return performa of... · the punjab minimum wages rules, 1950] (information may be given only for...
TRANSCRIPT
L.C..59.F.A.-2 Punjab Government Press S.A.S.Nagar/8347/07-2014
Note :- To Ensure delivery at Proper destination address the return to “ The Labour
Commissioner Punjab ( Statistical Section ), S.C.O. 47, Second Floor , 17-E, Chandigarh-160017
( To be Dispatched upto 31st January )
Annual returns under various labour laws For the Year ____________
Form No.21 (Prescribed under section 110 of the Factories Act, 1948 and Rule 107(1) of the
Punjab Factory Rules, 1952) 1 Registration number and date _______________________________. 2 Name of Factory. ______________________________ 3. Name of Occupier :- _____________________________________ 4. Name of Manager :- ______________________________________ 5. Telephone No. _______________________________________ 6. Name of the Locality, Mohalla, Plot No. etc. Where the factory is situated ______________________________ 7. Postal Address ( Post Box No. etc. ) __________________________ 8. Nature of Manufacturing process ( say exactly Which is being manufactured ) _____________________________ 9. Code No. ______________________________ 10. Total investment made :_ ______________________________ 10-A Sector (a) Public (b) Private (c.) Joint (d) Co-operative
11 Average daily No. of workers
employed
ADULTS
Men
Women ADOLESCENT
Male
Female
Children
Boys
Girls
For Perennial
For Perennial
During off Season
12 No. of days worked in the year
13 No. of man days worked during
the year (total attendances)
(a) Adult
(i) Men ______________
(ii) Women _____________
(b)Adolescent
(i) Male _____________
(ii) Female _____________
(c) Children
(i) Boys ______________
(ii) Girls ________________
14 Total no. of Man hours worked
including overtime
(a) Men _________
(b) Women _______
(c) Children _______
15 Normal hours worked per week
Men _______
Women ________
16
17
(i) Does the factory carry
any operation declared
dangerous under
section87
(ii) If so, state average daily
number of workers
employed in such
dangerous operation i.e.
(a) Manufacture of a erated
water and process
incidental thereto etc.
(Schedule 1)
(b) Electrolytic plating or
oxidation of metal
article by use of an
electrolytic containing
chromic acid or other
chromium compounds
(Schedule II)
(c) Manufacture and repair
of accumulator
(Schedule III electric
(d) Manufacture and
treatment of lead and
certain compounds of
lead
(e) Liming and tanning of
raw hides and skins and
Children _________
_________________
______________
_______________
________________
_________________
_________________
process incidental
theroto
(f) Carrying of certain
process of lead and lead
material in printing
presses and type
foundries
(g) Chemical works
(h) Manufacture of pottery
and ceramics
(i) Other dangerous
Leave With Wages
18 Total No of workers
employed during year
19 No of workers who are
entitled to annual leave
with wages during the year
20 No of workers who were
granted leave during the
year
21 No. of workers discharged
or dismissed from the
service or whose services
were terminated during the
year
22 No. of each workers paid
wages in lue leave
Canteen /Cold Drinking
water ( Only for those factories which
are employing more than 250
workers )
_________________
a. Men ______
b. Women _____
c. Children ____
a. Men _______
b. Women_____
c. Children____
a. Men ______
b. Women ____
c. Children____
_________________
23 No. of canteens providing
(j) Cooked food and
refreshment
(ii) Cooked food only
(iii) Refreshment and
Tea only
(iv) Tea only
(v) State reasons for not
maintaining the canteen
(vi) Approximate average
number of workers
using daily
(vii) Is the canteen
run/managed
departmentally or
through
a contractor ?
(viii) Is the canteen running
on “ No profit” basis as
required under the Punjab
Factory Rules, 1952
(ix) Item of expenditure borne
by the occupier stating
separately the total expenditure
borne by the occupier in
subsiding sale
of food stuff or in otherwise
selling food stuff below cost
price
(x) Please state if a common
canteen is being shared with
some other factory?
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
________________
________________
(xi) whether provision for
cooling drinking water has been
made?
REST ROOM /SHELTERS
AND LUNCH ROOMS
( Only for those factories which
are employing more than 150
workers )
24 (i) No. of rest rooms/shelter provided _____________
(ii) No. of lunch rooms provided _____________
CRECHE
( Only for those factories which are employing more than 30 workers )
25. No. crèches provided _________________________
26. Approximate average daily attendance
of children at the crèche _______________________
WELFARE OFFICER/AMBULANCE ROOMS
( Only for those factories which are employing more than 500 or more
workers )
27. a. No. of Labour Welfare Officers
(having prescribed qualifications)
appointed. ___________________
b. Whether ambulance room is provided? ________________
c. State reasons for not appointing such
officers not keeping ambulance room
Safety Officers
(only for those factories which are employing 1000 or more
workers)___________________
28. Whether qualified Safety Officer is appointed. __________________
ACCIDENTS ( FORM NO. 31)
(Prescribed under rule, 107 (4) of the Punjab Factory Rules, 1952)
28 (a). Total Accidents Fatal __________________
Non-Fatal _______________
(b). Accidents in which workers returned to work
during the year to which this return relates: -
(ii) Accidents (persons injured) occurring during the
year in which workers return to work during the
same year
Number Man days
lost
(ii) Accidents (person injured) occurring in the
previous year in which workers return to work
during the year to which this return relates.
