Contents of the OSH Rules (Andhra Pradesh)

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

Form XVIII

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. 473)

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

(See Rule-57)

EXPERIENCE CERTIFICATE OF CONTRACT EMPLOYEE

To whom so ever concerned

1. Name of contractor/employer*:

2. LIN/PANNo.of the contractor/employer *:

3. Email Id of the contractor/employer*:

4. Mobile No.of the contractor/employer *:

5. Nature and location of work:

6. Name of Principal Employer*:

7. LIN/PAN No.of the Principal Employer:*

8. Email Id of the Principal Employer:*

9. Mobile No.of the Principal Employer:*

10. Name of the worker*:

11. UAN/Aadhaar No.:

12. Mobile No.:

13. Serial Number in the Employee Register:

14. Registration number,date and name of the Board if the building and other

construction worker is registered as a beneficiary:

15.Period of Employment:

16.Designation:

Seal and Signature of Contractor

*Please strike off which ever is not applicable.

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. 473 of the PDF. Open our copy at p. 473 · 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.