The Rajasthan Occupational Safety, Health and Working Conditions Rules, 2026
Form 10
Official text
Open in the official PDF (pp. 179–181)
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(see rule 11(1))
Common Licence for Factory and Establishments
Government of Rajasthan
Registration No. Date
Licence No. Fee Rs. ............................
A common licence containing the following particulars is hereby granted under the Occupational Safety,
Health and Working Conditions Code, 2020 to…………………………………….. (Name of the factory/establishment
etc.)
1. Nature of work carried on in the establishment (Please tick mark)
(a) Factory (b) Building and Other Construction Works
(c) Contract Work (d) any other work (not covered above)
2. Details of the Factory, Establishment, BOCW, Contract Work, etc.:
(a) For factories 1. Valid up to ------ (Date) 2. Plan approval no. …date....3. Annual Fees…..
Name of Full postal Manufacturin Name of the Maximum number of Maximum power
the factory address of g process occupier workers proposed to (HP/KW)
the factory be employed on installed/use/
any day sanctioned
1 2 3 4 5 6
Date of issue/renewal:
Signature/ E -Sign/DSC of Licensing Authority along with designation
(b) For establishment Valid up to ------(Date)
Probable period of Expected period for Details of approval of
Type of work
commencement of work completion of work the authority
1 2 3 4
(a) Total Number of the workers and employees engaged directly and through contractor:
(b) Total Number of Contractors and their details:
(c) Number of inter-state migrant workers engaged:
Amount of fee paid:
Date:
Signature/ E -Sign/DSC of Licensing Authority along with designation
(c) Other ………………………………….. Valid up to ------(Date)
Probable period of Expected period for Details of approval of
Type of work
commencement of work completion of work the authority
1 2 3 4
(a) Total Number of the workers and employees engaged directly and through contractor:
(b) Total Number of Contractors and their details:
(c) Number of inter-state migrant workers engaged:
Amount of fee paid:
Date:
Signature/ E -Sign/DSC of Licensing Authority along with designation
Conditions of Licence.- Licence shall be subject to the following conditions, namely:
(1) the number of workers employed in a factory or establishment directly and contract employees shall not,
on any day, exceed the maximum number specified in the license;
(2) the employer shall intimate the change, if any, in the number of workers or the conditions of work to the
Licensing Officer within 30 days
(3) the employer shall, within thirty days of the commencement and completion of any work, intimate to the
Inspector-cum-Facilitator , having jurisdiction in the area where the proposed establishment or as the
case may be work is to be executed, intimating the actual date of the commencement or, as the case may
be, completion of establishment such work in Form-IV of Occupational Safety, Health and Working
Conditions (Central) Rules, 2020 electronically.
(4) a copy of this licence shall be displayed at the conspicuous places at the premises where the work is being
carried on.
Other conditions for:
(1) Factory
1.
2.
3.
(2) Building and other construction work
1.
2.
3.
(3) Other work
1.
2.
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