Various Returns Under Factories Act 1948
Please find the soft copy of various returns under factories act.
FACTORIES ACT, 1948
Form 34 (Revised)
[Prescribed under Rule 12(a)]
ANNUAL RETURN
For the year ending 31st December __________
1. Registration number of Factory :
2. Name of Factory : M/s
3. Name of Occupier : Mr.
4. Name of the Manager : Mr.
5. District :
6. Full Postage Address of Factory :
7. Nature of Industry :
NUMBER OF WORKER AND PARTICULARS OF EMPLOYMENT
8. No. of days worked in the year :
9. No. of Man Days worked during the
a) Men :
b) Women :
c) Children :
- Average number of workers employed :
(See explanatory note)
a) Adults (i) Men
(ii) Women
b) Adolescent (i) Male
(ii) Female
c) Children (i) Male
(ii) Female
- Total No. of Man hours worked including over time :
a) Men :
b) Women :
c) Children :
- Average number of hours worked per week :
(See explanatory note)
a) Men :
b) Women :
- (a) Does the factory carry out process or operations
Declared as dangerous under section 87 (see rule 116)
(b) if so, give the following information
Name of the dangerous process of operations Average No. of persons employed daily in each of
Carried on the processes or operations given in col 1
1 2
(i)
(ii)
(iii)
LEAVE WITH WAGES
- Total number of workers employed during the year:
a) Men
b) Women
c) Children
- Number of workers who were entitled to annual
Leave with wages during the year
a) Men
b) Women
c) Children
- Number of workers who were granted leave during the year
a) Men
b) Women
c) Children
- a) Number of workers who were discharged, or
Dismissed from the services, or quit employment,
Or were superannuated, or who died while
Service during the year.
b) Number of such workers in respect of whom
wages in lieu of leave were paid.
SAFETY OFFICERS
18. a) Number of Safety Officers required to be
Appointed as per notification under
Section 40-B
b) Number of Safety Officers appointed
AMBYLANCE ROOM
- Is there an ambulance room provided in the
Factory as required under Section 45?
CANTEEN
- a) Is there a canteen provided in the factory
required under section 46?
b) Is the canteen provided managed?
i) Departmentally, or
ii) Through a Contractor?
SHELTERS OR REST ROOMS AND LUNCH ROOMS
- a) Are there adequate & suitable shelters or rest
Rooms provided in the factory as required under
Section 47?
b) Are there adequate and suitable much rooms
Provided in the factory as required under
Section 47?
CRECHES
- Is there a crèche provided in the factory as
Required under section 48?
WELFARE OFFICER
23. a) Number of Welfare Officers required to be
Appointed under section 49?
b) Number of Welfare Officers appointed
ACCIDENTS
24. a) Total Number of accidents (see explanatory note)
i) Fetal
ii) Non-Fetal
b) Accident in which workers returned to work
During the year to which this returns relate.
i) Accidents (workers injured) occurring during
The previous year in which injured works
Returned to work during the year to which this
Return relates.
aa) Number of Accidents
bb) Man Days lost due to Accidents
c) Accidents (workers injured) occurring during the
Previous year in which injured workers did not
Return to work during the year to which this return relate to
aa) Number of Accidents
bb) Man Days lost due to Accidents
SUGGESTION SCHEME
25. a) Is a suggestion scheme in operation in the factory?
b) If so, the number of suggestions
i) Received during the year
ii) Accepted during the year
d) Amount awarded in cash prizes during the year
i) Total amount awarded
ii) Value of maximum cash prizes awarded
iii) Value of minimum cash prizes awarded
Certified that the information furnished above is to the best of my knowledge and belief, correct.
Signature of the Manager
Date……………………….
Explanatory Note: –
- The average number of workers employed daily should be calculated by dividing the aggregate number of attendance on working days (that is, man days worked) by the number of working days in the year. In reckoning attendance, attendance by temporary as well as permanent employed should be counted and all employees should be included, whether they are employed directly or under contractors. Attendance on separate shifts (e.g. night and day shifts) should be counted separately. Days on which the factory was closed for whatever cause and days on which the manufacturing processes were not carried on should not be treated as working days. Partial attendance for less than half a shift on a working day should be ignored, while attendance for half a shift or more or such day should be treated as full attendance.
