I
[See Rules 112(a) and 126(a)]Manner of test and examination before taking lifting appliance, lifting gear and wire rope into use for the first time.Test Loads :(1)Lifting appliance. - Every lifting appliance with its accessory gear, shall be subjected to a test load which shall exceed the safe working load (SWL) as specified in the following table :TABLE
| Safe working load |
Test load |
| Up to 20 tonnes |
25 per cent in excess of safe working load. |
| 20 to 50 tonnes |
5 tonnes in excess of safe working load |
| Over 50 tonnes |
10 per cent in excess of safe working load |
(2)Lifting gear. - (a) Every ring, hook, chain, shackle, swivel, eye-bolt, plate clamp, triangular plate or pulley block (except single sheave block) shall be subjected to a test load which shall not be less than the load as specified in the following table :TABLE
| Safe working load (in tonnes) |
Test load (in tonnes) |
| Up to 25 |
2 x safe working load |
| above 25 |
(1.22 x safe working load) + 20 |
(b)In the case of a single sheave block, the safe working load shall be the maximum load which can safely be lifted by the block when suspended by its head fitting and the load is attached to a rope which passes around the sheave of the block and a test load not less than four times the proposed safe working load shall be applied to the head of the block.(c)In the case of a multi-sheave block, the test load shall not be less than the load as specified in the following table.TABLE
| Safe working load (in tonnes) |
Test load (in tonnes) |
| Up to 25 |
2 x safe working load) |
| 25 to 160 |
(0.9933 x safe working load) + 27 |
| above 160 |
1.1 x safe working load. |
(d)In the case of hand-operated pulley blocks used with pitched chains and rings, hooks, shackles or swivels, permanently attached thereto, a test load not less than 50 per cent in excess of the safe working load shall be applied.(e)In the case of a pulley block fitted with a bucket, the bucket shall be tested and the load applied to the bucket when testing that block will be accepted as test load of the bucket.(f)In the case of a sling having two legs, the safe working load shall be calculated when the angle between the legs is 90 degree. In case of multilegged slings the safe working load shall be calculated as per national standards.(g)Every lifting beam, lifting frame, container spreader, bucket, tub, or other similar devices shall be subjected to a test load which shall not be less than the load as specified in the following table :TABLE
| Safe working load (in tonnes) |
Test load (in tonnes) |
| Up to 10 |
2 x safe working load |
| 10 to 160 |
(1.04 x safe working load) + 9.6 |
| above 160 |
1.1 x safe working load |
(h)Wire ropes. - In the case of wire ropes a sample shall be tested to destruction. The test procedure shall be in accordance with recognised national standards. The safe working load of the rope is to be determined by dividing the load at which sample broke by a co-efficient of utilisation, determined as specified in the following table :TABLE
| Item |
Co-efficient of utilisation |
| (1) |
(2) |
|
(a) Wire rope forming part of sling. Safe working load of thesling : Safe working load up to and equal to 10 tonnes : Safeworking load above 10 tonnes and up to and equal to 160 tonnes
|
510/(8.85 x SWL) + 1910 |
| Safe working load above 160 tonnes |
3 |
|
(b) Wire rope as integral part of a lifting appliance : SWI.of the lifting appliance : Safe working load up to and equal to160 tonnes
|
1010/(8.85 x SWL) + 1910 |
| Safe working load above 160 tonnes |
3 |
(i)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.(j)After being tested, all the lifting gears shall be examined to see whether any parts have been injured or permanently deformed by the test.Procedure for Testing :(3)Derricks. - (a) A derrick shall be tested with its boom at the minimum angle to the horizontal for which the derrick is designed (generally 15 degrees) or at such greater angle as may be agreed. The angle at which the test has been carried out shall be mentioned in the test certificate, The test load shall be applied by hoisting movable weights. During the test, the boom shall be swung with the test load, as far as practicable, in both directions.(b)A derrick boom, designed to be raised with power, with the load suspended, shall, in addition to the tests at (a), be raised (with the load suspended) to its maximum working angle to the horizontal and the two outermost positions.(c)While test loading of a heavy lift derrick, the competent person responsible for tests using movable weights shall ascertain from the owner of the vessel or floating platform that the stability of the vessel or platform is adequate for the test.(4)The derricks tested under clause (3) shall not be used in union purchase rig unless. - (a) The derricks rigged in union purchase are tested with the test load appropriate to the SWL in union purchase (at the designed headroom and with the derrick booms in their approved working positions).(b)The safe working load of that derrick in union purchase rig has also been specified by a competent person in a report in Form V;(c)Any limitations or conditions specified in the said report are complied with; and(d)The two hoist ropes are coupled together by a suitable swivel assembly.Note. - The safe working loads of derricks (for each method of rig including union purchase) shall be shown on the certificate of test and marked on the derrick booms.(5)Lifting appliances. - (a) The test load shall be lifted and swung, as far as possible, in both directions. If the jib or boom of the crane has a variable radius, it shall be tested with tarn loads at the maximum and minimum radii. In case of hydraulic cranes when owing to the limitation of pressure, it is impossible to lift a test load in accordance with table under item (I), it will be sufficient to lift the greatest possible load which shall be more than safe working load.(b)The test shall be performed at maximum, minimum and intermediate radius points as well as such points in the area of rotation, as the competent person may decide. The test shall consist of hoisting, lowering breaking and swinging and swinging through all positions and operations normally performed. An additional test shall be made by operating the machinery at maximum working speed with the safe working load suspended.(6)Use of spring or hydraulic balances, etc. for test loading. - All tests Shall normally be carried on with the help of dead weights. In case of periodical test, replacements or renewals, test load may be applied by means of suitable springs or hydraulic balances. In such case, test load shall be applied with the boom, as far out as practicable, in both directions. The test shall not be taken as satisfactory unless the balance has been certified for accuracy by the competent authority within 2.0 per cent and the pointer of the machine has remained constant at the test load for a period of at least five minutes.(7)Testing machines and dead weights. - (a) A suitable testing machine shall be used for testing of chains, wire ropes and other lifting gears.(b)Testing machines and balances to be used in test loading, testing and checking shall not be used unless they have been certified for accuracy at least once in the preceding twelve months by the competent authority;(c)Movable weights used for the test loading of the lifting appliances having a safe working load not exceeding twenty tonnes shall be checked for accuracy by means of suitable weighing machine of certified accuracy.(8)Thorough examination after testing or test loading. - After being tested or test loaded, every lifting appliance and associated gear shall be thoroughly examined to see that no part has been damaged or permanently deformed during the test. For this purpose, the lifting appliance or gear shall be dismantled to the extent considered necessary by the competent person.
II
Notifiable Occupational Diseases in Building and Other Construction Work[See Rule 228(a)]1. Occupational dermatitis.
5. Lead poisoning including poisoning by any preparation or compound of lead or their sequelae.
6. Benzene poisoning, including poisoning by any of its nomologues, their nitro or amino derivatives or its sequelae.
9. Carbon monoxide poisoning.
12. Compressed air illness (Caissors disease).
13. Noise-induced hearing loss.
14. Isocyanates poisoning.
III
Contents of a first-aid box[See Rule 229(b)](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)4 per cent xylocaine eye drops, and boric acid eye drops and soda bicarbonate eye drops.(iii)Twenty-four small sterilised dressings.(iv)Twelve medium size sterilised dressings.(v)Twelve large size sterilised dressing.(vi)Twelve large size sterilised burn dressings,(vii)Twelve (fifteen cm.) packets of sterilised cotton wool.(viii)(Two hundred ml.) bottle of certimide solution (1 per cent) or suitable antiseptic solution.(ix)One (two hundred ml.) bottle of mercurochrome (2 per cent) solution in water.(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.(xix)A supply of suitable splints.(xx)Three packets of safety pins.(xxii)A snake bite lancet.(xxiii)One (thirty ml.) bottle containing potassium permanganate crystals.(xxiv)One copy of first-aid leaflet issued by the Directorate-General.(xxv)Six triangular bandages.(xxvi)Two pairs of suitable, sterilised, latex hand gloves.
