Form 43

Made under The Occupational Safety, Health and Working Conditions Code, 2020F. No. 08/04/2024-LE&T, 27 Apr 2026

Official text

Open in the official PDF (p. 265)

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

(See rule 123)

Application to appropriate authority under section 90

a. Name of occupier or manager:

b. Name and Address of factory:

c. Details of grievance:

d. Reasons of claim:

e Details of documents attached:

Name and signature of occupier/manager

Source: The Occupational Safety, Health and Working Conditions (Lakshadweep) Rules, 2025, F. No. 08/04/2024-LE&T — Lakshadweep Gazette Extraordinary Vol. LXII, No. 07, p. 265 of the PDF. Open our copy at p. 265 · official download · all sources