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Form guide · Source checked 21 October 2026

OSHWC Form V: register of establishments

Published by Finin2min

Register maintained by the registering officer under rule 3(9), showing establishments for which certificates have been issued.

See rule 3(9) · Central Rules 2026 · appropriate-government scope

Download and read the completed example

Download filled sample PDF

Fictional completed register of establishments; the selected facts and alternative branches are stated explicitly. It is not a genuine submission or official output.

Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.

When and how this form is used

This is the registering officer’s register. Employers supply truthful underlying particulars but do not substitute a self-created register for the Government’s record.

Use the work category actually registered. The printed column numbering repeats “2”; the field names, rather than the duplicated number, identify the entry.

The completed fields

One fictional register entry

Prescribed field / sectionCompleted fictional entry
Serial / nature1; building or other construction work
Registration / date[synthetic DEMO-OSH-01]; 20 October 2026
Establishment / locationIllustration Central Construction Ltd (fictional), 14 Example Works, New Delhi 110001; project 20 Example Site, New Delhi 110001
Employer / address / contactKavita Shah, director; Illustration Central Construction Ltd (fictional), 14 Example Works, New Delhi 110001; employer@example.invalid; mobile [synthetic]
Workers / horsepower / contract workersTotal 80; horsepower N/A to this construction register example; contract workers 60 included within 80
Remarks / keeperOne contractor; 10 migrants included in contract count; fictional officer-maintained entry, not an issued registration or employer return; Unsigned fictional illustration; no actual signature, DSC, seal, certification, approval or acknowledgement

Supporting records and reconciliation

Issued certificates and their actual amendments/cancellations, verified identity, site and employer records, total/direct/contract headcount reconciliation.

Worked calculation: 80 total workers includes 60 contract workers; it is not 80 + 60.

Official source and version

Official Gazette, OSHWC (Central) Rules 2026, Form V, PDF pages 251–251

OSHWC Code 2020: governing Act; the form is read with its applicable section and 2026 Central Rule

Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.

The Central Rules have their stated jurisdiction. The corresponding appropriate-government rules and any later amendment must match the real establishment and event.

Practical questions

Can I submit the sample as my own completed form?

No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.

What makes the example specific to this form?

Register maintained by the registering officer under rule 3(9), showing establishments for which certificates have been issued.