Submission of Form 27

 I have Attached Submission of Form 27

[Form 27]                         [m1]

[See rule 119(1)]

                                                           Annual Return

For the year ending 31st December 2011

 

1. Registration number of Factory ……………

 

2. Name of Factory ……………………………..

3. Name of Occupier …………………………….

4. Name of the Manager ………………………..

 

5. District …………………………………………..

6. Full Postal Address of Factory ……………….

 

7. Nature of Industry …………………………….

 

Number of workers and particulars of employment

 

8. No. of days worked in the year ………………

 

9. No. of mandays worked during the year-

(a) Men ……………………………………………………………………

(b) Women ……………………………………………………………….

(c) Children ………………………………………………………………

 

10. Average number of workers employed daily (See explanatory note)-

(a) Adults

(i) Men ……………………………………………………………………

(ii) Women ……………………………………………………………….

(b) Adolescent

(i) Male …………………………………………………………………..

(ii) Female ………………………………………………………………..

(c) Children

(i) Boys ……………………………………………………………………

(ii) Girls ……………………………………………………………………

 

11. Total No. of man-hours worked including over-time-

(a) Men ……………………………………………………………………

(b) Women ……………………………………………………………….

(c) Children ………………………………………………………………

 

12. Average number of hours worked per week (See explanatory note)-

(a) Men ……………………………………………………………………

(b) Women ……………………………………………………………….

(c) Children ………………………………………………………………

 

13. (a) Does the factory carry out any process or operation declared as dangerous under section 87? (See Rule 114). (b) If so,

give the following information:-

 

Name of the dangerous processes    or operations carried on. (State the Schedule number under  Rule 114).	Average No. of persons employed daily in each of the processes or operations given in Col. 1
(i)
(ii)
(iii) etc.

 

Leave with wages

14. Total number of workers employed during the year-

(a) Men ………………………………………………………

(b) Women ………………………………………………….

(c) Children …………………………………………………

15. Number of workers who were entitled to annual

leave with wages during the year

(a) Men ……………………………………………………….

(b) Women …………………………………………………..

(c) Children ………………………………………………….

16. Number of workers who were granted leave

during the year-

(a) Men ……………………………………………………….

(b) Women …………………………………………………..

(c) Children ………………………………………………….

17. (a) Number of workers who were discharged,

or dismissed from the service, or quit employment,

or were superannuated,or who died while in 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.

        Ambulance Room

19. Is there an ambulance room provided in the factory

as required under section 45?

  Canteen

20. (a) Is there a canteen provided in the factory as

required under section 46?

(b) Is the canteen provided managed-

(i) departmentally, or

(ii) through a contractor?

                                          Shelter or Rest Rooms and Lunch Rooms

21. (a) Are there adequate and suitable shelters

or rest rooms provided in the factory as required

under section 47?

(b) Are there adequate and suitable lunch rooms

provided in the factory as required under section 47?

Crèches

22. Is there a Crèche provided in the factory as

required under section 48?                                      :

    

 Welfare Officers

23. (a) Number of Welfare Officers to be appointed

as required under section 49.                                  :

(b) Number of Welfare Officers appointed.

 

Accidents

24. (a) Total number of accidents (See explanatory note)-

(i) Fatal

(ii) Non-fatal

 

(b) Accidents in which workers returned to work during

the year to which this return relates.

(i)                 Accidents (workers injured) occurring during

(ii)               the year in which injured workers returned to

work during the year to which this return relates

(aa) Number of accidents

(bb) Man-days lost due to accidents,

(iii)              Accidents (workers injured) occurring in

the previous year in which injured workers

returned to work during the year to which

this return relates,

(aa) Number of accidents

(bb) Man-days lost due to accidents,

(iii) Accidents (workers injured) occurring during the year

in which injured workers did not return to work during

the year to which this return relates,

(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 ….

(c) Amount awarded in cash prizes during the year-                 :

(i) total amount awarded

(ii) Value of the maximum cash prize awarded,

(iii) Value of the minimum cash prize awarded.

 

Certified that the information furnished above is to the best of my knowledge and belief correct.

 

 

 

 

 

Signature of the Manager.

Date :

 

 

 

 

 

 

Explanatory Notes:

1. The average number of workers employed dairy should be calculated by dividing the aggregate number of attendances 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 employees should be counted, and all employees should be included, whether they are

employed directly or by or through any agency including 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 manufacturing

process were not carried on should not be treated as working days. Partial attendance for less than half a shift on working days

should be ignored, while attendance for half a shift or more on such day should be treated as full attendance.

2. For seasonal factories, the average number of workers employed during the working season and the 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.

3. 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 over-time work divided by the product of total number of workers employed in the factory

during the year and 52. In 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 figure 52.

4. Every person killed or injured should be treated as one separate accident. If in one occurrence, six persons were injured or

killed, it should be counted as six accidents.

5. In item 24(a), the number of accidents which took place during the year should be given. In case of non-fatal accidents only

those accidents which prevented workers from working for 48 hours or more, should be indicated.”