- For seasonal factories, the average number of workers employed during the working season and off-season should be given separately. Similarly the number of days worked and average number of man-hours worked per week during the working and off-season should be given separately.
- The average number of hours worked per week means the total actual hours worked by all workers during the year excluding the rest intervals but including overtime work, divided by the product of total number of workers employed in the factory during the year and 52. In the case the factory has not worked for the whole year, the number of weeks during which the factory worked should be used in place of the figure52.
- Every person killed or injured should be treated as one separate accident. If in one occurrence six persons were injured or killed, should be counted six accidents.
- In item 24(a), the number of accidents, which took place during the year, should be given. In case non-fatal accidents only those accidents, which prevented workers from working for 48 hours or more, should be indicated.
FORM NO. III
Annual Return for the year 2010
Prescribed under section 18(I) of the Minimum Wages Act, 1948 abd Rule 21 (4-A) of the H.P. Minimum Wages Rules, 1959
Note: Information may be given only for those categories of workers in respect of whom minimum wages have been fixed under the minimum wages act, 1948.
- Name of Establishment with full postal address:
- No. of days worked during the year:
Adults Children
- No. of Man days worked during the year _________ ________
(Total Attendence)
- Average No. of persons employed daily during
The year _________ _________
5. Total Wages Paid Rs._____________
6. Cash Value of Wages Paid in Kind
- Deductions made on account of
Fine Damage or Loss Breach of Contract
No. of Cases
Amount
No. of Cases
Amount
No. of Cases
Amount
- Balance of the fine fund at the beginning of the year __________________
- Disbursement from the fine fund: –
Purpose Amount Spent
a) _____________________________ ______________________________
b) _____________________________ _______________________________
c) _____________________________ _______________________________
d) _____________________________ _______________________________
10. Balance of fine fund at the end of the year: _____________________________
Signature of the Manager
Date ……………………
FORM IV
ANNUAL RETURNS UNDER THE PAYMENT OF WAGES ACT, 1936
WAGES AND DEDUCTION FROM WAGES]
RETURN FOR THE YEAR ENDING 31ST DECEMBER 2010
- a) Name of the factory or establishment and postal address
b) Code No.
c) Industry
- Number of days worked during the year:
- a) No. of Man days worked during the year:
b) Average daily No. of persons employed during the year:
Persons receiving Persons receiving Rs. 1000 and
Less than Rs. 1000 more but less than Rs. 10000
Adults
Children
a) Gross amount paid as remuneration to persons getting less than Rs. 1000 including deductions under section 7 (2) …………………….. of which the amount due to profit sharing bonus is ……………………….. and that due to money value of concession is ………………………………..
b) Gross amount paid as remuneration to persons getting Rs. 1000 and more but less than 10000 including deductions under section 7 (2) ……………… of which the amount due to profit sharing bonus is …………………. And that due to money value of concession is ………………………..]
- Total wages paid including deductions under section 7 (2) on the following account :-
Persons receiving less Persons receiving Rs. 1000 and
Than Rs. 1000 more but less than Rs. 10000
a) Basic wages including over time
Wages and non-profit sharing
Bonus
b) Dearness and other allowance
In cash
c) Arrears of pay in respect of previous
Year paid and during the year.
- 5. Number of cases and amount realized as: –
Persons receiving less Persons receiving Rs. 1000 and
Than Rs. 1000 more but less than Rs. 10000
| No. of |
Cases AmountNo. of CasesAmount
a) Fines
b) Deduction for Damages or Loss
c) Deduction for Breach of Contract
6. Disbursement From Fines fund: Purpose Amount
a)
b)
7. Balance of fines fund in hand at the end of the year Rs. ……………………….
Signature ………………….
Designation ……………….
- This is the aggregate number of attendance during the year. The average daily number persons employed during the year is obtained by dividing the aggregate number of attendance during the year by the number of working days.