IV
[See Rule 224(a)]Articles for ambulance room :(i)A glazed sink with hot and cold water always available.(ii)A table with a smooth top at least 180 cm. x 105 cm.(iii)Means for sterilising instruments.(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. x 100 cm. x 6 cm.(x)Twelve plain wooden splints 350 cm. x 75 cm. x 6 cm.(xi)Six plain wooden splints 250 cm. x 50 cm. x 12 cm.(xii)Six woollen blankets.(xiii)Three pairs of artery forceps.(xiv)One bottle of spiritus annemiae aremations (120 ml.).(xv)Smelling salt (60 gms.).(xvi)Two medium size sponges.(xviii)Four kidney trays.(xix)Four cakes of toilet, preferably antiseptic soap.(xx)Two glass tumblers and two wine glasses.(xxi)Two clinical thermometers.(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 to 20.(xxix)One electric hand torch.(xxx)Four first-aid boxes or cupboards stocked to the standards prescribed in the Schedule VII.(xxxi)An adequate supply of tetanus toxide.(xxxii)Injections - morphia, pethidine, atrophine, adrenaline, coramine, novocaine (6 each).(xxxiii)Cramine liquid (60 ml.).(xxxiv)Tablets - antihistaminic antispasrnodic (25 each).(xxxv)Syringes with needles - 2 cc., 5 cc, and 500 cc.(xxxvi)Three surgical scissors.(xxxvii)Two needle holders, big and small.(xxxviii)Suturing needles and materials.(xxxix)Three dissecting forceps.(xl)Three dressing forceps.(xlii)One stethoscope and a B.P. apparatus.(xliii)Rubber bandage-pressure bandage.(xliv)Oxygen cylinder with necessary attachments.(xiv)Atropine eye ointments.(xlvi)I.V. Fluids and sets 10 nos.(xlvii)Suitable, foot-operated, covered, refuse containers.(xlviii)Adequate number of sterilised, paired, latex hand gloves.
V
[See Rule 225]Contents of Ambulance Van or CarriageThe 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 tilted 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 artificial ventilation unit, airways, mouthgag tracheostomy adapters, short spine board, I.V. Fluids with administration unit, B.P. manometer, cuff stethoscope.(ii)Immobilisation. - Long and short padded boards, wire ladder splints, triangular bandage, long and short spine boards.(iii)Dressing - Gauze pads. - 100 mm. x 100 mm. universal dressing 250 mm. x 1000 mm. roll of aluminium foils - soft roller bandages 150 mm. x 5 mm. yards adhesive tape in 75 mm, roil safety pins, bandage sheets, burn sheets.(iv)Poisoning. - Syrup of Ipecac, activated charcoal pre-packeted dose, snake bite kit, drinking water.(v)Emergency medicines. - As per requirement (under the advice of construction Medical Officer).
VI
Permissible Exposure in Cases of Continuous Noise[See Rule 235]
|
Total time of exposure (continuous or a number ofshort-term exposures) per day (in hours)
|
Sound pressure level (in dBA) |
| 1 |
2 |
| 8 |
90 |
| 6 |
92 |
| 4 |
95 |
| 3 |
97 |
| 2 |
100 |
| 11/2 |
102 |
| 1 |
105 |
| 3/4 |
107 |
| 1/2 |
110 |
| 1/4 |
115 |
Notes. - (1) No exposure in excess of 115 dBA is to be permitted.(2)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.
VII
[See Rule 81(iv) and 221(a)(iii)]Periodicity of Medical Examination of Building Workers1. The employer shall arrange a medical examination of all the building workers employed as drivers, operators of lifting appliances and transport equipment before employing, after illness or injury, if it appears that the 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,(b)clinical examination with particular reference to-(ii)Vision - Total visual performance using standard orthorator like litmus 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 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 meter and the average peak flow rate determined out of these readings of the test performed. The results recorded at pre-placement medical examination could be used as a standard for the same individual at the same 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.(viii)General - Mental alertness and stability with good eye, hand and foot coordination.(c)Any other tests which the examining doctor considers necessary.
VIII
[See Rules 219(1) and 219(2)]Number of Safety Officers, Qualification, Duties etc.Appointment of Safety OfficersNumber of Safety Officers. - Within six months of corning into operation of these rules, every establishment employing more than five hundred building workers and every other employer of building worker shall appoint safety officers, as laid down in the scale given below :
| 1. |
Up to 1000 building workers |
- one safety officer. |
| 2. |
Up to 2000 building workers |
- two safety officers. |
| 3. |
Up to 5000 building workers |
- three safety officers. |
| 4. |
Up to 10,000 building workers |
- four safety officers. |
| |
For every additional 5000 building workers or part thereof |
- one 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);(iii)has adequate knowledge of the language; spoken by majority of building workers from the construction site in which he is to be appointed.(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 bad 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 the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996.(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 or 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 of not less than three years on the date of commencement of these rules, the Director-General may, subject to such conditions that he may specify, relax all or any of the above said qualification.Condition of Service. - (a) Where number of safety officers appointed exceeds one, one of them shalt be designated as Chief Safety Officer and shall have the status higher than the others. The Chief Safety Officer shall be in overall charge of the safety functions as envisaged in sub-clause (iv) and also 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 dispatch their functions effectively.(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. - (a) 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 organizing 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 cheek and. evaluate the effectiveness of action taken or proposed to be taken to prevent personal injuries;(iv)to advise purchasing and ensuring quality of personal protective equipment confirming 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 occurrences;(viii)to advise on the maintenance of such records as are necessary with regard to accidents, dangerous occurrences and occupational diseases;(ix)to promote the working of safety committees sad to act as an advisory to such committees;(x)to organize, in association with concerned departments, campaigns, competitions, contests and other activities which will develop and maintain the interest of building workers in establishing and maintaining safe conditions of work and procedures;(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 safe rules and safe working practices in consultation with senior officials of the establishment;(xiii)supervise and guide safety precautions to be taken in building and other construction work of the establishment.Facilities to be provided to safely officers. - The employer shall provide each safely officer with such facilities, equipment and information that are necessary to enable him to dispatch 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, inconsistent with or detrimental to the performance of the duties prescribed in this Schedule.Exemptions. - Director-General 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 and notified by him in the order of such exemption.
IX
(See Rule 223)Hazardous process :(3)Work under and over water(5)Work in confined spaces
X
(See Rule 223)Services and facilities to be provided in occupational health centres. - (1) One full-time construction medical officer for building or other construction work, employing workers up to one thousand and one additional construction medical officer for every additional one thousand 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 work hours.(3)The occupational health centre with a floor area of minimum fifteen square metres constituting two rooms with smooth walls and intern service, adequately illuminated and ventilated.(4)Adequate equipment for day-to-day treatment.(5)Necessary equipment to manage any medical emergency.
XI
[See Rule 223(c)]Qualification of construction medical officer. - (1) MBBS 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 establishments involved in policy, execution and advice and safety and health of workers employed in mines, ports and docks, factories and building and other construction work, for a period of not less than three years may, subject to the satisfaction of the Director-General, not be required to possessing the training referred to in item (2) above.(4)Tire syllabi of the courses leading to the above certificates and the organisation conducting such courses shall be approved by the Central Government who may also from time-to-time prepare a panel of such organisations.(5)Complete particulars including name, qualification and experience of the construction medical officer will be intimated to the Inspector having jurisdiction.
