Form 23

{See rule 71}

Certificate of recognition / renewal of recognition as a Third party Auditor.

CERTIFICATE NO.: ………………………..

It is to inform that M/S. / SHRI / SMT. …………………………, (address) …………………

……………….., has been Recognized / Renewed the recognition as a “THIRD PARTY AUDITOR”, by

the State Government of Uttar Pradesh, vide letter No. …………………………… dated………………. for

the purpose of carrying out Audit under Uttar Pradesh Occupational Safety, Health and Working Conditions

Rules, 2024.

This Certificate is valid from …….…….. to ………………

This certificate is issued, subject to the conditions stipulated hereunder:

1. audit shall be carried out in accordance with the provisions of the Uttar Pradesh Occupational

Safety, Health and Working Conditions Rules, 2024.

2. Every audit shall conform to the IS 14489:1998 or latest relevant standard applicable to the

establishment.

3. He or the person authorized, in case of the institution, to carry out audit shall be physically present

at the time of conducting the Audit and shall maintain the record of the work done in the Log

Book.

4. Certificate No. and validity period should invariably be recorded on Audit Report.

5. No audit shall be carried out after expiry of validity period.

6. The State Government reserves the right to revoke, annul or amend this Certificate at any time

during its validity.

7. He or the person authorized, in case of the institution, to carry out audit shall not conduct a Audit

of any factory where such auditor is employed, or an occupier, partner, director or manager of that

factory, or of any factory owned, operated, managed or conducted by immediate family members,

relatives or extended family members or wherein that auditor or such person shall not carry out a

audit of those factories to which that auditor supplies any plant, machinery, raw material, safety

equipments or other materials, equipment.

8. He or the person authorized, in case of the institution, to carry out audit shall not disclose to any

unauthorised person, even after ceasing to be a recognized Third party Auditor of the employee of

the institution, any manufacturing or commercial secrets or working processes or other

confidential information which may come to his knowledge in the course of their duties as an

auditor. Any failure in this regard may make such auditor or person liable for criminal or civil

Proceedings, in accordance with the law for the time being in force.

9. The application for renewal of the recognition as a Third party Auditor shall be made at least three

months before the expiry of the period of recognition.

Signature of the issuing Authority.