Fill online: Constitution of the safety committee, with the minutes of its first meeting

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Name of the establishment

Fills 4 places in the document.

Address of the establishment

OSH registration number

Office order number

Fills 2 places in the document.

Date of the office order

Fills 3 places in the document.

Rules 14 and 15 of the OSH (Central) Rules 2026 / the State OSH rules

Number of workers ordinarily employed

Date of constitution of the Committee

Name of the Chairman (1)

Designation of the Chairman

Name of the Safety Officer (1)

Name of the medical practitioner

Designation of the medical practitioner

Name of member 4

Designation of member 4

Name of member 5

Designation of member 5

Name of member 6

Designation of member 6

Name of member 7

Designation of member 7

Name of member 8

Designation of member 8

Name of member 9

Designation of member 9

Name of member 10

Designation of member 10

Name of member 11

Designation of member 11

Name of member 12

Designation of member 12

Percentage of women in the workforce

The negotiating union / the negotiating council / the workers, by election under Part 2

The Regional Labour Commissioner (Central) / the authority named in the State OSH rules

Date on which the tenure ends

Date of the first meeting

Days of notice of a meeting

Quorum of the Committee

Days within which minutes are circulated

Languages of display

Name of the employer's signatory

Designation of the employer's signatory

Negotiating union or council, if any

Number of workers' seats

Number of seats for women workers

Last date and time for nominations

Place or link for nominations

Date of display of valid nominations

Last date for withdrawal of nominations

Place or link for withdrawals

Date and hours of polling

Polling place or voting link

Date of declaration of results

Date on which the electoral roll is fixed

Number of votes each worker has

Name of the returning officer

Date of the election notice

Time of the first meeting

Place of the first meeting

Name of the Chairman (2)

Present / Absent (1)

Name of the Safety Officer (2)

Present / Absent (2)

Name of the member, attendance row 3

Present / Absent (3)

Name of the member, attendance row 4

Present / Absent (4)

Name of the member, attendance row 5

Present / Absent (5)

Name of the member, attendance row 6

Present / Absent (6)

Name of the member, attendance row 7

Present / Absent (7)

Name of the member, attendance row 8

Present / Absent (8)

Names and designations of invitees

Name of the Chairman (3)

Date notice of the first meeting was given

The negotiating union / the negotiating council / the workers, at the poll under Part 2

Dates of the quarterly meetings

Days within which a special meeting is called

Registration position

Gap, status item 1

Safety officer position

Gap, status item 2

First aid position

Gap, status item 3

Fire safety position

Gap, status item 4

PPE position

Gap, status item 5

Display position

Gap, status item 6

Health examination position

Gap, status item 7

Accident reporting position

Gap, status item 8

Inspection position

Gap, status item 9

Number of months reviewed

Date to which the accident data was reviewed

Number of accidents

Number of reportable accidents

Number of person-days lost

Number of dangerous occurrences

Number of near misses

Main causes of accidents

Principal hazards identified

Areas to be inspected

Frequency of joint inspections

Training topics approved

Groups of workers to be trained

Date by which training is completed

Channel for raising safety concerns

Any other matter discussed

Date of the next meeting

Time the meeting ended

Date the minutes were signed

Name of the Safety Officer (3)

Date of the meeting confirming the minutes

Recommendation 1

Date recommendation 1 received

Accepted / Accepted with modification / Not accepted (1)

Action or reasons, recommendation 1

Person responsible, recommendation 1

Target date, recommendation 1

Open / Closed (1)

Recommendation 2

Date recommendation 2 received

Accepted / Accepted with modification / Not accepted (2)

Action or reasons, recommendation 2

Person responsible, recommendation 2

Target date, recommendation 2

Open / Closed (2)

Recommendation 3

Date recommendation 3 received

Accepted / Accepted with modification / Not accepted (3)

Action or reasons, recommendation 3

Person responsible, recommendation 3

Target date, recommendation 3

Open / Closed (3)

Recommendation 4

Date recommendation 4 received

Accepted / Accepted with modification / Not accepted (4)

Action or reasons, recommendation 4

Person responsible, recommendation 4

Target date, recommendation 4

Open / Closed (4)

Recommendation 5

Date recommendation 5 received

Accepted / Accepted with modification / Not accepted (5)

Action or reasons, recommendation 5

Person responsible, recommendation 5

Target date, recommendation 5

Open / Closed (5)

Office order, notice to workers, minutes of the first meeting and action-taken report · display the order and the minutes on the notice board

[Name of the establishment]
Establishment: [Address of the establishment] | Registration number under section 3, OSH Code 2020: [OSH registration number]

When a committee is required. Section 22(1) of the OSH Code allows the appropriate Government, by general or special order, to require an establishment or class of establishments to constitute a Safety Committee of representatives of the employer and the workers. Where the Central Government is the appropriate Government, Rule 14(1) of the OSH (Central) Rules 2026 requires one in every establishment employing 500 or more workers, and Rule 14(2) lets the Central Government fix a different number for a class of establishments by order. For every other establishment the State OSH rules decide the threshold, the composition and the procedure: check them, particularly for factories carrying on a hazardous process. Mines follow the separate provisions of the rules for mines and need a different format. An establishment below the threshold may constitute a committee voluntarily on the same terms.

Safety officers. Section 22(2) separately allows the appropriate Government to require safety officers: in a factory with 500 or more workers, in a factory carrying on a hazardous process or in building or other construction work with 250 or more, and in a mine with 100 or more. Where a safety officer is appointed, he or she is the Secretary of the committee.

Part 1. Office order constituting the Safety Committee

OFFICE ORDER No. [Office order number] | Date: [Date of the office order]

Sub: Constitution of the Safety Committee under section 22 of the Occupational Safety, Health and Working Conditions Code 2020

1. Constitution. In pursuance of section 22(1) of the Occupational Safety, Health and Working Conditions Code 2020 (the "OSH Code") read with [Rules 14 and 15 of the OSH (Central) Rules 2026 / the State OSH rules], the employer of [Name of the establishment] (the "Establishment"), which ordinarily employs [Number of workers ordinarily employed] workers, constitutes a Safety Committee (the "Committee") for the Establishment with effect from [Date of constitution of the Committee].

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