XII
[See Rule 200(d)]Permissible Levels of Certain Chemical Substances in the Work Environment
| SI. No. |
Substance |
Permissible limit of exposure |
| |
|
Time-weighted average concentration(TWA) (8hrs.)
|
Short-term exposure limit (STEL)[(15 min)] |
| |
|
ppm |
mg/m3** |
ppm |
mg/m3** |
| 1 |
2 |
3 |
4 |
5 |
6 |
| 1 |
Acctaldehyde |
100 |
130 |
150 |
270 |
| 2 |
Acetic Acid |
10 |
25 |
15 |
37 |
| 3 |
Acetone |
750 |
1700 |
1000 |
2375 |
| 4 |
Acrolein |
0.1 |
0.25 |
0.3 |
0.8 |
| 5 |
Acrylonitrile-Skin (S.C.) |
2 |
4.5 |
- |
- |
| 6 |
Aldrin-Skin |
- |
0.25 |
- |
- |
| 7 |
Allyl chloride |
1 |
3 |
2 |
6 |
| 8 |
Ammonia |
25 |
18 |
35 |
27 |
| 9 |
Aniline-Skin |
2 |
10 |
- |
- |
| 10 |
Anisidine (O-p-isomers)-Skin |
0.1 |
0.5 |
- |
- |
| 11 |
Arsenic and soluble compounds (as As) |
- |
0.2 |
- |
- |
| 12 |
Benzene (S.C.) |
10 |
30 |
- |
- |
| 13 |
Beryllium and Compound (as Be) (S.C.) |
- |
0.002 |
- |
- |
| 14 |
Boron trifluoride |
1 |
3 |
- |
- |
| 15 |
Bromine |
0.1 |
0.7 |
0.3 |
2 |
| 16 |
Butane |
800 |
1900 |
- |
- |
| 17 |
2-Butanone (Methyl Ethyl Ketone-MBK) |
200 |
590 |
300 |
950 |
| 18 |
n-Butyl acetate |
150 |
710 |
200 |
950 |
| 19 |
n-Butyl alcohol-Skin-C |
50 |
150 |
- |
- |
| 20 |
Sec/tert. Butyl acetate |
200 |
950 |
- |
- |
| 21 |
Butyl mercaptan |
0.5 |
1.5 |
- |
- |
| 22 |
Cadmium Dust and Salts (as Cd) |
- |
0.05 |
- |
- |
| 23 |
Calcium oxide |
- |
2 |
- |
- |
| 24 |
Carbaryl (Sevin) |
- |
5 |
- |
- |
| 25 |
Carbofuran (Furadan) |
- |
0.1 |
- |
- |
| 26 |
Carbon disulphide-Skin |
10 |
30 |
- |
- |
| 27 |
Carbon monoxide |
50 |
55 |
400 |
440 |
| 28 |
Carbon Tetrachloride - Skin (S.C.) |
5 |
30 |
- |
- |
| 29 |
Chlordane - Skin |
- |
0.5 |
- |
- |
| 30 |
Chlorine |
1 |
3 |
3 |
9 |
| 31 |
Chlorobenzene |
75 |
350 |
- |
- |
| |
(Monochlorobenzene) |
|
|
|
|
| 32 |
Chloroform (S.C.) |
10 |
50 |
- |
- |
| 33 |
Bis (Chloromethyl) ether (H.C.) |
0.001 |
0.005 |
- |
- |
| 34 |
Chromic acid and chromates (as Cr) |
- |
0.05 |
- |
- |
| |
(water soluble) |
|
|
|
|
| 35 |
Chromous salts (as Cr) |
- |
0.5 |
- |
- |
| 36 |
Copper fume |
- |
0.2 |
- |
- |
| 37 |
Cotton dust raw |
- |
0.2* |
- |
- |
| 38 |
Cresol all isomers - Skin |
5 |
22 |
- |
- |
| 39 |
Cyanides (as CN) - Skin |
- |
1 |
- |
- |
| 40 |
Cyanogen |
10 |
20 |
- |
- |
| 41 |
DDT (Dichlorodiphenyl trichlorocthane) |
- |
1 |
- |
- |
| 42 |
Demeton - Skin |
0.01 |
0.1 |
- |
- |
| 43 |
Diazinon - Skin |
- |
0.1 |
- |
- |
| 44 |
Dibutyl phthalate |
- |
5 |
- |
- |
| 45 |
Dicholorvos (DDVP) - Skin |
0.1 |
1 |
- |
- |
| 46 |
Dieldrin - Skin |
- |
0.25 |
- |
- |
| 47 |
Dinitroberizene (all isomers) - Skin |
0.15 |
1 |
- |
- |
| 48 |
Dinitrotoluene - Skin |
- |
1.5 |
- |
- |
| 49 |
Diphenyl (Biphenyl) |
0.2 |
1.5 |
- |
- |
| 50 |
Endosulfan (Thiodan) - Skin |
- |
0.1 |
- |
- |
| 51 |
Endrin-Skin |
- |
0.1 |
- |
- |
| 52 |
Ethyl acetate |
400 |
1400 |
- |
- |
| 53 |
Ethyl alcohol |
1000 |
1900 |
- |
- |
| 54 |
Ethylamine |
10 |
18 |
- |
- |
| 55 |
Fluorides (as F) |
- |
2.5 |
- |
- |
| 56 |
Fluorine |
1 |
2 |
2 |
4 |
| 57 |
Formaldehyde (S.C.) |
1.0 |
1.5 |
2 |
3 |
| 58 |
Formic acid |
5 |
9 |
- |
- |
| 59 |
Gasoline |
300 |
900 |
500 |
1500 |
| 60 |
Hydrazine - Skin (S.C.) |
0.1 |
0.1 |
- |
- |
| 61 |
Hydrogen chloride - C |
5 |
7 |
- |
- |
| 62 |
Hydrogen cyanide - Skin - C |
10 |
10 |
- |
- |
| 63 |
Hydrogen fluorine (as F) - C |
3 |
2.5 |
- |
- |
| 64 |
Hydrogen peroxide |
1 |
1.5 |
- |
|
| 65 |
Hydrogen sulphide |
10 |
14 |
15 |
21 |
| 66 |
Iodine - C |
0.1 |
1 |
- |
- |
| 67 |
Iron Oxide Fume (Fe O) (as Fe) |
- |
5 |
- |
- |
| 68 |
Isoamyl acetate |
100 |
525 |
- |
- |
| 69 |
Isoamyl alcohol |
100 |
360 |
125 |
450 |
| 70 |
Isobutyl alcohol |
50 |
150 |
- |
- |
| 71 |
Lead inorg. dusts and fumes (as Pb) |
- |
0.15 |
- |
- |
| 72 |
Lindane - Skin |
- |
0.5 |
- |
- |
| 73 |
Malathion - Skin |
- |
- |
10 |
- |
| 74 |
Manganese dust and compounds (as Mn) - C |
- |
5 |
- |
- |
| 75 |
Manganese fumes (as Mn) |
- |
1 |
- |
- |
| 76 |
Mercury (as Hg) - Skin |
|
|
|
|
| (i) |
Alkyl compounds |
- |
0.01 |
- |
0.03 |
| (ii) |
All forms except alkyl vapour |
|
0.05 |
- |
- |
| (iii) |
Atyl and inorganic compounds |
|
0.1 |
- |
- |
| 77 |
Methyl alcohol (Methanol) - Skin |
200 |
260 |
250 |
310 |
| 78 |
Methyl collosolve (2-Methoxy ethanol) - Skin |
5 |
16 |
- |
- |
| 79 |
Methyl Isobutyl Ketone |
50 |
205 |
75 |
300 |
| 80 |
Methyl isocyanate - Skin |
0.02 |
0.05 |
- |
- |
| 81 |
Naphthalene |
10 |
50 |
15 |
75 |
| 82 |
Nickel carbonyl (as Ni) |
0.05 |
0.35 |
- |
- |
| 83 |
Nitric acid |
2 |
5 |
4 |
10 |
| 84 |
Nitric oxide |
25 |
30 |
- |
- |
| 85 |
Nitrobenzene-Skin |
1 |
5 |
- |
- |
| 86 |
Nitrogen dioxide |
3 |
6 |
5 |
10 |
| 87 |
Oil mist Mineral |
- |
5 |
- |
10 |
| 88 |
Ozone |
0.1 |
0.2 |
0.3 |
0.6 |
| 89 |
Parathion - Skin |
- |
0.1 |
- |
- |
| 90 |
Phenol - Skin |
5 |
19 |
- |
- |
| 91 |
Phorate (Thimet) - Skin |
- |
0.05 |
- |
0.2 |
| 92 |
Phosgene (Carbonyl chloride) |
0.1 |
0.4 |
1 |
1 |
| 93 |
Phosphine |
0.3 |
0.4 |
1 |
1 |
| 94 |
Phosphoric acid |
- |
1 |
- |
3 |
| 95 |
Phosphorus (yellow) |
- |
0.1 |
- |
- |
| 96 |
Phosphorus pentachloride |
0.1 |
1 |
- |
- |
| 97 |
Phosphorus trichloride |
0.2 |
1.5 |
0.5 |
3 |
| 98 |
Pieric acid-Skin |
- |
0.1 |
- |
0.3 |
| 99 |
Pyridine |
5 |
15 |
- |
- |
| 100 |
Silane (Silicon tetrahydride) |
5 |
7 |
- |
- |
| 101 |
Sodium hydroxide-C |
- |
2 |
- |
- |
| 102 |
Styrene monomer (Phenylethylene) |
50 |
215 |
100 |
425 |
| 103 |
Sulphur dioxide |
2 |
5 |
5 |
10 |
| 104 |
Sulphur hexafluoride |
1000 |
6000 |
- |
- |
| 105 |
Sulphuric acid |
- |
1 |
- |
- |
| 106 |
Tetraethyl lead as (Pb)-Skin |
- |
0.1 |
- |
- |
| 107 |
Tolune (Toluol) |
100 |
375 |
150 |
560 |
| 108 |
O-Toluidinc-Skin (S.C.) |
2 |
9 |
- |
- |
| 109 |
Tributyl phosphate |
0.2 |
2.5 |
- |
- |
| 110 |
Trichloroethylene |
50 |
270 |
200 |
1080 |
| 111 |
Uranium natural (as U) |
- |
0.2 |
- |
0.6 |
| 112 |
Vinyl chloride (H.C.) |
5 |
10 |
- |
- |
| 113 |
Welding fumes |
- |
5 |
- |
- |
| 114 |
Xylene (O-m P-isomers) |
100 |
435 |
150 |
655 |
| 115 |
Zinc oxide |
|
|
|
|
| |
(i) Fume |
- |
5.0 |
- |
|
| |
(ii) Dust (Total dust) |
- |
10.0 |
- |
|
| 116 |
Zirconium compounds (as Zr) |
- |
5 |
- |
10 |
ppm Parts of vapour or gas per million parts of contaminated air by volume at 25°C and 760 mm. of Hg.mg/m3 milligram of substance per cubic metre of air.* Not more than 4 times a day with at least 60 min interval between successive exposures.| ** mg/m3 =| Molecular weight24.45| x ppm |
C denotes Ceiling Limit.Skin denotes potential contribution to the overall exposure by the cutaneous route including mucous membranes and eye.S.C. denotes Suspected Human Carcinogen.H.C. denotes confirmed Human Carcinogen.
