The Rajasthan Occupational Safety, Health and Working Conditions Rules, 2026
Form 35
Official text
Open in the official PDF (pp. 211–212)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(see rule 119 and 126)
Appeal
LIN……………………..
Registration number ………….
Name of factory or establishment.............
Address.................
District...................
Manufacturing process…………….
Occupier or employer Particulars
Name with Father’s name/Husband’s name
Full residential address with PINCODE
Contact number and email.................
Manager Particulars
Name with Father’s name/Husband’s name
Full residential address with PINCODE
Contact number and email.................
Date of accident (if any)……..
Date(s) of inspection(s)…………..
No. and date of notice by the Inspector-cum-Facilitator ……………..
No. and date of order of the enquiry officer under section 111(1)………………..
Facts and grounds for Appeal:
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
Relief wanted………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Details of fees………………
Enclosures:
1.
2.
…….
Signature of Occupier / Manager..............
Name with designation and seal
Date.................
Place————--