Forms and Schedules
Forms and Schedules
Form 1-A
Notice of opening (Regulation 3)
Form 1-B
Notice of reopening (Regulation 6)
Form 1-C
Notice of closure, abandonment (Regulation 5)
Form 1-D
Notice of discontinuance (Regulation 5)
Form 2-A
Notice of change in name of mine (Regulation 7)
Form 2-B
Notice of change in the ownership of a mine (Regulation 7)
Form 2-C
Notice of change in the address of the Owner, agent or manager (Regulation 7)
Form 2-D
Notice of appointment of agent, manager, etc. (Regulation 7)
Form 2-E
Notice of termination of agent, manager, etc. (Regulation 7)
Form 3
Annual returns (Regulation 4)
Form 4-A
Notice of Accident/Dangerous Occurrence (Regulation 8)
Form 4-B
Particulars of deceased / injured person(s) (to be submitted within 7 days of occurrence)
(Regulation 8)
Form 4-C
Particulars of injured person(s) returning to duty (Regulation 8)
Form 5
Notice of disease notified under section 25 of the Mines Act (Regulation 9)
Form 6
Pointing out of contraventions during Inspections (Regulation 117)
Form 7
Manager’s charge report (Regulation 28)
Form I
Intimation of appointment etc of superintendent
Form II
Notice of accident
Schedule I
Equipment to be kept at a rescue station
Schedule II
Equipment to be kept at a rescue room
Schedule III
Minimum equipment to be kept at the surface of mine where no rescue room is located close
to mine entrance
Schedule IV
Adjusting and test of breathing apparatus, flow meter, Bobin meter, oxygen etc.
Schedule V
Sign of rescue tracing
Schedule VI
Medical Examination
Schedule VII
Course of instructions and practices
Schedule VIII
Code of signals
Mines Rule, 1955
First Schedule
Form A
Format of employee register
Part A - For all establishments
Part B - For the Mines Act, 1952 (35 of 1952) only
Form B
Format for wage register
Form C
Format of register of loan / recoveries
Form D
Format of attendance register
Form E
Format of register of rest / leave / leave wages under the Mines Act, 1952
Form J
Return of reportable accounts
Form K
Return of reportable accidents
Form L
Information regarding leave with wages
Form M
Notice of IME / PME under rule 29 B
Form N
Second and final notice of IME / PME under rule 29 B
Form O
Report of medical examination under rule 29 B
Report of the examination authority
Form P
Medical standard of fitness of persons employed ( PME Specification )
Form P-I
Medical standard of fitness for persons to be employed in mines ( IME Specification )
Form Q
Notice of medical re-examination by Appellate Medical Board
Form R
Second and final notice of medical re-examination by Appellate Medical Board
Form S
Report of medical re-examination by Appellate Medical Board
Form T
Annual return for the year ending on the 31st December
Form U
WI inspection register
Second Schedule
Equipment of a first aid room
Third Schedule
Requisites of a first aid station
Fourth Schedule
Exemption from hours and limitation of employment
Fifth Schedule
Abstract of the act
Sixth Schedule
Time regarding Assam territory's
First Schedule
Course of theoretical and gallery training for surface and opencast working
Second Schedule
Course of theoretical and gallery training for below ground workers
Third Schedule
Course of special additional training for entrance to gassy mine
Fourth Schedule
Course of refresher training
Fifth Schedule
Course of training for timber mistries
Six Schedule
Course of training in the handling and use of explosive
Seventh Schedule
Course of training on shot firing
Eighth Schedule
Course of training in gas testing
Twelve Schedule
Form 1
Experience certificate
Form 6
Performance chart for trainees
Form -8
Notice of opening/closing/Re-opening/Change of name of training centre (see rule 18)
Form -9
Name of appointment/termination of training officer and Instructors (see rule 20)
Form A
Certificate of training for employment in a mine on surface and in opencast working / below
ground working in non gassy mine
Form B
Certificate of refresher training / training of special categories of workmen
SCHEDULE - I
SCHEDULE - II
Equipment and medicines for first aid in crèche
SCHEDULE - III
SCHEDULE - IV
Staff in crèches
Form A
Form for recording the results of the medical examination of children attending crèche
Form B
Form for recording the results of the medical examination of the nursing mothers
Form C
Form for recording the particulars of the children attending the crèche