The Occupational Safety, Health and Working Conditions (Central) Rules, 2026

Rule Form VI Form VI

Chapter: Annexures · Forms and Appendices
Text as on: As notified 08 May 2026

FORM-VI [See rule 4(1)] Notice of Commencement / cessation of operations

1. Registration No:

2. Name and Address of establishment:-

3. Name and Designation of employer :-

4. Full address to which communication relating to the establishment to be sent :-

5. Nature of work of the establishment :- A. Notice of Commencement / cessation of operations

I/We hereby intimate that the operation of establishment having registration No. .................................................................................... dated .......................................... has commenced with effect from .............................................. (Date) and approximate duration of operation is __________ year______month.

I/We hereby intimate that the operations of the establishment having registration No................................................................................ dated .......................................... has ceased with effect from ............................................................. (Date).

[Strikeout whichever is not applicable]

B. Certificate from employer in case of cessation of operation

I/we hereby certify that the payment of all dues to the workers employed in the establishment having registration no. ____ dated______ has been made.

I/we hereby certify that the establishment having registration no. ____ dated______ kept free from storage of hazardous chemicals and substances. [Strikeout whichever is not applicable]

Signature of the Employer To,

The Registering Officer The Inspector-cum-Facilitator

FORM-VI
[See rule 4(1)]
Notice of Commencement / cessation of operations
1. Registration No:
2. Name and Address of establishment:-
3. Name and Designation of employer :-
4. Full address to which communication relating to the establishment to be sent :-
5. Nature of work of the establishment :-
A. Notice of Commencement / cessation of operations

I/We hereby intimate that the operation of establishment having registration No. .................................................................................... dated
.......................................... has commenced with effect from .............................................. (Date) and approximate
duration of operation is __________ year______month.

I/We hereby intimate that the operations of the establishment having registration No................................................................................ dated
.......................................... has ceased with effect from ............................................................. (Date).

[Strikeout whichever is not applicable]

B. Certificate from employer in case of cessation of operation

I/we hereby certify that the payment of all dues to the workers employed in the establishment having registration no. ____ dated______ has
been made.

I/we hereby certify that the establishment having registration no. ____ dated______ kept free from storage of hazardous chemicals and
substances.
[Strikeout whichever is not applicable]

Signature of the Employer
To,

The Registering Officer
The Inspector-cum-Facilitator