The Occupational Safety, Health and Working Conditions (Central) Rules, 2026
Form XII
Official text
Open in the official PDF (p. 280)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See rule 71)
NOTICE OF PERIODS OF WORK
Name of the Establishment…………………………Place…………………………………District……………………
Periods of Men Women Description of Groups, Remarks
work Nature of work
Total no. of men employed Total no. of women employed
Groups,
Relays
A B C D E F G H
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
On working days
From ..
To ..
From ..
To ..
From ..
To ..
On partial
Working days
From ..
To ..
From ..
To ..
Date on which this notice is first exhibited : Signature of employer :
Date :