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  • FORM No 40

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    Karthik S
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    This document appears to be a sickness and absenteeism register for a factory. It contains fields to record employee name, department, dates of absence due to illness, date of return to work, details on who treated the employee, name of the diagnosed disease, and a brief description of the illness. The manager would sign the register with their name in block letters and date. The register collects health-related absence information on factory employees on a monthly basis to track and document sick leave.

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    FORM No 40.doc

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    This document appears to be a sickness and absenteeism register for a factory. It contains fields to record employee name, department, dates of absence due to illness, date of return to work, details on who treated the employee, name of the diagnosed disease, and a brief description of the illness. The manager would sign the register with their name in block letters and date. The register collects health-related absence information on factory employees on a monthly basis to track and document sick leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    20 views1 page

    FORM No 40

    Uploaded by

    Karthik S
    This document appears to be a sickness and absenteeism register for a factory. It contains fields to record employee name, department, dates of absence due to illness, date of return to work, details on who treated the employee, name of the diagnosed disease, and a brief description of the illness. The manager would sign the register with their name in block letters and date. The register collects health-related absence information on factory employees on a monthly basis to track and document sick leave.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
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    [FORM No. 40

    [ See Rule 88 L (1) (d) ]


    SICKNESS, ABSENTEEISM REGISTER

    NAME OF THE FACTORY : ADDRESS :

    LICENCE NO. :

    MONTH AND YEAR :

    Name of the
    By whom Name of disease
    Sl. Worker and Date of Absence Date of return Description of
    treated as per Medical
    No Department due to illness to work illness in brief
    (Agnecy) Certificate
    (Since when)

    SIGNATURE OF THE MANAGER

    Date : (NAME IN BLOCK LETTERS)

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