] REGISTER OF IDENTITY CARDS Name of district _______________ Serial Name and address Date of Issue Signature of the Remarks No. of the Identity Card Authorised Holder Officer 1 2 3 5 6 FORM NO. XXXII [See rule 262 (2)] RETURNS FOR THE MONTH OF ________________ REGARDING THE DETAILS OF BUILDING WORKERS Name and address of the establishment :
Serial No. of building No. and Name(s) No. and Name(s) No. of building No. workers as on of the building of building workers as on the close of worker(s), who worker(s), to the close of previous left service be registered current month month during the month 1 2 3 4 5 Place :
Date : Name and Signature of the Employer (Office Seal) 187 FORM NO. XXXIII [See rule 262 (3)] PARTICULARS OF ESTABLISHMENT
1. Name of the establishment :
2. Nature of Establishment whether :
Company/ Partnership Firm/ Sole Proprietorship
3. Names of the partners/Directors/ :
Proprietors
4. Name of Managing Partner/ Managing :
Director/person, who is in ultimate control of the establishment
5. Details of branches :
6. Details of occupiers :
Place : Name, Signature and Designation Date : (Office Seal) P. RAM, Principal Secretary, Government of Punjab, Department of Labour.
12447 LC(P)—Govt. Press, U.T., Chd.