Form 12

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. 236)

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

(See rule 18)

Action taken report in regard unsafe/unhealthy situation

It is brought to your knowledge that an unsafe/unhealthy situation [details] was brought into

notice by [Name and designation of employee]. The remedial action report is submitted as

below --

[ Details of remedial action]

Employer

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. 236 of the PDF. Open our copy at p. 236 · official download · all sources