| Substance |
Permissible time-weighted average concentration (TWA) (8 Hrs) |
| Silica, SiO |
|
| (a) Crystalline |
| (i) Quartz- |
| {| |
| (i) In terms of dust count| 10600%Quartz+10| mmpcm |
|-|| (2) In terms of respirable dust| 10% respirable Quartz+2| mg/m2 |
|-|| (3) In terms of total dust| 30% Quartz+3| mg/m3 |
|-| (ii)Cristobalite| Half the limits given against quartz.|-| (iii)Tridvmite| Half the limits given against quartz.|-| (iv)Silica, fused| Same limits as for quartz.|-| (v)Tripoli| Same limits as in formula in item (2) given against quartz.|-| (b) Amorphous Silicates| 10 mg/m3, total dust.|-| Asbestos (H.C.)| *2 fibres/ml, greater than 5 um in length and less than 3 umin breadth with length to breadth ratio equal to or greater than3.
:1.|-| Portland Cement| 10mg/m3, Total dust containing less than 1% quartz.|-| Coal Dust| 2 mg/m3, respirable dust fraction containing less than 5%quartz.|-| mmpcm| Million particles per cubic metre of air, based on impingersamples counted by lightfield techniques.As determined bythe membrane filter method at 400-450 x magnification (4 mm.objective) phase contrast illumination.|}Respirable Dust :Fraction passing a size-selector with the following characteristics :
| Aerodynamic Diameter (um) (Unit density sphere) |
% passing selector |
| <2 |
90 |
| 2.5 |
75 |
| 3.5 |
50 |
| 5.0 |
25 |
| 10 |
00 |
Form No. 1[See Rule 23(1)]Application for Registration of establishments employing building workers1. Name and location of the establishment where building or other construction work is to be carried on :
2. Postal address of the establishment :
3. Full name and permanent address of the establishment, if any :
4. Full name and address of the Manager or person responsible for the supervision and control of the establishment :
5. Nature of building or other construction work carried/is to be carried on in the establishment :
6. Maximum number of building workers to be employed on any day :
7. Estimated date of commencement of building or the other construction work :
8. Estimated date of completion of the building or other construction work :
9. Particulars of demand draft, enclosed (name of the Bank, amount, demand draft no. and date) :
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 the Rules made thereunder.Principal EmployerSeal and StampOffice of the Registering Officer appointed under the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996 and Central Rules made thereunder.Date of Receipt of application :Form No. 2[See Rule 24(1)]Certificate of RegistrationPictureDepartment of LabourGovernment of Uttar PradeshNo. .........Date ..........Office Of The Registering OfficerA Certificate of Registration is hereby granted under sub-section (3) of Section 7 of the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Act, 1996 and the rules made thereunder, to M/s......................having the following particulars subject to 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 am 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 and completion of work.
7. Other particulars relevant to the employment of building workers.
Signature of Registering Officer with SealAnnexureThe registration granted here in 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 provided in these rules, the fees paid for the grant of registration certificate shall be non-refundable;(d)the rates of wages payable to building workers by the employer shall not be less than the rates prescribed under the Minimum Wages Act, 1948 (11 of 1948) for such employment where 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 No. 3[See Rule 25 (2)]Registration of Establishment
| SI. No. |
Registration no. and date |
Name and address of construction site where abuilding 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 onany day
|
Probable duration of building or otherconstruction work and probable date of completion
|
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
| |
Form No. 4[See Rules 27(3) and 46(i)]Written Notice of Commencement/Completion of the Building or Other Construction Work1. (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 incharge 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 and 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)/[on (date)].Signature of the EmployerTo,The Inspector..............................Form No. 5(See Rule 39)Register of Overtime
| SI. No. |
Name of building worker |
Father's/ Husband's name |
Sex |
Designation/ Nature of employment |
Date on which overtime worked |
Total hours of overtime worked or production incase of piece-rated
|
Normal rates of wages |
Overtime rate of wages |
Overtime earnings |
Date on which overtime wages paid |
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
| |
Form No. 6[See Rule 47]Register of Building Workers Employed by the EmployerName and address of establishment where building and other construction work is to be carried onName and permanent address of establishmentName and location of work............
| SI. No. |
Name of workers |
Father's/Husband's name |
Name of Employment/ Designation |
Date of commencement of employment |
Signature or thumb impression of workers |
Date of termination of employee |
Reasons for termination |
If the building worker is/was beneficiary, thedate of registration as a beneficiary, the registration no. andthe name of Welfare Board
|
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
| |
Form No. 7[See Rule 48(a)]Muster Roll
| Name and permanent address of the establishment |
Name and address of establishment where building or otherconstruction work is carried on/is to be carried on
|
| Nature of building or other construction work |
Name and address of employer |
For the Month..............
