Accident & Occupational Disease Notice


Add Accident & Occupational Disease Notice Information

Form -27 [Section 80 and Rule 69(2) and 70]

Accident Notice (Individual Notice for each injured/dead person)

Form-27(B) [Section 81 and Rule 71]

Dangerous Incident Notice

Form-29 [ Section 82 and Rule 68(7) and 74(1)]

This Form should be submitted within 24 hours to caught the disease.

Enterprise / Factory name *
Factory Registration No:
Factory Mobile
Factory Fax
Factory Email

Business Type / Production & service of the organization *

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Injured / Dead Worker Information
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Name and address of the witnesses in the accident
The name and address of the registered doctor who has been given treatment in the accident
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