(PRESCRIBED UNDER RULE 14)
HEALTH REGISTER (In respect of persons employed in occupations declared to be dangerous operations under Section 87)
Name of Certifying Surgeon :
(a)Shri ............ . From ......... To...........
(b)Shri ............ From ....... o...........
(c)Shri ............ From ........ To...........
Serial No. | Work No. | Name of Worker | Sex | Age (last birthday) | Date of employment on present work | Date of leaving or transfer to other work | Reason for leaving transfer or discharge | Nature of Job or occupation | Raw material or By product handled |
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If suspended from work, state period of suspension with detailed reasons. | Recertified fit to resume duty on (with signature of Certifying Surgeon) | If certifying of unfitness or suspension issued t o worker | Signature with date of Certifying Surgeon | |||||||||||||||||||||
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