Professional Documents
Culture Documents
By:Manish Dubey
Definition:Accident :-
Procedure of Reporting :1. When any accident which results in the death of any person
or which result in such bodily injury to any person as is likely to
cause his death, or any dangerous occurrence, by reason of
which the person injured is prevented from working for a
period of 48 hours or more immediately following the accident,
the manager of factory shall forthwith send a notice thereof by
telephone, telegram or special messenger to the inspector and
chief inspector.
Form 22
Notice of accident or Dangerous Occurrences Resulting
in Death or Bodily Injury
1. Name of Occupier (for factory) :
2. Address of works :
3. Nature of Industry :
4. Branch or Departments and exact place where the
accident or dangerous occurrence happened :
5. Injured persons name and address :
6. (a) Sex :
(b) Age :
(c) Occupation of injured person :
7. Date or hour of accident or dangerous occurrence :
8. Hour at which he started work on day of accident of
dangerous occurrence :
9. (a) Cause or nature of accident or dangerous occurrence :
(b) if caused by machine :
Form 31
Register of Accidents and Dangerous Occurrences
Name of Factory .Place District.
Name of
Date of accident Date of report Nature of accident Date of return of
injured person
or Dangerous (in Form 12) to
or Dangerous
injured person to
(if any)
occurrence
Inspector
occurrence
work
(1)
(2)
(3)
(4)
(5)
Number of
days injured
person was
absent from
Average rate of
days
Whether
disablement in
permanent or
temporary
Compensation
Paid if any
Remark
(6)
(7)
(8)
(9)
(10)
Reference
1) Factories Act, 1948 with M.P./C.G. Factories Rules, 1962
by R.N. Vyas India Publishing Co.
2) Fundamentals of Industrial Safety and Health Dr. K.U.
Mistry Siddharth Prakashan
Manish Dubey
mdubey@ddn.upes.ac.in,
manishgpdubey@gmail.com
University of Petroleum and Energy Studies