FORM "A"(Rule 3)

NOTICE OF OCCUPATION

01. Name of Occupier _

02. Name of Factory _

03. Location of the Factory _

04. Full postal Address of the Factory _

05. Nature of moving power used _

06. Amount of moving power used _

07. Nature of work carried on --------------------08. Name of Manager for the purpose of the Factories Act, 1934 _

09. Time of beginning and ending work on each day, showing the period of rest interval07. Greatest number of persons simultaneously employed any where with in the

precincts of the factory on anyone day in the year.

a). Clerical Establishment.

b). Workers.

i). Men.

ii). Women.

c). Number of gins (incase of cotton .ginning factories only) _

d). Date of its functioning _

Date of Dispatch .20 Signature of Occupier _

Signature of Manager _

FORM 'L (b)(Rule 95)

NOTICE OF PERIODS FOR PERSONS WORKING BYSHIFTS

Name ofFactory _

Place where situated

Shifts Begins at Ends at Interval

General

First

Second

Night

Date _ Signature of Manager _

FORM "L"(Rule 95)

NOTICE OF PERIODS FOR WORK FOR ADULTS

WORKERS

01. Name of Factory _

02. Place where situated ---------------------03. Hours of Starting work:....- _

04. Hours of Closing work _

05. Period of rest interval From To _

06. Weekly Holidays Given on _

Date _ Signature of Manager _

33

FORM "K"(Rule 87)

CERTIFICATE OF STABILITY

l.Town and District in which factory is situated. _

2.Full postal address _

3. Owner of Building _

4.Company, firm or occupier by whom the factory will be operator _

S.Nature of work to be carried on -------------------6.Approximate area of the factory Building """"'-- _

7.Approximate area of the premises __ --:- _

8.The number of floors on which workers will be employed _

9.Details and strength of materials used---,. _

lO.Detaiis of Iron work, with measurement of spans and loads carried by stanchion and pillars

Certified that the undersigned has carried out a detailed survey of the

building and materials referred to above and is satisfied that the margin of safety is

in accordance with the recognized standards required by the Architects and

building Association and further, that the erection has been carried out in such a

way as to give the building reasonable stability, and to provide the maximum safety

in working the machines housed in the building.

Signature ofAuthorized/Qualified Engineer

List of MachineryNUs _

S.No. Name of Machinery Model Quantity

.

Signature of Manager _

List of Workers

MIs --------------------------------------~-----------

S.No. Name of Worker Designation CNICNO Pay/Salary

.

I

Signature of Manager