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Form guide · Source checked 21 October 2026
OSHWC Form XIV: attendance register and muster roll
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Date-by-date in/out and attendance record, including overtime and off-site assignments.
(See rule 72(1)(ii)) · Central Rules 2026 · appropriate-government scope
Download and read the completed example
Fictional completed attendance register and muster roll; 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
Complete each actual date and in/out period; the prospective example explicitly lists all 31 days and distinguishes work, weekly rest, holiday and overtime. It is not a fictional record of a month already completed.
If maintained physically, the keeper signs as the source requires. Do not substitute a total-days assertion for the daily attendance supporting the wage and overtime record.
The completed fields
Month and employee
| Prescribed field / section | Completed fictional entry |
|---|---|
| Month / establishment / owner / LIN | Prospective October 2026; Illustration Central Construction Ltd (fictional), 14 Example Works, New Delhi 110001; Kavita Shah; LIN [synthetic] |
| 1–6. Serial / code / name / role / shift / site | 1 / DEMO-E01 / Ravi Kumar / stores coordinator / day shift / 20 Example Site, stores |
7. Every date in the month
| Prescribed field / section | Completed fictional entry |
|---|---|
| 7. 01 October 2026 (Thu) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 02 October 2026 (Fri) | Gandhi Jayanti: paid holiday in this selected roster; no work |
| 7. 03 October 2026 (Sat) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 04 October 2026 (Sun) | Weekly rest; no work or overtime |
| 7. 05 October 2026 (Mon) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 06 October 2026 (Tue) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 07 October 2026 (Wed) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 08 October 2026 (Thu) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 09 October 2026 (Fri) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 10 October 2026 (Sat) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 11 October 2026 (Sun) | Weekly rest; no work or overtime |
| 7. 12 October 2026 (Mon) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 13 October 2026 (Tue) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 14 October 2026 (Wed) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 15 October 2026 (Thu) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 16 October 2026 (Fri) | 09:00–13:00; 13:30–17:30; overtime 18:00–20:00 after rest, assumed consent recorded; 8 normal + 2 overtime hours |
| 7. 17 October 2026 (Sat) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 18 October 2026 (Sun) | Weekly rest; no work or overtime |
| 7. 19 October 2026 (Mon) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 20 October 2026 (Tue) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 21 October 2026 (Wed) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 22 October 2026 (Thu) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 23 October 2026 (Fri) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 24 October 2026 (Sat) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 25 October 2026 (Sun) | Weekly rest; no work or overtime |
| 7. 26 October 2026 (Mon) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 27 October 2026 (Tue) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 28 October 2026 (Wed) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 29 October 2026 (Thu) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 30 October 2026 (Fri) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
| 7. 31 October 2026 (Sat) | 09:00–13:00; 13:30–17:30; 8 normal hours; overtime 0 |
Totals and execution
| Prescribed field / section | Completed fictional entry |
|---|---|
| 8. Total days worked | 26 actual worked days; four Sundays and one paid holiday are separately recorded; a paid holiday is not falsely counted as work |
| 9. Overtime hours | 2 hours on 16 October; normal actual hours 208 |
| 10. Tour / outside assignment | None in the selected month |
| 11. Register keeper / physical signature | Asha Verma (fictional); prospective final record prepared after 31 October 2026; Unsigned fictional illustration; no actual signature, DSC, seal, certification, approval or acknowledgement |
Supporting records and reconciliation
Actual daily attendance, roster/holidays, authorised overtime/consent and work-location records, reconciled to Form XV payroll.
Worked calculation: 31 days − 4 Sundays − 1 paid holiday = 26 worked days; 26 × 8 = 208 normal hours, plus 2 overtime hours.
Official source and version
Official Gazette, OSHWC (Central) Rules 2026, Form XIV, PDF pages 283–283
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?
Date-by-date in/out and attendance record, including overtime and off-site assignments.