Rule 11. Notice of disease under sub-section (1) and (2) of Section 12

(1) A notice in the following format shall be sent forthwith electronically, to the Inspector-Cum Facilitator or Chief Inspector-cum-facilitator, by the employer or occupier or manager of an establishment in which any disease as notified under the Third Schedule of the Code. NOTICE OF DISEASE

1. Name and address of the employer or occupier, or manager: 2. Name and address of the establishment: 3. Nature of establishment: 4. Details of Patient:

(a) Name of Patient:

(b) Works Number of Patients:

(c) Address of Patient:

(d) Precise occupation of Patient: 5. Nature of disease from which the patient is suffering: 6. Date of detection of disease: 7. Details of Medical Practitioner: 8. Has the case been reported to the Medical Officer?

Date: Signature of employer, occupier or manager

(2) If any qualified medical practitioner attends on a person who is or has been employed in an establishment and who is or is believed by the qualified medical practitioner to be suffering from any disease specified in the Third Schedule, the qualified medical practitioner shall, without delay, send a report in writing to the office of the Chief Inspector-cum- Facilitator stating-i. The name and full postal address of the patient; ii. The disease from which he believes the patient to be suffering; iii. the name and address of the establishment in which the patient is or was last employed; iv. Possible reasons for such a disease; v. Condition of other suffering patients and possibilities of spreading of such disease; vi. Preventive measures that can be taken to check the spread of the disease (if any).

(3) Other issues that the medical practitioner thinks are important to mention in this regard.