The Rajasthan Occupational Safety, Health and Working Conditions Rules, 2026
Form 36
Official text
Open in the official PDF (p. 212)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
(see rule 100 & 127)
Health Register
(In respect of persons employed in occupations declared to be dangerous operations under section 82).
Name of Medical Practitioner/Officer
Dr.......................................................
From...........................To.......................
Serial No. Works No. Name of Sex Age (last
worker birthday)
1 2 3 4 5
Date of Date of Reason for Nature of job Raw material
employment leaving or leaving, or occupation or by product
on present transfer to transfer or handled
work other work discharge
6 7 8 9 10
Date of Medical Examination by Medical Practitioner/Officer
Result of Medical Examination
11
If suspended Re-certified to If certificate of Signature, with
from work, state resume duty on unfitness or date of Medical
period of (with signature of suspension Officer
suspension with Medical issued to worker
detailed reasons Practitioner/Officer)
12 13 14 15
For transfer or discharge should be stated Unfit/Suspended.