Consent to overtime and overtime register
A single format from the Leave, Overtime, Safety and Health pack. s.27 OSH Code 2020 · Rule 69, OSH (Central) Rules 2026 · Form IV, Code on Wages (Central) Rules 2026.
- 9 pages
- 252
- Word, PDF and Excel
- 30 October 2026
- 30 October 2026
What it covers
- 1Consent to overtime and overtime registers.27 OSH Code 2020 · Rule 69, OSH (Central) Rules 2026 · Form IV, Code on Wages (Central) Rules 2026
Not included
What you will still need outside this format:
- The State OSH rules, the State Shops and Establishments Act and any certified standing orders: they fix the overtime ceiling, casual and sick leave, holidays and the health examination age for State-sphere establishments, and must be read before the blanks are filled.
- The statutory registers in the prescribed form (Form XX for leave, Form IV for wages and overtime, or the State forms): the workbooks feed them but do not replace them.
- Appointment letters, consent to night work, consent to a compressed working week, the notice of periods of work and the accident register: see the OSH Formats pack.
- Maternity benefit sanction, the maternity policy and the register of women employees: see the Maternity Formats pack.
- Notice of change under section 40 of the IR Code before a change in leave or holidays: see the Exit and IR Formats pack.
- The medical practitioner's certificate (Form VIII or the State form), medical surveillance for hazardous processes, and the safety committee and medical rules for mines.
- Tax advice on the exemption for leave encashment under the Income-tax Act 2025.
Read the opening
The first part of the format, as it downloads. Blanks are highlighted.
Take the consent before overtime is first asked for · one copy to the worker, one to the personnel file · renew each quarter
[Name of the establishment]
Establishment: [Address of the establishment] | Registration number under section 3, OSH Code 2020: [OSH registration number]
WORKER'S CONSENT TO WORK OVERTIME
Name of the worker: [Name of the worker] | Employee code: [Employee code] | Department: [Department] | Wage period: [Daily / Weekly / Monthly]
[Name of the establishment] (the "Company") asks for your consent to work overtime on the terms in Part A. Please read them, or have them read and explained to you, before you sign Part B.