The Arunachal Pradesh Occupational Safety, Health and Working Conditions Rules, 2022
Form XXI
Official text
Open in the official PDF (p. 227)
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[See Rule - 50(6) & (12)]
Home Workers' Log Book
1. Name of home worker...........................................................
2. Address of the home where the manufacturing process is carried on.......................
3. Month …………....................................…
Account of Work Done at Home
Ra Material supplied to the worker
No. of beedis
Signature or thumb
Date received by the
Impression of the worker
Tendu employer
Tobacco Thread
leaves
1 2 3 4 5 6
Number of Wages payable to worker
No. of
substandard Wages paid to
standard
beedis For standard For sub-substandard the worker
beedis
beedis beedis
7 8 9 10 11
Amount of wages to Signature or thumb impression Signature of the
Date
date in arrears of the worker Employer
12 13 14 15