Metalliferous Mines Regulations, 1961 - Directorate General of ...
Metalliferous Mines Regulations, 1961 - Directorate General of ...
Metalliferous Mines Regulations, 1961 - Directorate General of ...
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Date ………………………………..<br />
FIRST SCHEDULE<br />
FORM IV-C<br />
(See Regulation 9)<br />
Particulars <strong>of</strong> Injured person returned to duty<br />
(To be given separately in respect <strong>of</strong> every person within 15 days <strong>of</strong> his return to duty )<br />
1. <strong>General</strong> :<br />
(i) Name <strong>of</strong> mine ……………………………..<br />
(ii) Mineral produced …………………………<br />
(iii) Owner …………………………………….<br />
(iv) District ………………<br />
.(v) State …………<br />
2. Name <strong>of</strong> Injured Worker …………………………….<br />
3. Return to duty :<br />
(i) Date when returned to work ……………………..<br />
(ii) Whether rturned to regular job or some other job (to be specified) ……………..<br />
4. Compensation :<br />
State amount <strong>of</strong> compensation paid, or to be paid, if any ………………………..<br />
Signature …………………………<br />
Designation : Owner/Agent/Manager<br />
Date ………………………………..<br />
From :<br />
…………………………………..<br />
……………………………………<br />
FIRST SCHEDULE<br />
FORM V<br />
(See Regulation 10)<br />
Notice <strong>of</strong> Disease notified under section 25<br />
1. The Chief Inspector <strong>of</strong> <strong>Mines</strong>, …………..Dhanbd, E.Rly.<br />
2. The Regional Inspector <strong>of</strong> <strong>Mines</strong> ………………………..<br />
3. The Inspector <strong>of</strong> <strong>Mines</strong> (in case <strong>of</strong> electrical accidents only, Dhanbad).E .R. …….<br />
4. The District Magistrate/District Collector ………………<br />
Sir,