| SI. No. |
Name of the building worker |
Father's/Husband's Name |
Sex |
Dates |
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
| 1 |
|
|
|
1 |
|
| 2 |
|
|
|
2 |
|
| 3 |
|
|
|
3 |
|
| 4 |
|
|
|
4 |
|
| 5 |
|
|
|
5 |
|
Form No. 8[See Rule 48(a)]Register of Wages
|
Name and address of the establishment where building or otherconstruction work is carried on
|
Name and permanent address of establishment |
| Name of building or other construction work |
Name and address of the employer |
Wage period Monthly
| SI. No. |
Name of workers |
Designation/nature of work done |
No. of days worked |
Daily rate of wages/piece rate |
| 1 |
2 |
3 |
4 |
5 |
| |
Amount of wages earned
| Basic wages |
Dearness allowances |
Overtime |
Others |
Other cash payment (Nature of payment to beindicated)
|
Total |
| 6 |
7 |
8 |
9 |
10 |
11 |
| |
| Deductions, if any (Indicate nature) |
Net amount paid |
Signature/Thumb impression of worker |
Initial of employer or his representative |
| 12 |
13 |
14 |
15 |
| |
Form No. 9[See Rule 48(a)]Form of Register of Wages-cum-Muster RollName and address of the establishment where building or other construction work is carried on/is to be carried on. Nature of building or other construction workName and permanent address of establishment
| SI. No. |
SI. No. in Register of building workers |
Name of employee |
Designation/ nature of work |
Daily attendance/ units worked |
| 1 |
2 |
3 |
4 |
5 |
| |
Amount of wages earned
| Wages piece rate |
|
|
|
|
| 6 |
7 |
8 |
9 |
10 |
| |
Form No. 10[See Rule 48(b)]Register of Deductions for Damage or Loss
|
Name and address of establishment where building or otherconstruction work is carried on/is to be carried on
|
Name and permanent address of building workers |
Name and permanent address of the employer |
Nature of building or other construction work
| SI. No. |
Name of worker |
Father's/Husband's name |
Designation/ nature of employment |
Particulars of damage or loss |
Date of damage or loss |
Whether building worker showed cause againstdeduction
|
Name of person in whose presence buildingworker's explanation was heard
|
Amount of deduction imposed |
No. of instalments |
Date of recovery |
| First Instalment |
Last Instalment |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
| |
Form No. 11[See Rule 48(b)]Register of Fines
|
Name and address of establishment where building or otherconstruction work is carried on/is to be carried on
|
Name and permanent address of establishment |
| Nature of building or other construction work |
Name and permanent address of the employer |
| SI. No. |
Name of building worker |
Father's/ Husband's name |
Designation Nature of employment |
Act/ Omission for which fine imposed |
Date of offence |
Whether building worker showed cause against fine |
Name of person in whose presence buildingworker's explanation was heard
|
Wage periods and wages payable |
Amount of the fine imposed |
Date on which fine realised |
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
| |
Form No. 12[See Rule 48(b)]Register of Advances
|
Name and address of establishment where building or otherconstruction work is carried on/is to be carried on
|
Name and permanent address of establishment |
| Nature of building or other construction work |
Name and permanent address of the employer |
| SI. No. |
Name of building worker |
Father's/ Husband's name |
Designation/ Nature of employment |
Wage period and wages payable |
Date and amount of advance given |
Purpose (s) for which advance given |
No. of instalments by which advance to be repaid |
Date and amount of each instalment repaid |
Date on which last instalment was repaid |
Remarks |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
| |
Form No. 13[See Rule 50(a)]Wage Book
| Name and address of the employer |
Name and permanent address of establishment |
|
Name and address of establishment where building or otherconstruction work is carried on
|
Nature of building or other construction work |
For the Week/Fortnight/Month ending..............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 :
(d)subscription towards provident fund(e)subscription towards the Building Workers Welfare Fund(f)any other deductions e.g. subscription to co-operative society on account of loans 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 Employeror his RepresentativeForm No. 14[See Rule 50(b)]Service Certificate
| Name and permanent address of establishment |
Name and Address/Location where the building or otherconstruction work is carried on/is to be carried on
|
| Name and location of work |
: ...................... |
| Name and address of the workman |
: ...................... |
| Age or Date of Birth |
: ...................... |
| Identification Marks |
: ...................... |
| Father's/Husband's name |
: ...................... |
| SI. No. |
Total period for which employed |
Nature of work done |
Rate of wages (with particulars of unit in caseof piece work)
|
If the building worker was a beneficiary hisRegistration No., date and the name of the Board
|
Reasons/ grounds on which the employee terminated |
Remarks |
| From |
To |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| |
SignatureForm No. 15(See Rule 53)Annual ReturnsAnnual Return of employer to be sent to the Registering Officer year ending 31st December1. Full name and address of the establishment of the building and other construction work (Place, Post., Distt.).
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 days during the year.
10. The number of accidents that took place during the year as under:
(a)The total number of accidents(b)The number of accidents 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 total disablement, the number of building workers 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.The Chief Inspector or Inspector appointed by a State Government under the Act shall direct the owners of establishments registered under this Act, to send the copies of Annual Returns submitted by the employers of registered establishments in respect of the concerned State Government or appropriate Government to the Director-General of Inspections by virtue of provisions of Section 60 of the Act.The Chief Inspector or Inspector appointed under this Act by State Government shall direct the owners of such establishments as are registered under this Act by Registering Officers appointed by concerned State Government to send copies of the Annual Returns to the Director-General by virtue of provisions of Section 60 of the Act.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.Place.........Date..........Signature of EmployerForm No. 16[See Rule 129]Register of Periodical Test-Examination of Lifting Appliances 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 such examination parts of the lifting appliances and gear shall be dismantled.(A)Initial and periodical load tests of lifting appliance
|
Situation and description of lifting appliancestested with distinguishing number of marks, if any
|
No. of certificate of test and examination ofcompetent person
|
I certify that on the date on which I haveappended by signature the lifting appliance show i in column (1)was tested and no defects affecting its safe working conditionwere found other than those shown in column (5)
|
Remarks (to be signed and dated) |
| Date and signature with seal |
Date and signature with seal |
| 1 |
2 |
3 |
4 |
5 |
| 1. |
| 2. |
(B)Annual thorough examinationI certify that on the date to which I have appended my signature, the lifting appliance shown in column (1) 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 |
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 |
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.Part-II Initial and periodical load test of loose gears and annual thorough examinationList of loose gear :The following clauses of loose gears namely -1. Chains made of malleable cast iron;
3. Chains, rings, hooks, shackles and swivels made of steel;
5. Rings, hooks, shackles and swivels permanently attached to pitched chains, pulley blocks, containers, 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 parts; and
7. Bordeaux connections.
Initial Test and periodical load test of loose gears
| Distinguishing no. or marks |
Description of loose gear tested and examined |
No. of certificates of test and examination ofcompetent person
|
I certify that on the date to which 1 haveappended my signature the loose gears shown in columns (1) and(2) were tested and no defects affecting the safe workingcondition were found other than those shown in column (6)
|
| Date and Signature with seal |
Date and Signature with seal |
| 1 |
2 |
3 |
4 |
5 |
| 1. |
|
|
|
|
| 2. |
|
|
|
|
| 3. |
|
|
|
|
| 4. |
|
|
|
|
| 5. |
|
|
|
|
Annual thorough examination of loose gears
| Remarks (to be signed and dated) |
I certify the that on the date to which I haveappended my signature the loose gears show . in columns (1) and(2) were thoroughly examined by me and no defects affecting theirsafe working condition were found other than those shown incolumn (10)
|
| Date and signature with seal |
Date and signature with seal |
Date and signature with seal |
Remarks (to be signed and dated) |
| 6 |
7 |
8 |
9 |
10 |
| 1. |
|
|
|
|
| 2. |
|
|
|
|
| 3. |
|
|
|
|
| 4. |
|
|
|
|
| 5. |
|
|
|
|
Part-III Annealing of Chains, Rings, Hooks, Shackles and Swivels(Other than those exempted)(See Part II)
|
12.5 mm. and smaller chains, rings, hooks, shackles andswivels in general use.
|
If used with lifting appliance driven by power, must beannealed once at least in every six months. If used solely withlifting appliance worked by hand, must be annealed once at leastin every twelve months
|
|
Other chains, rings, hooks, shackles and swivels in generaluse.
|
If used with lifting appliance driven by power, must beannealed once at least in every six months. If used solely withlifting appliance worked by hand, must be annealed once at leastin every two years.
|
Note. - It is recommended that annealing should be carried out in a suitably constructed furnace heated to temperature between 1100 degree Fahrenheit or 600 degree and 700 degree Centigrade, for a period between 30 and 60 minutes.
| Distinguishing no. or mark |
Description of gear annealed |
No. of the certificate of test and examination |
I certify that on the date to which I haveappended my signature, the gear described in Cols. 1 and 2 waseffectually annealed under my supervision: that after being soannealed every article was carefully inspected and that nodefects affecting 1 its safe working condition were found otherthan those shown in Col. 7.
|
Remarks (To be signed and dated) |
| Date and signature with seal |
Date and signature with seal |
Date and signature with seal |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| |
Form No. 16-A[See Rule 129(b)(1)(a)]Test and Examination of winches, derricks, and their accessory gearTest Certificate No. ...........Name of the construction site where lifting appliances are fitted/ installed/ located :1. Situation and description of lifting appliances and gear with distinguishing number or marks (if any), which have been tested, thoroughly examined.
