POSH operational template
Committee annual report template
Reviewed by Nikhil Gupta and Kajri Singh ยท Last reviewed 17 July 2026
Page contents
A controlled starting format for adaptation to the establishment, applicable rules and matter facts.
Use with care: Do not treat this template as legal advice or as a substitute for the Act, Rules, State requirements, service rules or procedural fairness.
ANNUAL REPORT UNDER SECTION 21 AND RULE 14
Reporting year: [ ]
Workplace / Committee: [ ]
1. Complaints received during the year: [ ]
2. Complaints disposed during the year: [ ]
3. Cases pending for more than ninety days: [ ]
4. Workshops or awareness programmes conducted: [ ]
5. Nature of action taken by employer / District Officer: [ ]
Reconciliation notes:
Opening pending cases: [ ]
Closing pending cases: [ ]
Cases received through SHe-Box: [ ]
Submitted to employer on: [ ]
Submitted to District Officer on: [ ]
Committee signatures: