Contents of the OSH Rules (Andhra Pradesh)

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

Form XI

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. 453)

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

{Sec Rule-32(1)(d)}

Name of Date of Dateof Nature of Date of Number of

Injured/ Accidentor report accident return of days the

dangerous To or injured injured Person

Deceased

occurrence Inspector- dangerous Person was absent

person

cum- occurrence To work from work

(if any)

Facilitator

1 2 3 4 5 6

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. 453 of the PDF. Open our copy at p. 453 · 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.