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. 463)

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

PART – IV

[See rule 141(4)]

Composition Certificate

Ref: Notice No………….. Date:

This is to certify that the offence under sub-section ….. of section 114 in

respect of which Notice No……..Dated: _____ was issued to Sh/Smt. ………….

(Applicant), the employer of ……………. (name and registration number of the

establishment) has been compounded on upon receipt of the full amount of

Rs ……….. (Rupees _________________) towards compounding of the

offence, to the satisfaction of the requirements of the said notice.

(Signature)

Name and Designation of the Officer

Date:

Place:

To:

………………..(Employer/Establishment)

…………………(Name and registration number)

………………….(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. 463 of the PDF. Open our copy at p. 463 · 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.