The Uttar Pradesh Occupational Safety, Health and Working Conditions Rules, 2026
Form 13
Official text
Open in the official PDF (pp. 487–489)
Tables and forms lose their layout when extracted; the PDF is the authoritative version.
{see sub-rule(2) of rule 54}
Notice of period of work
Date of enforcement.....................
Name of establishment under which it is registered/proposed to be registered.................
place................district.....
puorG
puorg
hcae
fo
krow
fo
erutaN
Number of
workers
employed in
each group
srekrow
fo
tes
ro
yaleR
krow
fo
doirep
ro
tfihS
Number of hours of employment per day of ……………..all
employee for each relay
Monda Tuesda Wednesd Thursda Friday Saturda Sunday
y y ay y y
tnenamreP
yraropmeT neM
emoW
n
neM
emoW
n
neM
emoW
n
neM
emoW
n
neM
emoW
n
neM
emoW
n
neM
emoW
n
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Hours (time) of beginning and ending work for each relay, group and intervals of rest fixed under rule……..
rekroW
puorG
puorg
hcae
fo
krow
fo
emaN
srekrow
fo
tes
ro
yaleR
krow
fo
doirep
ro
tfihS
Rest
Work interva
commenc l or Work end
es interva
ls
syadnoM syadirF
ot
rutaS syad dnuS sya
morF
oT
morF
oT
morF
oT
syadnoM syadirF
ot
rutaS syad dnuS sya
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Men
Women
Adolesc
ent
Charts showing the relation of relays working on continuous processes similar to those prescribed in
schedule-II
First week Second week Third week
Mon. Tue. Wed. Thu. Fri. Sat. Mon. Tue. Wed. Thu. Fri. Sat. Mon. Tue. Wed. Thu. Fri. Sat.
Sun. Sun. Sun.
Shift Relay
Factory Manager's Signature............. Signature of inspector-cum- Facilitator……………
Instructions to be followed while filling in the notice of periods of work
1. Divide all the workers into groups according to their nature of work. Show the number of workers
working in each group.
2. Use numerical (1, 2, 3 and 4, etc.) for groups.
3. Show the nature of work against each group.
4. Make relays of groups accordingly specify them as I, II, III, etc.
5. Show the daily working hours exclusive of periods of the fixed rest interval of each relay or set of
workers in the upper half of the notice.
6. Use letters, A, B, C, etc. for shifts and periods of work.
7. Do not arrange the shift in such a way that more than one relay of workers is engaged in work of the
same kind at the same time as overlapping shifts are prohibited .
8. Arrange the periods of work for employee in such a way that no adult worker is required to work for
more than8 hours in any day and that no worker shall work more than 5 hours before he has had an interval
of rest for at least half an hour
9. Arrange the working hours in such a way that weekly hours of the workers do not exceed 48 hours a
week . Arrange the periods of work of adult workers in such a way that inclusive of rest interval they shall
not spread over more than 10-1/2 hours .
10. Show the weekly holiday for each relay or set of workers in the foot-note of each notice.
11. Submit the notice of periods for work in duplicate to the Inspector-cum-Facilitator having jurisdiction
before the day it is enforced. If there is any change in the system of work a revised notice of periods for
work shall be submitted [Section 31]
Special instructions for filling in the chart which is to be used only in cases of relays working on continuous
process or of sets of workers working in successive periods.
I. Show the periods of work Inclusive of rest intervals of adult workers on continuous processes in the
upper half of the notice.