FORMS PRESCRIBED UNDER

GUJARAT FACTORIES RULES 1963

FORM NO. 1 Application for permission to construct, extend or take into use any
(Prescribed under Rule 3) building as a factory.
FORM NO. 1-A Certificate of stability
(Prescribed under Rule 3-C)
FORM NO. 1-B Format of application to the site appraisal committee
(Prescribed under Rule 68-1)
FORM NO. 2 Application for registration and grant or amendment of license and
(Prescribed under Rule 4) notice of occupation.
FORM NO. 3 Application for renewal of license
(Prescribed under Rule 4 and 7)
FORM NO. 4 License to work a factory
(Prescribed under Rule 5)
FORM NO. 4-A Form of certificate of competency issued to a person or an institution.
(Prescribed under Rule-2(A)
FORM NO. 5 Certificate of fitness for young person
(Prescribed under Rule 15)
FORM NO. 6 Humidity Register
(Prescribed under Rule 23)
FORM NO. 7 Record of Lime washing, painting, etc.
(Prescribed under Rule 17)
FORM NO. 8 Register of worker employed for work on or near moving machinery.
(Prescribed under paragraph 5(1)(c) of
Schedule VI to Rule 54 and Rule 55)
FORM NO. 9 Report of examination of hoists and lifts
(Prescribed under Rule 58)
FORM NO. 10 Prescribed for report of Examination of the lifting machines, ropes and
(Prescribed under Rule 60) lifting tackles
FORM NO. 11 Report of examination or test of pressure vessel or plant.
(Prescribed under Rule 61)
FORM NO. 11-A Report of Examination of Water-sealed gasholder
(Prescribed under Rule 61-A)
FORM NO. 12 Register of Compensatory Holidays
(Prescribed under Rule 84)
FORM NO. 13 Overtime register for exempted workers
(Prescribed under rule 85)
FORM NO. 14 Notice of period of work for adult workers
(Prescribed under Rule 87)
Form No. 15 Register of adult workers
(Prescribed under rule 88)
FORM NO. 16 Notice of periods of work for child workers
(Prescribe under Rule 92)
FORM NO. 17 Register of Child Workers
(Prescribe under Rule 93)
FORM NO. 18 Register of Leave with wages.
(Prescribe under Rule 94)
FORM NO.19. Leave Book
(Prescribed under Rule 95)
FORM NO. 20 Health Register
(Prescribe under Rule 15)
FORM NO. 21 Report of accident including, dangerous occurrence resulting in Death
(Prescribed under Rule 103) or bodily injury
FORM NO.21-A Report or dangerous occurrence which does not result in bodily injury
(Prescribed under Rule 103)
FORM NO. 22
(Prescribed under Rule 104)
FORM No. 23
(Prescribed under Rules 106)
Form No. 24
(Prescribed under clause (1) of Rule 107)
FORM NO. 25
(Prescribed under clause (2) of Rule 107)
FORM NO. 26
(Prescribed under Rule 2(A)
FORM NO. 26-A
(Prescribed under Rule 102)
FORM NO. 27
(Prescribed under Rule 2(A)
FORM NO. 27-A
(Prescribed under Rule 102)
FORM NO. 28
(Prescribed under Rule 110)
FORM NO. 29
(Prescribed under Rule 111)
FORM NO.30 (Prescribed under Schedule VI
of Rule 102)
FORM NO. 31
(Prescribed under rule 112)
FORM NO. 32
(Prescribed under Rule 68-T and 102)
FORM NO. 33
(Prescribed under Rule 68-T and 102)
FORM NO. 35
(Prescribed under Rule 100)
FORM NO. 36 (See rule 110-A)
FORM NO. 37
(Prescribed under Rule 12-B)
Dryer, Centrifuge & Thermic fluid Heater Test Report.
Notice of poisoning or disease
Abstract of the Factories Act 1948 and the Gujarat Factories Rules,
1963.
Annual Return
Half Yearly Return
Form of application for grant of certificate of competency to a person
under sub-rule (3) of rule 2(a)
Test report : dust/fume- extraction system
Form of application for grant of certificate of competency to an
institution
Certificate of fitness
Muster roll
Register of accidents, major accidents and dangerous occurrences
Special Certificate of Fitness
Inspection Book containing headings as under :-
Health Register
Certificate of Fitness of employment in hazardous process and
operations
Nomination for payment of wages in lieu of the quantum of leave to
which he was entitled in the event of death of worker.
Identity Card
Register containing particulars of monitoring of working environment