Checklist for HR Clearance

Work Order No.: PNMM/PC-171/WC/004R DATED 28 /10/2019 Estate Code :

Name of Work : EFFLUENT TREATMENT PLANT WITH ZLD & STP FOR HURL,BARAUNI, (BIHAR) Establishment Code :
Name of Contractor : Driplex Water Engineering Pvt. Ltd.

Sl.No. Items Yes No Remarks

C RA Bill No. : 02 (Invoice No). : ETP/251/CIVIL/RA-02

List of Contract Workers with PF, UAN Bank A/c details, ESI No. Adhar No. And Mobile No in case of addition /
01
deletion of contract workers

Wages payment register duly filled by contractor & EIC with confirmation of on-line transfer of wages in the bank
02
account of contractor workers

03 Copy of wages slips of contract workers

04 PF Challan and ECR Work Order wise
05 Para 36 B work order wise under EPF & Misc. Provisions Act, 1952
06 PF transaction printout from EPFO site for the month
07 ESI transaction printout from EPFO side for the Month
08 ESI Challan & Contribution details sheet
09 Copy VI A under CLRA Act, 1970
10 Proof of payment of retrenchment/ statutory compensation engaged contract worker

Proof of submission of all the gate passes of contract workers including Bio-metric cards to CISF/ Concerned
11
authority.

12 No dues clearance from dept./ CISF NA

13 Declaration by Contractor on statutory compliances under Labour Law during the entire contractual/ Bill period.

(Signature of Contractor)

(Signature of EIC)

(Signature of HR Officers)