The Rajasthan Occupational Safety, Health and Working Conditions Rules, 2026
Form 6
Official text
Open in the official PDF (pp. 175–176)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(see rule 8(2) & (4) & rule 106)
Submission and approval of plans
Application for permission for the site on which the factory is to be situated and for the construction
or extension thereof
1. Details of Occupier
(a) Name:
(b) Father’s/Mother’s/Husband’s Name
(c) Address (office):
(d) Address (residential):
(e) Mobile number:
(f) Email
2. Details of factory
(a) Name of Factory:
(b) Situation of factory 1. Industrial Area/Other 2. Urban / Rural
(c) Address with PIN code:
(d) District:
(e) Contact number:
(f) Email:
(g) Website:
3. Particulars of plant to be installed _________________________________________________________
_________________________________________________________
4. Name of Manufacturing process _________________________________________________________
_________________________________________________________
5. Maximum number of Workers
Male Female Transgender
(Proposed to employ) ______ _______ _______
6. Details of
(a) Raw material ________________________________________________________
(b) Intermediate product/by product ________________________________________________________
(c) Final Product ________________________________________________________
7. Name of Chemicals for use in the manufacturing process, if any
S. No. Trade name: Chemical name: Maximum storage quantity
at any time:
8. Area of the factory premises:
9. If common premises, then no. of factories working in premises:
10. Name, address, contact number of owner of premises;
11. NOTE
a. In case of any change in the above information, Department shall be informed in writing within 30
days.
b. Seal bearing “Authorised Signatory” shall not be used on any document
Place:
Date:
e-sign/Signature of occupier with seal:
(Name of occupier)