2. Angle to the horizontal of derrick boom at which test load applied (In Degrees).
3. Test load applied (In Tonnes).
4. Safe working load at the angle shown in (2) (In Tonnes).
5. Name and address of public service, association, company, or firm or testing establishment making the test and examination.
6. Name and position of the competent person of public service, association, company or firm or testing establishment.
I certify that on the...............date of 20.............the lifting appliance shown in (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 appliance 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 (4).Signature of the Competent Person..................SealRegistration/Authority numberof the Competent PersonPlace............DateForm No. 17[See Rule 129(b)(i)(b)]Test and Examination of Hoist or Cranes and their accessory gearTest Certificate No. ........Name of the construction site where cranes or hoists are fitted/installed/ located :1. Situation and description.
2. For jib cranes radius at the test load was applied (Metres).
3. Test load applied (Tonnes).
4. Safe working load for jib cranes at radius shown in (2) (Tonnes).
5. Name and address of public service, association or firm or testing establishment making the test and examination.
6. Name and position of competent person of public service, association or firm or testing establishment.
I certify that on the.........day of 20....the above lifting appliance together with its accessory 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 (4).Signature of the Competent Person..................SealRegistration/Authority numberof the Competent PersonPlace..........Date...........Form No. 18[See Rule 129(b)(iv)]Test and examination of loose gearsTest Certificate No. ..........Name of the construction site where loose gears are fitted/installed/located :1. Distinguishing number or mark.
2. Description, dimension and material of gear/device.
5. Test load applied (Tonnes).
6. Safe working load (SWL) (Tonnes).
7. Name and address of manufacturer or suppliers.
8. Initial test and examination, certificate no. and date (only in case of periodical test and examination).
9. Name and address of public service association, company or firm or testing establishment making the test and examination.
10. Name and position of competent person in public service, association, company or firm or testing establishment.
I certify that on the.........date of 20....... the above gear was tested and examined in the manner set forth overleaf, 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 (6).Signature of the Competent Person..................SealRegistration/Authority number of the Competent PersonPlace..........Date..........Form No. 19[See Rule 129(b)(iii)]Test and Examination of the Wire Rope before being takenTest Certificate No...........1. Name and address of maker/supplier :
2. (a) Circumference/diameter of rope :
(c)Number of wires per strand :3. Quality of wire (e.g. best plough steel) :
4. (a) Date of test of sample or rope :
(b)Load at which sample broke (In tonnes) :(c)Safe working load of rope (In tonnes) :5. Name and address of Public Service, Association, Company or testing establishment making the test and examination :
6. Name and position of Competent Person in Public Service, Association, Company or Firm testing establishment making the test and examination :
I certify that the above particulars are correct and the test examinations were carried out by me and no defects affecting its Safe Working Load (SWL) were found.Signature of the Competent Person..................SealRegistration/Authority numberof the Competent PersonPlace........Date.......Form No. 20[See Rule 127(c)]Heat Treatment and Examination of Loose GearsTest Certificate No.........Name of the construction site where loose gears are fitted/installed/located :1. Distinguishing number or mark :
3. Number of the certificate of test and examination :
6. Defects found at careful inspection after annealing :
7. Name and address of Public Service Association, Company or Firm or testing establishment carrying out the annealing and inspection :
8. Name and position of the Competent Person of Public Service Association, Company or Firm or testing establishment :
I certify that on the date shown in (5) the gear described in (1) to (4) 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 indicated in (6).Signature the Competent Person..................SealRegistration/Authority numberof the Competent PersonPlace..........Date...........Form No. 21[See Rule 142]Examination or test of pressure vessel or plant1. Name of the employer (or establishment)................
2. Address of construction site..................
3. Name, description and distinctive number of pressure vessel or plant..........
4. Name and address of manufacturer and reference to their test certificate or certificates of Competent Person...............
5. Nature of process in which pressure vessel or plant is used.............
6. Particulars of pressure vessel of plant :..............
(a)Date of construction.....................(b)Thickness of wails.......................(c)Date in which the pressure vessel or plant was first taken into use...........(d)Maximum permissible working pressure recommended by the manufacturer........................(e)Design pressure, if known.........................(f)The history should be briefly given and the examiner should state whether he has seen the last previous report.7. Date of last hydrostatic test, if any, and pressure applied............
8. Is the pressure vessel or plant in open or otherwise exposed to weather or to damp?
9. What parts (if any) were inaccessible?.................
10. What examination and tests were made?
Specify pressure if hydrostatic test was carried out..................11. Condition of pressure vessel of plant external (State any defects materially affecting the maximum permissible working pressure of the safe working of the pressure vessel of plant).......................Internal
12. Are the required fittings and appliances provided in accordance with the rule...............
13. Are all fittings and appliances properly maintained and in good condition? Have the pressure settings been checked and corrected?
14. Repairs (if any) required, and period within which they should be executed and any other condition which the person making the examination thinks it necessary to specify for securing safe working.........................
15. Maximum permissible working pressure, calculated from dimensions and from the thickness, and other data ascertained by the present examination, due allowance being made for conditions of working if unusual or exceptionally severe (state minimum thickness of walls measured during the examination).............
16. Where repairs affecting the maximum working pressure are required, state the working pressure :
(a)Before the expiration of the period specified in item 14.(b)After the expiration of such period if the required repairs have not been completed.(c)After the completion of the required repairs..................17. Other observations...........................
I certify that on the............day of 20......the pressure vessel or plant described above was thoroughly cleaned and (so far as its construction permits) made accessible for thorough examination and for such tests as were necessary for thorough examination and that on the said date, I thoroughly examined this pressure vessel or plant including its fittings and that the above is a true report of my examination.Signature of the Competent PersonSealDate..............Form No. 22[See Rule 216(d)]Certificate of Medical Examination1. Certificate Serial No...............
DateDate2. Name..............
Identification marks : (1)3. Father's Name...............
5. Residence......................Son/daughter.........
6. Date of Birth, if available
and/or certificate age7. Physical Fitness :
I hereby certify that I have personally examined (Name)....................... son/daughter/wife of................residing..............at.............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 for employment in............adult/adolescent.8. Reason for :
(1)refusal of certificate..............................................................(2)certificate being revoked...........................................................Signature with SealConstruction Medical Officer.Signature/left hand thumbimpression of building workerNote : (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 No. 23[See Rule 228(a)]Notice of poisoning or occupational diseases1. 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. Occupation...................:..................
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/Construction Medical OfficerNote. - When a building worker contracts any disease specified in Schedule-II, a notice in this Form shall be sent forthwith to the Director General.Form No. 24[See Rule 251(7)]Notice of Accidents and Dangerous Occurrences1. Name of the project/work :
2. Location and address of construction work :
3. Stage of construction work :
4. Particulars of Employer :
| (a) Main contractor Firm/Co. : |
(b) Sub-contractor's particulars : |
| Name |
Name |
| Address |
Address |
| Phone Nos. |
Phone Nos. |
| Nature of business |
Nature of business |
5. Particulars of injured person :
| (a) Name |
(First) |
(Middle) |
(Surname) |
| (b) Home Address : |
|
| (c) Occupation : |
(d) Status of the worker : |
| |
Casual |
| |
Permanent |
| (e) Sex : Male/Female : |
(f) Age : |
| (g) Experience : |
|
| (h) Marital status : Married/Unmarried/Divorced |
6. Particulars of accident :
(a)Exact place where accident occurred(d)What the injured person was doing at the time of accident?(f)How long employed by you for this particular job?(g)Particulars of equipment/machine/tool involved and condition of the same after the accident occurred.7. Nature of injuries :
| (a) Fatal |
(b) Non-fatal |
| (c) If non-fatal, slate precisely the nature of injuries |
|
(Describe in detail the nature of injury, for instancefracture of right arm, sprain etc.)
|
| (a) First Aid : |
Given : |
Not Given : |
| (b) If not, give the reasons |
|
|
(c) Name and designation of the person by whom first aid wasgiven :
|
| (d) If admitted to hospital, |
Name of the Doctor : |
| Name of the hospital : |
|
| Address of the hospital : |
|
| Phone No. : |
|
8. Mode of transport used :
| Ambulance |
Truck |
Tempo |
Taxi |
Private Car |
9. (a) How much time was taken to shift the injured person? If very late, state the reasons :
(b)How the reporting was made? :
| Telephone |
Telegram |
Special Letter |
Messenger |
(c)Who visited the accident site first and what action was proposed by him? :(d)What are the actions taken for the investigation of the accident by the employer? (Describe about photographs/video film/measurement taken etc.)10. Particulars of the person given witness :
(a)Name Address Occupation5.
