The Occupational Safety, Health and Working Conditions (Lakshadweep) Rules, 2025
Form 38
Official text
Open in the official PDF (p. 259)
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[See rule 105,116,141]
CERTIFICATE OF FITNESS FOR HAZARDOUS OR PROCESS DANGEROUS
OPERATIONS
1. Serial No. ………………………………
2. I Certify that I have personally examined ………………………………….. (name of
person examined) having serial Number ………………. (in Adult Worker Register)
who is desirous of being employed in …………………………… (hazardous process
/ dangerous operation) in factory ………………………………………………
3. He is fit to be employed
4. He may be produced for further examination after a period of
…………………………………..
5. He has gone undergone following tests / examinations: -
Sr. No. Name of test/examination Remarks
6. Remarks of medical officer :
Name and signature of medical officer