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Form No.27

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(PRESCRIBED UNDER RULE 104)

REGISTER OF ACCIDENTS AND DANGEROUS OCCURRENCES

Name of injured persons (if any)

Date of accident or dangerous occurrence

Date of report (in Form No.18) to Inspector

Nature of accident or dangerous occurrence

Date of return of injured person to work

No. of days injured person was absent from work

1

2

3

4

5

6

 

 

 

 

 

 

 

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