The Occupational Safety, Health and Working Conditions (Lakshadweep) Rules, 2025
Form 11
Official text
Open in the official PDF (p. 236)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See rule 17)
Application by employee to Employer
To
The Employer/Safety Officer/Safety Committee
(Name of establishment)
……….(Address of establishment)
Subject: intimation of unsafe/unhealthy situation Sir
[Detail of unsafe/unhealthy situation and proposed suggestions]
Name of Employee &
Designation