FORMS AS PER FUJARAT FACTORY RULE-1963

SR. FORMS IN PRESCRIBE RULE DESCRIPTION OF FORM

NO GFR
1. Form- 1 Under Rule: 03 Application for Permission to Construct, Extension or take
into use any building as a factory.
Form-1A Under Rule: 03 C Certificate of Stability.
Form-1B Under Rule: 68-1 Format of Application to the Site Appraisal Committee.
2. Form- 2 Under Rule: 04 Application For Registration and Grant or Amendment of
Licence and Notice of Occupation.
(To Be Submitted in Triplicate)
3. Form- 3 Under Rule: 04 & 07 Application for Renewal of Licence.
Form- 3 A Wider Rule: 12 A Notice of Change of Manager.
4. Form- 4 Under Rule: 05 Licence to Work a Factory.
(DISH)
Form- 4 A Under Rule: 02 A Form of Certificate of Competency Issued to A Person or an
(DISH) Institution in Pursuance to Rule 2(A) Made Under Section
2(Ca) Read with Section 6 And 112/Sec. 28/Sec. 29/ Sec. 4
I/Sec. 87 (Ventilating System).
5. Form- 5 Under Rule: 15 Certificate of Fitness for Young.
6. Form- 6 Under Rule: 23 Humidity Register.
7. Form- 7 Under Rule: 17 Record of Lime Washing, Painting Etc.
8. Form- 8 Under Rule: 54 & 55 Register of Worker Employed for work on or near Moving
[Paragraph 5 (1) of Machinery.
Schedule VI. (6)]
9. Form- 9 Under Rule: 55 Report of Examination of Hoists and Lifts.
10. Form- 10 Under Rule: 60 Report of Examination of the Lifting Machines, Ropes, and
Lifting Tackles.
11. Form- 11 Under Rule: 61 Report of Examination or Test of Pressure Vessel or Plant.
Form- 11 A Under Rule: 61 A Report of Examination of Water-Sealed Gasholder.
12. Form- 12 Under Rule: 84 Register of Compensatory Holidays.
13. Form- 13 Under Rule: 85 Overtime Register for Exempted Workers.
14. Form- 14 Under Rule: 87 Notice of Period of Work for Adult Workers.
15. Form- 15 Under Rule: 88 Register of Adult Workers
16. Form- 16 Under Rule: 92 Notice of Periods of Work for Child Workers.
17. Form- 17 Under Rule: 93 Register of Child Workers.
18. Form- 18 Under Rule: 94 Register of Leave with Wages
19. Form- 19 Under Rule: 95 Leave Book.
20. Form- 20 Under Rule: 15 Health Register.
21. Form- 21 Under Rule: 103 Report of Accident Including, Dangerous Occurrence
Resulting in Death or Bodily Injury.
Form- 21 A Under Rule: 103 Report of Dangerous Occurrence Which Does Not Result in
Bodily Injury.
22. Form- 22 Under Rule: 104 Notice of Poisoning or Disease.
23. Form- 23 Under Rule: 106 Abstract of the Factories Act 1948 and The Gujarat Factories
Rules 1963.
SR. FORMS IN PRESCRIBE RULE DESCRIPTION OF FORM
NO GFR
24. Form- 24 Under clause (1) Master Form in Respect of The Factories Act, 1948, Payment
Part: A, B & Rule: 107 of Wages Act, 1936, Maternity Benefit Act, 1961.
C. Workmen's Compensation Act, 1923 and As Applicable to
Registered Factories Covered Under the Factories Act, 1948.
25. Form- 25 Under clause (2) Half Yearly Return (For the half year ending June.
Rule: 107 2022-2023).
26. Form- 26 Under Rule: 2 A Application for Grant of Certificate of Competency to a Person
under Sub Rule (3) Of Rule 2(A).
Form- 26 A Under Rule: 102 Test Report; Dust/Fume-Extraction System.
27. Form- 27 Under Rule: 2 A Application for Grant of Certificate of Competency to an
Institution under Sub-Rule (3) Of Rule 2(A).
Form- 27A Under Rule: 102 Certificate of Fitness
28. Form- 28 Under Rule: 110 Muster Roll
29. Form- 29 Under Rule: 111 Register of Accidents, Major Accidents and Dangerous
Occurrences.
30. Form- 30 Under Schedule VI. Special Certificate of Fitness
(6) of Rule: 102
31. Form- 31 Under Rule: 112 Inspection Book for inspection of Factories and Certifying
Surgeon only
32. Form- 32 Under Rule: 68 T & Health Register (Periodic Medical).
102
33. Form- 33 Under Rule: 68 T & Certificate of Fitness of Employment in Hazardous Process
102 and operations. (Pre-Employment).
34. Form- 34 Under Rule: - -
35. Form- 35 Under Rule: 100 Payment of wages
36. Form- 36 Under Rule: 110 A -
37. Form- 37 Under Rule: 12 B Register Containing Particulars of Monitoring of Working
Environment Required Under Section 7-A (2)(E).
(Work place monitoring)