FORM 22 [See Clause (1) of Rule 103) ANNUAL RETURN UNDER THE WEST BENGAL FACTORIES RULES Year ending 31st December, 19...... (Classification Code No... 1, Registration Number of Factory 2. Name of Factory. 3. Name of the Occupier Name of the Manager. District... Full Postal Address of Factory Nature of Industry ‘Number of workers and particulars of employment 8, Number of days worked in the year 9. Number of mandays worked during the year: ‘Adults—Men. ee Women Adolescents Mile. ....-.2+00+2 Female Children—Boys ecco seaeeete Gils 10. Average number of workers employed daily (See explanatory note): Adults—Men. - Women. Adolescents—Male. Female Children—Boys. . Girls 11. Total mimber of manhours worked including overtime: Men. Wome 12, Average number of hours worked per week (See explanatory note): Men. ‘Women... Children. 13. (@ Does the factory carry on any process or operation declared as dangerous under Section 87? (Bee Rule 94) (®) If so, give the following information: ‘Name ofthe dangerous procs OF “Rvarage nator of parsons employed ‘operations earied om ally in each ofthe processes of. operations given in eolumn 1 c 1 o ) w Leave with wages 14, Total number of workers employed during the year: Men. Women. ..eseeesere Children... 15, Number of workers who were entitled to anmual leave with wages during the year: Menieacriseorcrevseesss. Welitaies cesses sess Children 16. Number of workers who were granted leave during the year: Men. ‘Women. Children. 17. (@) Number of workers who were discharged, or dismissed from the service, or quit employment, ‘or were superannuated, or who died while in service during the year. (®) Number of such workers in respect of whom wages in liew of leave were paid.wm Safety Officers 18. (@) Nomber of Safety Oficrs required to be appointed per Notcation under Seton & Dee Sele Oem rons to be appointed as per Notisontion under Section 408 T Date of Name of the | **Name of | passing the Towson’ | theTnstation | Fn Vous from which | from which | Test under reoeet | omar | gaaw | Sgt eae Sr | Am | Sa | ees Zee | A certificate Bengal Safety (Safety, eS ii) I sons to 19, Is there an Ambulance Room provided in the fuctory as required under Seotion 45 2... Canteen 20. (a) No, of Canteens provided in the fuctory as requited under Section 46... () Is the Canteen provided managedjrun: ( departmentally, oF . (i) through # contractor... sees ‘Shelters or Rest Rooms and Lunch Rooms 21, (@) No. of Shelters of Rest Rooms provided in the factory as required under Section 47. (®) No. of Lunch Rooms provided in the factory as required under Section 47 Creches 22. (a) No. of Croches provided in the factory as required under Section 48. (®) No, of children utilizing the creche. . Welfare Oficers 23, (a) Number of Welfare Olfcers to be appointed as required under Section 49. () Details of Welfare Officers appointed: Nang ofthe Yaniaton aaa Daw ot ‘obtained a **Name of ‘Passing the | degree or | the Instituton | Viva Voce: dents from which ‘Test under Grade Name of puisot | “ocut™ | tere | Cree | aot ' ene | oe | oh a Appoint | watire | ‘Wheat; | Sorite) | gf Officer ‘ment ‘or when ‘was acquired | West Bengal ~ Sree | ore | he EW. | gcttition | (ete salon ved cr | course of the | Tacs Gon weber . “ 7s 7 co [¢ @ | « i | 7 ff ws pal ude le of he Wr Hoel Factrn tare ca) Rue eve Gate eae wl dite 3 Goverment order ss Tove rmehel for olin whowe mothartoague is not BengAccidents 24. (@) Total number of accidents (Gee explanatory note) : ) Fatal (i) Non-Fatal (8) Accidents in which workers returned to work during the year to which this return relates: (Accidents (workers injured) oocuering during the year in which injured workers returned to ‘work during the same year (aa) Number of accidents....... = (68) Mandays Tost... (i) Accidents (workers injured) occurring inthe previous year in which injured workers returned to work during the year to which this return relates (aa) Number of accidents... seses (0b) Mandays lost (©) Accidents (workers injured) occurring during the year in which injured workers did not return to work during the year to which this return rolates (aa) Number of accidents... (60) Mandays Tost. ‘Suggestion Scheme 25, (a) 1s u Suggestion Scheme in operation in the factory ?.......-sssesseetesseeeee we (©) IF so, the number of suggestion: (© Received during the year. (W) Accepted during the year... (©) Amount awarded in cash prizes during the year: ( Total amount awarded... (Gi) Value of the maximum cash prize awarded (i) Value of minimum cash prize awarded. sara er Certified that the information furnished above is, to the best of my Knowledge and belie, correct. Date. Signature of the Manager "THIS RETURN SHOULD RE SENT TO THE CHIEF INSPECTOR OF FACTORIES [RY SIST JANUARY OF THE SUCCEEDING YEAR rage number of worker employed daly shouldbe culeulstd by dividing the aggregne numberof attendances on Toshing ds Cte mania worked by te mba of wong a jn epee ater, eda {enporary arwllepemaent enpojey hold be count a ae "hoods cad, ‘whattr they are employed dros or under contractors, ‘Miao pe enh a yo) soa ‘Stel separa ag. which act na coed water cae rn ayn which te minaatnprowees ‘tent cued on sbould nt be tated a working Ga However, fore ttn 30% of workers employe (on he recat 5 en repair cha cp ued uc day soa eed okie a fn'mcs dy sould be teed sf neon em ma 2 For seasonal fictories, the avernge mur of workers employed during the working season nod the of season shoold be ‘Steasepirtely Sint the aurber of days worked ang average Dumber of aout worked ber Week Garay the working Eni'o sso shoul be fen sparta. 1. The average miner of hour worked por week meas the total acral hours morkd by al workers dorng the yer excluding {Bert terval tsi vet work dvd bythe pot of array aber of mores emg day nthe Factory during he ear and 5. In cat th factory tse ot wa forthe whe yea, the amber of weeks daring whic {he Betory worked should be usd a plac afte gure 32. 4. Busy poron killa o inured shoud be tried as one separate acdent, If ia one oourenc, sx persous wee inured ot ‘aed fe should be ‘soaniod a ai actions: seep eng st et a ta ee pt ‘suas seme rth tr erat ware neta i