Contents of the OSH Rules (Andhra Pradesh)

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

Form XII(D)

Official text

Open in the official PDF (p. 462)

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PART – III

[See rule 141(3)]

Application under Section 114 for composition of offence

Ref: Notice No………….. Date:

The undersigned has deposited the entire amount as specified at serial 6 of

Part-I and the details of payment are given below with a request to

compound the offences mentioned in Part-I.

8. Details of the compounding amount deposited (Copy of the electronically

generated receipt to be attached):

9. Details of the prosecution, if any filed in respect of the violation of the

above-mentioned offences:

10. Whether the present offence is a first offence or whether the applicant

has committed any other offence prior to this offence, if so, then, full details

of such offence:

11. Any other information which the applicant desires to provide:

Date:

Place:

Signature of the applicant

(Name and Designation)

To:

………………..(Compounding Officer)

…………………(Name of the Office)

………………….(Address)

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. 462 of the PDF. Open our copy at p. 462 · 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.