The Occupational Safety, Health and Working Conditions (Andhra Pradesh) Rules, 2026
Form NO.YY
Official text
Open in the official PDF (p. 414)
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Record of Eye Examination
Serial Department/ Age (on last
Name of
Sex
worker
Number Works Birthday)
1 2 3 4 5
Occupation Examination of eye
Sight
Signature of
Date of Remarks
Ophthalmologist
Nature Date Result
Employment
6 7 8 9 10 11