(iii) Accidents in which the workers did not return to
work during the year.
FORM L.M.N.O. (Prescribed under section 28(2)(k) of the Maternity Benefit Act, 1961 and rule 6 of the
Punjab Maternity Benefit Rules, 1967
29 No. of women who claimed
maternity benefit for actual
birth
__________________________
30 No. of claims accepted and
paid either fully or partially
__________________________
(a) Total ________
(b) From the current
year ________
31 Total medical amount of
maternity benefit paid
_________________
(including medical bonus)
32 Amount of medical bonus paid
SUGGESTION SCHEME
32-A (a) Is a Suggestion Scheme in
operation in the factory:
(b) If so, the number of
suggestion
(i) Received during the year
(ii) Accepted during the
year
B Amount awarded in cash prizes
during the year :
(i) Total amount awarded Rs.
(ii) Value of the maximum cash
prize, awarded Rs.
(iii) Value of the minimum cash
prize awarded Rs.
SCHEDULE (.. Prescribed under section 16 of the Employee’s Compensation Act, 1923 – vide Punjab
Government Notification No. 7715-IP-52-7535, dated 19th August, 1952)
33 Accidents Adults Minor
(a) No. of cases which occurred
during the year-
(i) Death
(ii) Permanent disablement
(iii) Temporary disablement
(b) No. of Injuries in respect of
which final compensation
has been paid during the
year-
(i) Death
(ii) Permanent disablement
(iii) Temporary disablement
(c) Amount of compensation
paid
(i) Death
(ii) Permanent disablement
(iii) Temporary disablement
(Occupational Diseases)
(d) No. of cases in respect of
which final compensation
has been paid during the
year
Adults Minor
(i) Death
(ii) Permanent disablement
(iii) Temporary disablement
(e) Amount of compensation
paid -
(i) Death
(ii) Permanent disablement
(iii) Temporary disablement
FORM NO. III [Prescribed under section 18(1) of the Minimum Wages Act, 1948 and Rule 21 (4A) of
the Punjab Minimum Wages Rules, 1950]
(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)
34 No. of days worked during the
year
___________________________
35 No. of man days worked during
the year (total attendance)
___________________________
36 Average No. of persons
employed daily during the year
___________________________
Adults _________
Children _________
37 Total wages paid ___________________________
38 Cash value of wages paid in
kind
___________________________
39 Deductions made on account of
Fines Damage or loss Breach of contract
No. of cases Amount No. of Cases Amount No. of
cases
Amount
40 Balance of fine fund at the
beginning of the year
__________________________
41 Disbursement from the fine
fund
Purpose Amount spent
(a) ____________________
(b) ____________________
(c) ____________________
(d) ____________________
42 Balance of the fine fund at the
end of the year
___________________________
FORM NO.4 [Prescribed under section 26(3)(d) of the payment of Wages Act, 1936 and Rule 18 of
the Punjab Payment of Wages Rules, 1937]
(Information may be given in respect of only these workers whose average monthly
wages are less than Rs. 18,000 per month)
43 No. of days worked during the
year
Adults Children
44 No. of man days worked during
the year (Total attendances)
___________________________
45 Average daily No. of persons
employed during the year
___________________________
46 Total wages paid
(a) Basic wages __________________________
(b) Dearness and other
allowances
__________________________
(c) Arrears of pay in respect of
previous year paid during
the year
__________________________
(d) Amount of bonus __________________________
At the rate of
(i) Under Bonus
Act/Agreement
__________________________
(ii) Incentive Bonus __________________________
(iii) Profit sharing Bonus __________________________
(e) Amount of leave with
wages paid to workers
dismissed, discharged/
terminated
__________________________
(f) Amount of overtime wages __________________________
paid
(g) Amount of lay-off
retrenchment compensation
paid
__________________________
(h) Money value of concession ___________________________
(i) Amount of deduction made
(j) Grand total of columns (a)
to (i)
47 Deductions made during the
year
Nature of deduction No. of cases Amount
(a) Fines
(b) Damage or loss
(c) Breach of contract
48 Balance of fine Fund at the
beginning of the year
49 Disbursement from fine fund -
Disbursement Purpose Amount
(a)
(b)
(c)
(d)
50 Balance of fine in hand at the
end of year
51 Number of workers attendances, days worked and wages paid
Month No. of
worke
rs as
on
Roll
1
Total
attendanc
es of the
workers
2
No. of days
the Factory
worked
3
Total amount
of wages paid
(for workers
getting upto
Rs. 18,000 per
month)
January
February
March
April
May
June
July
August
September
October
November
December
Total
Date Signature of
Manager
Book Post ( For official use in order to sent the return from )
ON INDIAN GOVERNMENT
SERVICE
To
The Manger ,
__________________________
__________________
Dispatcher:-
Office of the Labour
Commissioner , Punjab
S.C.O. No. 47, Second Floor
( Statistical Section ),
Sector 17-E, Chandigarh.