Form No. 27
(Prescribed under Rule 104)
REGISTER OF ACCIDENTS AND DANGEROUS OCCURRENCES
Name of injured persons (if any)
Date of accident or dangerous occurrence
Date of report (in Form No.18) to Inspector
Nature of accident or dangerous occurrence
Date of return of injured person to work
No. of days injured person was absent from work
1
2
3
4
5
6
Central Bare Acts State Bare Acts
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