- Money value of concessions should be obtained by taking difference of the cost price paid by the employer and the actual price paid by the employees for supplier of essential commodities given free or at concessional rates.
MATERNITY BENEFIT ACT, 1961
FORM ‘N’
(See rule 16)
(MATERNITY BENEFIT RULES, 1973)
Details of payment made during the year ending 31st December 2008
M/S
Name of person to whom paid _____________ Amount paid _____________
1. Date of payment _______________
2. Woman Employee _______________
3. Nominee of woman _______________
4. Legal representative of woman _______________
5. Amount for the period preceding date of expected delivery _______________
6. Amount of the subsequent period _______________
7. Under section 8 of the Act _______________
8. Under section 9 of the Act _______________
9. Under section 10 of the Act _______________
10. Number of the woman workers who absconded after receiving the first installment of maternity benefits _______________
11. Cases where claims were contested in a court of law _______________
12. Result of such cases _______________
13. Remarks _______________
SIGNATURE OF THE EMPLOYER
Date _____________
MATERNITY BENEFIT ACT, 1961
FORM “L”
(See Rule 16)
ANNUAL RETURN FOR THE YEAR ENDING 31ST DECEMBER 2008
| 1 | Name of the Establishment | M/S |
| 2 | Address of the establishment, P.O. District |
3Date of opening the establishment 4Date of closing, if closed 5Postal address of the establishment 6Name of the Employer, postal address of the Employer 7Name of Managing Agent, if any, Postal Address of Managing Agent 8Name of Agent or Representative of employer, Postal address of Representative of Employer
9Name of Manager, Postal address of Manager
10(a) Name of Medical Officer, if any attached to the establishment?
(b) Qualification of medical Officer attached to the establishment
(c) Is he resident at the establishment?
(d) If a part time employee, how often does he pay visit to the establishment? 11(a) Is there any hospital attached to the establishment?
(b) If so, how manyu beds are provided for women employees?
(c) Is there a lady Doctor?
(d) If so, what are her qualifications?
(e) Is there a qualified Midwife?
(f) Has any Crech been Provided?
DATE: –
SIGNATURE OF THE EMPLOYER
Form 35
HALF YEARLY RETURN
For the Period ending 30th June ___________
Name of Factory : M/s
Name of Occupier : Mr.
Name of the Manager : Mr.
- District :
- Full Postage Address of Factory :
- Nature of Industry :
- Average No. of Employees worked :
Men :
Women :
Adults
Men __________________
Women _______________
Childern
Men __________________
Women _______________
- Total Number of Hours worked at the end of 91104 hrs
31st Dec 2008 during the Half Year _______ Days
Signature of Occupier Signature of Manager
- The average number of workers employed daily should be calculated by dividing the aggregate number of attendance on working days (that is man days worked) by the number of working days in the last six months. In reckoning attendance, attendance by temporary as well as permanent employed should be counted and all employees should be included, whether they are employed directly or under contractors. Attendance on separate shifts (e.g. night and day shifts) should be counted separately. Days on which the factory was closed for whatever cause and days on which the manufacturing processes were not carried on should not be treated as working days.
- Partial attendance for less than half a shift on a working day should be ignored, while attendance for half a shift or more such day should be treated as full attendance
Certified that the information furnished above is to the best of my knowledge and belief, correct.
Date ………………………….. Signature of the Manager
WORKMEN’S COMPENSATION
Return relating to period from Jan-2008 to 31st Dec-2008
State :
District :
Town or Village :
Post Office :
Name of Establishment :
Name of Work :
Average Numbers Employed Per day : ____________________________________
Adults (Men) :
Minors (Women) :
|
Accidents |
Occupational Diseases |
||||||||||
| Number of cases of injuries in respect of which final compensation has been paid during the year | Amount of compensation paid | Number of cases of diseases in respect of which final compensation has been paid during the year | Amount of compensation paid | ||||||||
| Death | Permanent Disablement | Temporary Disablement | Death | Permanent Disablement | Temporary Disablement | Death | Permanent Disablement | Temporary Disablement | Death | Permanent Disablement | Temporary Disablement |
| Adult | |||||||||||
Minors
Date:……………………… Signature………………………………
Designation……………………………
Note4s: –
- In case where more establishment than one are owned by the same employer, a separate return should be furnished for each establishment. When in any establishment the workmen employed fall in two or more of the district categories to which the return relates, e.g. in the case of a tea estate categories A and B (v) a separate sheet should be used for the statistics of each category.
