Rule 31. Notice of disease under sub-section (1) and (2) of section 12

(1) A notice in the following format shall be sent forth electronically, to the Inspector-cum-Facilitator or Chief Inspector-cum-Facilitator , by the employer or occupier or manager of an establishment in which there occurs any disease as specified under the Third Schedule to the Code.

NOTICE OF DISEASE (1) Name and address of the employer or Occupier or Manager (2) Name and address of factory or establishment:

(3) Nature of establishment:

(4) Details of Patient:

(a) Name of Patient:

(b) Worker number of Patient:

(c) Address of patient:

(d) Precise occupation of patient:

(5) Nature of disease from which patient is suffering:

(6) Date of detection of disease:

(7) Details of medical practitioner:

(8) Has the case been reported to the Medical Officer: Date: Signature of employer or occupier or manager

(2) If any qualified medical practitioner attends the person who is or has been employed in a factory or an establishment and who is or is believed by the qualified medical practitioner to be suffering from any disease specified in the Third Schedule to the Code, the qualified medical practitioner shall without delay send a report in writing to the office of the Chief Inspector-cum-Facilitator stating,-

(a) the name and full postal address of the patient,

(b) the disease from which he believes the patient to be suffering, and

(c) the name and address of the factory or establishment in which the patient is or was last employed.