Contents of the OSH Rules (Andhra Pradesh)

The Occupational Safety, Health and Working Conditions (Andhra Pradesh) Rules, 2026

Form IA

Made under The Occupational Safety, Health and Working Conditions Code, 2020G.O.Rt. No. 146, 6 Aug 2026

Official text

Open in the official PDF (p. 436)

Tables and forms lose their layout when extracted; the PDF is the authoritative version.

(Rule 3(13))

Application for cancellation of Registration Certificate of establishment

1. Registration No:

2. Name and Address of Establishment:-

3. Name and Designation of employer :-

4. Full address to which communication relating to the establishment to be

sent:-

5. Nature of work of the establishment :-

I/We hereby intimate that the establishment having registration no.

…………………….. Dated…………………. is closed with effect from…………………………….

(Date).

Certificate from Employer

I/we hereby certify that the payment of all dues to the workers employed in

the establishment having registration no………….dated………….. Has been made.

I/we hereby certify that the establishment having registration no……………

dated……………..kept free from storage of hazardous chemicals and substances.

[Strikeout whichever if not applicable]

Signature/ E-sign/digital

sign of employer

Place:

Date:

To,

The Registering Officer

The Inspector-cum-Facilitator

Source: The Occupational Safety, Health and Working Conditions (Andhra Pradesh) Rules, 2026, G.O.Rt. No. 146 — Andhra Pradesh Gazette Extraordinary (as ordered by G.O.Rt. No. 146), p. 436 of the PDF. Open our copy at p. 436 · official download · all sources

Text from the Government Order that orders the notification's publication in the Andhra Pradesh Gazette; the Gazette issue itself was not found on the AP e-Gazette.