Annexure VII

OSHWC prescribed forms

Reviewed by Finin2min Editorial Desk · Last reviewed 17 July 2026

Registration, health, accident, records, licensing, returns and composition forms.

All prescribed forms

Form IApplication for registration, amendment or updation of establishment details and common licence Form IIApplication/intimation for cancellation of registration Form IIICertificate of registration Form IVCertificate of cancellation of registration Form VRegister of establishments Form VINotice of commencement or cessation of operation Form VIINotice of commencement, reopening, discontinuance or abandonment of mine operations Form VIIICertificate of annual health examination, other than mine-specific examination Form IXMine medical examination certificate Form XAppellate Medical Board examination certificate Form XINotice of accident or dangerous occurrence Form XIINotice of periods of work Form XIIIRegister of employees Form XIVAttendance or muster-roll register Form XVRegister of wages, overtime, deductions and recoveries Form XVIWage slip Form XVIIAnnual return Form XVIIIHalf-yearly return by contractor Form XIXRegister of accidents and dangerous occurrences Form XXRegister of leave with wages Form XXIApplication for licence, single licence, common licence, renewal or amendment Form XXIILicence and amendment record Form XXIIIExperience certificate of contract labour Form XXIVAgreement with audio-visual worker Form XXVImprovement notice Form XXVIApplication for composition of offence Form XXVIINotice and certificate for composition of first offence

Source and review trail

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This page reflects the published text; publication of a Code or Central Rule does not by itself establish its commencement date or applicability in every State.

Official starting point: www.labour.gov.in