(b)Whether Temporary/PermanentParticulars in case of fatal :11. Date :
Time :Whether, registered with building and otherConstruction Workers Welfare BoardIf yes, give Reg. No.I certify that to the best of my knowledge and belief, the above particulars are correct in every respect.Place :Signature of employer/ResponsiblePerson/SupervisorDate :Designationc.c. forwarded for information and follow-up action :3.
Note. - If more than one person is involved, then for each person, information is to be filled up in separate forms.Notice of Dangerous Occurrences1. Name and address of the establishment :
2. Location and address of construction site :
3. Name of the employer :
4. Name of the Supervisor or responsible person :
5. Nature of construction work :
6. Exact place where the dangerous occurrence took place :
7. Date and time of occurrence :
8. Nature of dangerous occurrence (State exactly what happened) :
I certify that to the best of my knowledge and belief, the above particulars are correct in every respect.Place :Signature of Employer/ResponsiblePerson/SupervisorDate :DesignationForm No. 25[See Rule 276(1)]Application for Registration of Beneficiaries4. Marital status : (Married, unmarried or widow)
6. Name, address and registration No. of the establishment where the applicant is working :
7. Nature of job/employment :
9. Name and address of employer :
11. Rate of subscription : Rs. 50
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 boards and registration no. of the applicant :
I certify' that to the best of my knowledge and belief, the above particulars are correct in every respect.Place :Signature of BeneficiariesDate :DesignationForm No. 26[See Rule 276(4)]Register of Beneficiaries
| Sl. No. |
Name and address of beneficiaries |
Age |
Registrati on no. of beneficiary |
Registration fee details |
Remarks |
Signature of Registering Officer |
| Name of Bank |
Draft No. and date |
Amount (Rs.) |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
| |
Form No. 27[See Rule 277(1)]Beneficiaries' Identity Card
| Page-I |
| Photo |
|
|
Signature, date and official designation of the registeringauthority (with office seal)
|
|
| Page-II |
| Name of Member |
: |
| Address |
: |
| Male/Female |
: |
| Name of job |
: |
| Registration No. |
: |
| District |
: |
| Date of Registration |
: |
| Name of Bank and Branch in which subscription is to be paid |
: |
| Subscription rate |
:Rs. 20 |
| Page III |
| Date of birth |
: |
| Completed age |
: |
| Date of retirement |
: |
| Marital Status |
:(Married, unmarried or widow) |
| Name of wife/husband |
: |
| Address |
: |
| Whether wife/husband, a member of this Board |
:Yes/No |
| If so, name and registration No. |
: |
| Name of Nominees |
: |
| Relationship with the member |
: |
| Signature/thumb impression of the member |
: |
| Official designation and signature of registering authority. |
: |
Form No. 28[See Rule 278]Register of Employment of BeneficiariesName and address of establishment :Month
| Sl. No. |
Name and address of Beneficiaries |
Age of Beneficiaries |
Registration No. |
Details of contribution/ Arrears |
Remarks |
| Draft No. |
Amount (Rs.) |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| |
Signature of EmployerForm No. 29[See Rule 281]Application for Maternity Benefit1. Name and address of applicant :
3. Age and date of birth :
6. Have you applied for this benefit earlier :
7. If so how many times and give details :
8. Date of registration :
9. Date of payment of 1st subscription and amount :
10. Date of payment of last subscription :
11. Name of bank and place :
12. List of documents submitted :
(a)Copy of Challans or Copy of Pass Book(b)Medical Certificate in original :The facts furnished above are true to my knowledge and information.Place :Name and Signature of applicantDate :Form of Medical Certificate(To be obtained from a Medical Officer not below the rank of an Assistant Surgeon)I have examined Smt.................age wife of Sri....... She is pregnant running...............month. She had delivered a child on ...........Place :Name of DoctorDate :SealForm No. 30[See Rule 283(1)]Application for Pension1. Name and address of applicant :
3. Date of completion of 60 years :
4. Date of payment of first subscription amount and name of Bank :
5. Default if any and reasons thereof :
6. Date of payment of last subscription amount, date and name of Bank :
8. Address to which pension is to be sent :
9. Any other information (Details of benefit if any, from other Welfare Boards) :
The facts mentioned above are true to my knowledge and information.Place :Name and Signature of applicantDate :Form No. 31[See Rule 283(6)]Register of Payment of Pension
| P.P.O. No. |
Name and address of the pensioner with MembershipNo. in the U.P.B.Q.C.W.W. Board
|
Date of Birth |
Date of retirement |
Total service |
No. and date of order of sanctioning authority |
Date of commencement of pension |
Monthly Rate of pension (Rs.) |
Dated initials of |
Remarks |
| Date of entry in the scheme |
|
|
Secretary |
Officer |
Order on cancellation of pension etc. may, benoted herewith reason and date of effect under initials ofSecretary/Officer.
|
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
| |
Details of Pension Paid
| Month/ Year |
Amount of pension (Rs.) |
Date of sending of Money Order |
Dated initials of C.E.O./Officer |
Remarks (Details of undelivered H.O. etc. may benoted here)
|
| 12 |
13 |
14 |
15 |
16 |
Form No. 32[See Rule 284(1)]Application for Advance for Purchase or Construction of House
| 1. (a) Name of the applicant - |
: |
| (b) Permanent Address |
: |
| (c) Present Address |
: |
| 2. Date of birth |
: |
| 3. Date of retirement |
: |
| 4. (a) Register Number |
: |
| (b) Date of Registration |
: |
| (c) Rate of remittance |
: |
| (d) Date of first remittance |
: |
| (e) Date of last remittance |
: |
| (f) Total amount remitted |
: |
|
(g) Whether the membership hasever been revived, if so details
|
: |
| (h) Details of revival |
: |
|
5. Purpose of advance (new construction/maintenance/purchaseof land with building):
|
| 6. Whether the applicant has a house of his own (Give details): |
| 7. Amount of advance required |
: |
| 8. Details of land property - |
: |
| (a) Panchayat/Town |
: |
| (b) Village |
: |
| (c) Taluka |
: |
| (d) District |
: |
| (e) Area |
: |
| (f) Survey No. |
: |
| (g) Valuation of the property |
: |
|
9. Whether the applicant has received any other loan for HBA,give details:
|
|
10. Estimate for construction/maintenance of building as perplan:
|
| 11. Details of the amount raised apart from the loan: |
|
12. Whether the applicant has received loan previously fromthis Board:
|
DeclarationI hereby declare that the above statements are true and correct to the best of my knowledge and belief.Place :Signature :Date :Name :Details of documents to be produced :1. Plan and estimate (approved) :
2. Encumbrance Certificate of 14 years :
3. Location Certificate :
6. Attested copy of ration card (page 2, 4) for maintenance application :
7. Ownership of the building (for maintenance only):
8. Terminal benefit declaration :
9. Attested copies of identity card and passbook :
10. Title clearance certificate :
11. Age certificate of the building (for maintenance only) :
12. Valuation certificate of the property :
13. No objection certificate from the authorities for construction :
14. Declaration from the applicant that neither he/she/nor his/her spouse/children own a house (for new construction) :
Form No. 33[See Rule 285(2)]Application For Disability Pension1. Name and Address of Applicant :
2. Age and Date of Birth :
4. Date of payment of first subscription, amount and name of Bank and Branch :
5. Date of payment of last subscription amount and name of Bank :
6. Total amount of subscription :
7. Details of disease/accidents :
8. Nature of disability due to disease/accident :
9. Details of treatment in Government hospitals, date of admission and date of discharge :
10. Whether the patient was in plaster? If so, for how many days? :
11. Amount spent for treatment (should be supported by medical bills countersigned by treating doctor) :
12. List of documents submitted :
13. Details of benefits received, if any before :
14. Details of benefits received, if any from Government or any other institutions, for the above treatment :
The above facts are true to best of my knowledge and information.Place :Signature :Date :Name :Form No. 34[See Rule 286]Application for Funeral Expense1. Name and Address of Applicant :
2. Relationship of applicant with the worker :
3. Name and address of worker :
5. Date of registration :
6. Date of payment and first subscription, amount and name of Bank, Branch :
7. Date of payment of last subscription, amount, name of Bank, Branch :
8. Duration of membership
9. Whether membership was live? :
10. Date of death of the worker :
12. Whether applicant is the nominee of the worker :
