The Occupational Safety, Health and Working Conditions (Andhra Pradesh) Rules, 2026
Form XXII
Official text
Open in the official PDF (p. 480)
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(See rule 32(1) (f))
ADOLESCENT WORKERS
Year-----
Name and Address of employer_______ Place of work_______
Nature of work being done by the establishment_____
Sl.
Nam Fathe Perma Date Nature Daily Interv Wages Remar
No. Date
e of r nent of of hours als of Paid ks
of
the Name addres joining work of rest
Birth
adol s the on work
esce establi which
nt shmen emplo
t yed
1 2 3 4 5 6 7 8 9 10 11
Signature of Manager.