Contents of the OSH Rules (Andhra Pradesh)

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

Form XX

Official text

Open in the official PDF (p. 479)

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

[See Rule 71 (1)]

Application for Grant of Permission under Section (1) 76

1. Full name of the industrial premises:-

2. Full postal address and location of the industrial premises:-

3. Full name and address of the applicant:-

4. Maximum number of employees proposed to the employed

outside the premises:-

5. Licence number and date:-

6. Reason of preferring outside the premises:-

7. Amount of fees paid:-

I have by declare that the particulars furnished by me in the form

above are true to the best of my knowledge and belief.

Signature of applicant

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. 479 of the PDF. Open our copy at p. 479 · 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.