13. If not, whether the applicant has submitted dependence certificate :
14. Name, age and date of birth of the nominee :
15. If nominees are minor, name of guardian and his relationship :
16. Whether consent letters from other nominees submitted? (Where the no. of nominees is more than one) :
17. Whether certificate of guardianship submitted by the minor children :
18. Amount of benefit, applied for :
The above facts are true to best of my knowledge and information.Place :Signature :Date :Name :Form No. 35[See Rule 287(2)]Application for Death Benefit1. Name and address of applicant :
2. Relationship with the worker :
3. Name and address of worker
5. Age and date of birth :
6. Worker whether married :
7. Nature of death (Give details) :
8. Details of documents submitted :
9. Amount of financial assistance applied for :
The above facts are true to best of my knowledge and information.Place :Name and SignatureDate :Form No. 36[See Rule 287(5)]Register of Death Benefit
| SI. No. |
Date of receipt of application |
Name and registration no. of worker |
Period of remittance |
Date of death |
Order No. and date |
Name and address of nominee with relationship to |
Amount of death benefit |
Refund of amount |
Total |
Initial |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
| |
Form No. 37[See Rule 288]Application for Cash Award1. Name of examination passed :
4. Year of study -
Month and year of passing of examination :Regn. No. :5. Age and dale of birth :
7. Marks obtained in the examination :
| Subject |
Marks obtained |
Maximum Marks |
Total :10. Regn. No. in the U.P.O.C.W.W. Board :
11. Date of payment of first subscription, amount, name of bank, branch :
The above facts are true to best of my knowledge and information.Place :Name and SignatureDate :Affidavit of the ParentI,...............(name and address) am a member of U.P. Building and Other Construction Workers Welfare Board and my Registration No. is..............Sri/Km..........is my son/daughter. The facts mentioned in the application are true, If they are found to be not true later, all the money received from the Board in this account will be remitted back. I hereby agree that the decision taken by the Secretary in this regard will be final.Place :Name and SignatureDate :(2)Enquiry Report of the District Executive OfficerSri/Smt................(Name and address) is a member of U.P. Building and Other Construction Workers Welfare Board Registration No................... He has been regularly paying subscription from.............to.......I recommend/reject this application (reason for rejection).District Executive OfficerForm No. 38[See Rule 290]Application for Medical Assistance1. Name and address of Applicant :
2. Age and Date of Birth :
4. Date of payment of 1st Subscription (Amount and name of Bank) :
5. Date of payment of last subscription (Amount and name of Bank) :
6. Total amount remitted :
7. Details regarding disease/surgery :
8. Disability if any, due to disease or surgery :
9. Period of treatment as inpatient in Government Hospital (Date of admission in the Hospital and date of discharge) :
10. List of documents submitted :
11. Details of medical benefits received, if any, before :
The above facts are true to my best of knowledge and information.Place :Name and Address of ApplicantDate :Form No. 39[See Rule 291]Application for Educational AssistanceName of Course :Year3. (a) SC/ST :
(b)Whether proof is attached :4. Name of College and affiliated :
5. Name and year of course :
6. Date of admission to the course :
7. Age and Date of birth of the student :
8. Details of qualifying examination passed :
| Name of Exam |
Name of affiliated University/Board/State |
Month and Year of passing qualifying examination |
Total :9. Marks scored in qualifying examination : Maximum marks
| Subject |
Marks scored |
Maximum marks |
Maximum marks Percentage |
Total :10. (a) Name of Parent of applicant :
(c)Date of payment of first subscription :(d)Date of payment of last subscription :(e)No. of instalments paid :Total subscription paid(g)Has the membership been : Yes/Norevived [ ] if so, period of revivalThe facts mentioned above are true to my knowledge. If selected for the scholarship, I promise that I will abide by the condition stipulated in the Scheme............Place :Name and Signature of the StudentDate :Affidavit of the Parent of the StudentI,............(Name and address) S/o or D/o...........(Name and Address) solemnly affirm the following :1. My son/daughter Sri/Smt..............is studying for.................name and years of course).
2. I am a member of the Board since...................(Year) with Registration No.
3. Subscription has been paid up to.............
4. If any of the above facts are found to be wrong later, the scholarship amount granted to the student will be remitted back by me. The decision of Secretary in this regard will be applicable to me and it will be final and I agree with this.
5. I also agree to recover any amount of default due from me.
Place :Name and SignatureDate :(To be signed before MLA/MP/Panchayat President/Gazetted Officer of State or Central)I certify that Smt./Sri.................who has signed above has put the signature in my presence.Place : (Office Seal)Attesting OfficerDate :NameOfficial DesignationI, ...........Head of.........(Name of Institution) hereby certify that Smt./Sri..........is..............a..........year student of course. I have examined the application submitted by the student and I am convinced that it is correct. This institution is affiliated to the............University/Board.Place : (Office Seal)Attesting OfficerDate :NameOfficial DesignationForm No. 40[See Rule 292]Application for Marriage Assistance1. Name and address of Applicant :
5. Date of payment of first subscription, Amount and name of Bank and Branch :
6. Date of payment of last subscription, Amount and name of Bank and. Branch :
7. Duration of membership :
9. If application is for the marriage of son/daughter -
(1)Whether husband or wife, a member of this Board :(2)If so, has he/she applied for the financial assistance :(3)Date of birth of the son/daughter :(4)Address of the bride or bridegroom :(5)Date and place of marriage :(6)Date and No. of the certificate of marriage :Name and address of the authority who issued the certificate :(7)Have you applied for financial assistance for the marriage of any other son, daughter; if so details of the same :10. If application is for the marriage of self (for women worker only) - :
(1)Name and address of husband/bridegroom :(2)Date and place of marriage :(3)No. and date of marriage certificate :Name of authority who issued the certificate :11. Are you in receipt of any financial assistance for the purpose from Government or any other institution :
The above facts are true to my best of knowledge and information.Place :Name and Signature of ApplicantDate :Form No. 41[See Rule 293]Application for Family Pension1. Name and Address of applicant :
2. Address of the pensioner/worker :
3. Relationship with worker :
4. Date of death of worker :
5. Monthly pension received by the worker :
6. Whether applicant is receiving pension from Government/Semi-Government or any other institution? :
If yes, details thereof7. Whether applicant is receiving salary from Government/Semi- Government/ Private Institution? :
If yes, details thereof8. List of documents submitted :
The above facts are true to the best of my knowledge and information.Place :Name and Signature of ApplicantDate :List of documents to be submitted along with application1. Death certificate of the worker :
2. Village Officer's Certificate showing relationship between the applicant and the worker :
3. Village Officer's certificate stating that the applicant is not receiving any pension from Government/Semi-Government/Private Institution :
4. Village Officer's Certificate stating that the applicant is not receiving any salary from Government/Semi-Government/Private Institution :
NotificationEnglish translation of Shram Anubhag-2, Notification. No. 1411/XXXVI-2-2009, dated 20.11.2009, published in the U.P. Gazette, Extraordinary, Part 4 (Kha), dated 20.11.2009In exercise of the powers under sub-rule (2) of Rule 256 of the Building and Other Construction Workers (Regulation of Employment and Conditions of Service) Rules, 2009, the Governor is pleased to appoint the Principal Secretary, in the Department of Labour, Government of Uttar Pradesh as 'Administrator' with effect from the date of publication of this notification in the Gazette for a period of six months or till the constitution of Uttar Pradesh Building and Other Construction Workers Welfare Board under sub-rule (1) of Rule 256, whichever is earlier and to direct that the 'Administrator' appointed as such shall exercise all powers and shall perform all duties and functions as are envisaged in the Rules 272 and 274 of the rules mentioned hereinabove.