- Enter the class of establishment according to the process or product, e.g. cotton weaving and spinning factory, coal mine.
- Include all employees whether permanent or temporary who would, in the case of accidents be eligible for compensation under the act and for whom a return is required to be furnished. Numbers employed should be shown even if there are no payments of compensation to report.
- Include only those cases in which the final payment of compensation was made during the year. A deposit with commissioner should be treated as a payment of the employer.
- Include all compensation paid in respect of the cases mentioned in footnote (4), whether such compensation was paid during the year or previous to its commencement. Exclude all payments in cases in which the final payment had not been made by the end of the year to which the return relates.
- Only such disablement as last for more than seven days should be shown [Section (4) (I)(d) of the Act]
- Where the benefit actually allowed (e.g. hospital leave on full pay) is in excess of the compensation admissible under the act, only the amount of compensation so admissible should be entered in the return.
- Viz, anthrax, lead poisoning, phosphorus poisoning, mercury poisoning, benzene poisoning, chrome ulceration and compressed air illness only.
MATERNITY BENEFIR ACT, 1961
FORM ‘O’
(See rule 16)
(HIMACHAL PRADESH MATERNITY BENEFIT RULES, 1973)
Prosecution during the year ending 31st December 2008
M/S
| Place of employment of the women employee | Number of cases instigated |
Number of cases which resulted in convictionRemarks
SIGNATURE OF EMPLOYER
Dated: _______________________
MATERNITY BENEFIT ACT, 1961
FORM “M”
(See Rule 16)
EMPLOYMENT, DISMISSAL, PAYMENT OF BONUS, ETC., OF WOMEN FOR THE YEAR ENDING ON 31ST DECEMBER 2008
| 1 | Name of [the Mine or Circus] | |
| 2 | Aggregate number of women permanently or temporarily employed during the year | |
| 3 | Number of women who worked for a period of not less than [eighty days] in the twelve months immediately preceding the date of delivery | |
| 4 | Number of women who gave notice under section 6 | |
| 5 | Number of women who were granted permission to remain absent on receipt of notice of confinement | |
| 6 | Number of claims for maternity benefit paid | |
| 7 | Number of claims for maternity benefit rejected | |
| 8 | Number of cases where pre-natal, confinement and post-natal care was provided by the management free of charge (section 8) | |
| 9 | Number of claims for medical bonus paid (section 8) | |
| 10 | Number of medical claims for medical bonus rejected. | |
| 11 | Number of cases in which leave for miscarriage [MTP] was granted. | |
| 12 | Number of cases in which leave for miscarriage [MTP] was applied for but was rejected. |
a) Number of cases in which leave for tubectomy operation under section 9A was granted.
b) Number of cases in which leave for tubectomy operation was applied for but was rejected. 13Number of cases in which additional leave for illness under section 10 was granted 14Number of cases in which additional leave for illness under section 10 was applied for but was rejected. 15Number of women who died
a) Before delivery.
