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

Rule Form XXII Form XXII

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

FORM-XXII (See rule 89(1) and rule 90(2)) PROFORMA OF LICENCE

Licence No. ------------- Reg. No. ----------- Date of Reg. ----------

Licence is hereby granted to --------------------------------------------------------------------

for the premises known as --------------------------------------------------------------------

situated at -----------------------------------------------------------------------------------

nature of work__________

for use as a establishment within the limits stated herein after, subject to provisions of the Occupational Safety, Health and Working Conditions Code, 2020, and the

rules made there under.

The ------------ 20.. Issuing Authority

Sl.No. Period of issue Valid For

Maximum Date of Excess Date of Signature Payment fee for payment of the number of Fee late Issuing payment Authority Contract labour

on any one day

AMENDMENTS: Maximum Date of payment of Date of Signature of number of Contract labour on any one day amendment fee Payment the Issuing Year when Authority Amended

E-sign /digital sign of the designated authority

FORM-XXII
(See rule 89(1) and rule 90(2))
PROFORMA OF LICENCE

Licence No. -------------        Reg. No. -----------                Date of Reg. ----------

Licence is hereby granted to --------------------------------------------------------------------

for the premises known as --------------------------------------------------------------------

situated at -----------------------------------------------------------------------------------

nature of work__________

for use as a establishment within the limits stated herein after, subject to provisions of the Occupational Safety, Health and Working Conditions Code, 2020, and the

rules made there under.

The ------------ 20..                             Issuing Authority

Sl.No. Period of issue  Valid For

Maximum                    Date of        Excess                  Date of    Signature
Payment        fee for                 payment    of the
number of             Fee                 late                               Issuing
payment                            Authority
Contract labour

on any one day

AMENDMENTS:                      Maximum                                                           Date of payment of    Date of  Signature of
number of Contract labour on any one day                          amendment fee         Payment  the Issuing
Year when                                                                                                      Authority
Amended

E-sign /digital sign of the designated authority