The Mizoram Occupational Safety, Health and Working Conditions Rules, 2026
Form V
Official text
Open in the official PDF (p. 209)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(See rule 6 (2) & 42(3) (g))
Health Register
1. Serial Number in the Register of Adult Worker:
2. Name of Worker:
3. Sex :
4. Date of Birth :
tnemtrapeD
ssecorp
suodrazqaH
fo emaN
skroW
noitarepo
/ssecorp
suoregnaD
noitapucco
ro boj
fo
erutaN
stcudorp
yb
ro
ecudorp
slairetam
waR ylekil
gnitsop
fo
etaD
krow
eht
ot
refsnart
/gnivael
fo
etaD
refsnart
gnivael
/
egrahcsid
rof
snosaeR
etaD
devresbo
smotpmys
dna
sngiS
stluser
dna tset
fo
erutaN
tfinU
/tiF
morf
lawardhtiw
yraropmet
fo
doireP
krow
eht
lawardhtiw
hcus
rof
snosaeR
tfinu
mih
gniralced
fo
etaD
etacfiitrec
ssentfi
gniussi
fo
etaD
yrotcaf
eht
fo
etad
htiw
erutangiS
tnegrus
gniyfitrec
eht
/recffiO
lacideM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Notes: 1. Separate page should be maintained for each worker.
2. Fresh entry should be made for each examination