Form 35

[See rule 88]

Stability Certificate

1. Name of the factory

2. Address of factory

3. Name of occupier of the factory

4. Nature of manufacturing process to be carried on in the factory

5. Number of floors of the factory

I certify that I have inspected the building / buildings, the plans of which have been

approved by the Chief Inspector-cum-Facilitator vide letter No..... Dated and examined the

various parts including the foundations with special reference to the machinery, plant, etc. that

have been installed. I am of the opinion that the building / buildings which has / have

constructed / reconstructed / extended I taken into use is / are in accordance with the plans

approved by the Chief Inspector vide his letter mentioned above, that it/ they is I are structurally

sound and that is I their use as a factory I part of the factory for the manufacturer of

…………………….. for which the machinery, plant etc. installed is intended. The building is

safe against various loads, forces and effects due to process to be carried out in the factory or

due to natural forces.

Signature of competent person and date Name of competent person

Address of competent person

Signature of Occupier and date

Name of Occupier