Form 2

[Section 2(1)(l) and sub rule (3) of Rule-4]

Form of Certificate of Competency issued to a person or an Institution in pursuance of

subrule 3 of rule 4 made under Section2(1)(l).

I,…………………………..in exercise of the powers under Section2(1)(l) of the Code and Rule made

thereunder, hereby recognise Shri/Smt. ....................... in the employment of

………………………………(Name of the institution) Or………………………………. (Name of

organisation) as a Competent Person for the purpose of carrying out tests, examinations and inspections and

certification of such building, dangerous machinery, lift and hoists, lifting machine and lifting tackles,

pressure plants, confined space, ventilation system and such other process or plant and equipment as the

case may be, used in factory located in …………………………. under Section …………………. and the

rule made thereunder.

This certificate is valid from………….. to.........................

This certificate is subject to the following conditions namely:

(i) tests, examination and inspections shall be carried out in accordance with the provision

of the Code and the Rule made thereunder;

(ii) tests, examination and inspections shall be carried out under direct supervision of the

Competent Person or by a person so authorised by an institution recognised to the

Competent Person;

(iii) the certificate of competency issued in favour of a person shall stand cancelled if the

person leaves the organisation mentioned in his application;

(iv) the institution recognised as a Competent Person shall keep the Chief Inspector-cum-

Facilitator informed of the names, designations and qualifications of the persons

authorised by it to carry out tests, examinations and inspections.

(v) ----

(vi) ----

Place : Signature of the Chief Inspector-cum-Facilitator

Date : Official Seal

Note.—Aseparate certificate should be issued under each relevant Section. A person or an institution may

be recognised as a Competent Person for the purposes of more than one Section of the Code.

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