b) After delivery. 16Number of cases in which payment was made to persons other than the woman concerned 17Number of women discharged or dismissed while working 18Number of women deprived of maternity benefit and / or medical bonus under provision to sub section (2) of section 12 19Number of cases in which payment was made on the order of the Competent Authority or Inspector 20Remarks
N.B. – Full particulars of each case and reasons for the action taken under serials 7, 10, 12, 14, 17 and 18 should be given in Appendix below:-
DATE: –
SIGNATURE OF THE EMPLOYER
FORM “XXV”
[See Rule 82(2)]
ANNUAL RETURNS OF PRINCIPAL EMPLOYER TO BE SENT TO THE REGISTERING OFFICER ENDING YEAR ON 31ST DECEMBER 2008
| 1 | Full name and address of the Principal Employer |
2Name of Establishment
(a) District
(b) Postal Address
(‘c) Nature of operations / industry / work carried on 3Full name of the Manager or person responsible for supervision and control of the establishment 4No. of contractors who worked in the establishment during the year (Give details in Annexure) 5Nature of work / operation on which contract labour was employed 6Total number of days during the year on which contract labour was employed 7Total number of days maydays worked by contract labour during the year 8Maximum No. of workmen employed directly on any day during the year 9Total no. of days during the year on which direct labour was employed 10Total No. of maydays worked by directly employed workmen 11Change, if any, in the management of the establishment, its location or any other particulars furnished to the Registering Officer in the application for Registration indicating also the date
Place: Kumarhatti
DATE: –
PRINCIPAL EMPLOYER
ANNEXURE TO FORM
Name and address Period of Contract Nature of Maximum No. of No. of
Of the Contractor From — to o– Work No. of workers days Mondays
Employed by each worked worked
Contractor
1 2 3 4 5 6
FORM “XXIV”
[See Rule 82(1)]
RETURN TO BE SENT BY THE CONTRACTOR TO THE LICENSING OFFICER
HALF YEAR ENDING ON_______________________
| 1 | Name and address of Contractor | |
| 2 | Name and address of Establishment | |
| 3 | Name and Address of Principal Employer |
4Duration of ContractFrom to
5No. of days during the half year on which –
a) the establishment of the principal employer had worked
b) the contractors establishment had worked 6Maximum number of contract labour employed on any day during the half year:
Men
Women
Childern 7i) Daily hours of work and spread over—
ii) (a) Whether weekly holidays observed and on what day
(b) If so, whether it was paid for—
iii) Number of man hours of overtime worked—
8Number of mandays worked by-
Men
Women
Childern 9Amount of wages paid
Men
Women
Childern 10Amount of deductions from wages, if any-
Men
Women
Childern 11Whether the following have been provided
i) Canteen
ii) Rest Rooms
iii) Drinking water
iv) Creches
v) First Aid
(if the answer is ‘yes’ state briefly standards provided)
Place: Kumarhatti
DATE: –
Signature of Contractor
[FORM D]
[See Rule 5]
Annual return – bonus paid to employees for the accounting year ending on 31.03.2008
1. Name of Establishment and its complete postal M/s
2. Name of Industry M/s
3. Name of Employer
4. Total Number of Employee
5. Number of employees benefited by bonus payments
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| Total amount payable as bonus under section 10 or 1 of the Payment of Bonus Act, 1965 as the cas may be | Settlement if any, reached under section 18(1) or 12(3) of the Industrial Dispute Act, 1947 with date | Percentage of Bonus declared to be paid | Total amount of bonus actually paid | Date on which payment made | Whether bonus has been paid to all the employees if not, reason for non payment | Remaarks |
|
Rs.
|
NIL |
8.33% |
Rs. |
|
Paid to all eligible employee |
NIL |
For
Authorised Signatory
Ref. Date:
To
The Labour Commissioner – Cum-
Chief Inspector of Factories,
Shimla – Himachal Pradesh
Sub. Submission of Annual Return 2008
R/Sir,
Please find enclosed herewith the following documents:
- Application in prescribed form-34 (Revised)
- Workmen’s Compensation
- Application form No. III
- Application form No. IV
- Maternity Benefit Act, 1961 Form –“L”
- Maternity Benefit Act, 1961 Form – “N”
- Maternity Benefit Act, 1961 Form – “O”
- Maternity Benefit Act, 1961 Form – “M”
- Payment of Bonus Act, 1965 Form – “D”
- Half yearly Return Form – 35
- Principal Employer Return Form – 25
Kindly do the needful and oblige.
Thanking you.
Yours Truly,
For
Authorised Signatory
Click Here To Download Annual return under factory act 1948
Notify me of follow-up comments by email