Rule Form III Form III
- Chapter
- Annexures · Forms and Appendices
- Text as on
- As notified 08 May 2026
Registration No. FORM-III [See rule 3(2)] Certificate of Registration of Establishment
Date
A Certificate of registration containing the following particulars is hereby granted under sub section (2) of section 3 of the Occupational Safety, Health and Working Conditions CodeDefined in rule 2(a): Code means the Occupational Safety, Health and Working Conditions Code, 2020 (37 of 2020), 2020(37.of 2020) to........................................................................................(Name of the establishment)
1. Nature of work carried on in the establishment (Please tick mark)
(a) Factory (b) Mining
(c) Dock work (d) Contract Work
(e) Building or Other Construction Works (f) any other work (not covered above)
2. Details of the establishment: a. Total Number of employees engaged directly in the establishment: b. Total Number of the employees engaged through contractor: c. Total Number of Contractors and their details: d. Number of inter-state migrant workers engaged:
3 (a) For factories
Details of the Full postal Name and Maximum manufacturing address and address of number of process situation of the the occupier workers to be factory and manager employed on any 1 day 2 3
3 (b) For mines
Name of Lease extent of Name and Average Maximum Mineral(s) the mine (in address of the Monthly number of Acres) owner output, persons to be targeted employed on (Tonne) any day
1 2 3 4 5
3 (c) For Dock work
Name of Types of Dock Name of the Name of the Name of the Dock Work Works Cargo handled chemicals hazardous / Major Port and stored handled and Chemicals along with stored along handled and 1 2 quantity with quantity stored along with quantity 3 4
3 (d) For building or other construction work Probable period Expected Details of approval of Type of of period for the local Construction commencement completion of authority work of work work
1 2 3 4
3 (e) Any Other establishment:
4. Remarks of registering officers:
Place: Date:
/Signature E -Sign/DSC of registering officer along with designation
Conditions of Registration
(1) Every certificate of registration issued under rule 3 shall be subject to the following conditions, namely:
(a) the certificate of registration shall be non-transferable;
(b) The number employees engaged in an establishment, whether directly or on contract, shall not, on any day, exceed the maximum number specified in the certificate of registration; and
(c) Save as otherwise provided in these rules, the fees paid for the grant of certificate of registration shall be non-refundable.
(2) The employer shall intimate the change, if any, in the number of employees or the conditions of work to the registering officer within 30 days.
(3) The employer shall, within thirty days of the commencement or cessation of operation, intimate to the Registering Officer and Inspector-cum-Facilitator, having jurisdiction in the area where the proposed establishment is situated or the work is executed, the actual date of such commencement or, as the case may be, closing of establishment electronically.
(4) A copy of the certificate of registration shall be displayed at the conspicuous places at the premises where the work is being carried on.