IN THE COURT OF THE AUTHORITY APPOINTED UNDER THE MINIMUM WAGES ACT, 1948 & THE ASST.

COMMISSIONER OF LABOUR , HYDERABAD. T. ANJAIAH KARMIKA BHAVAN, RTC 'X' ROADS, HYDERABAD Application No. Between: The Asst. Labour Officer, Circle No. , Hyderabad. and Inspector under Minimum Wages Act, 1948. .Applicant AND Sri/Smt.

The applicant above named begs respectfully to submit as follows: 1) The above named opponent is Employer of which is a scheduled employment specified in the schedule under Part1 under Sec.2(g) and 27 of the Act. 2. That the above opponent is person responsible for payment of wages to the person employed in the said establishment, as per G.O. Ms. No. and VDA as notified by Commissioner of Labour from time to time. 3. The opponent is bound to pay wages at the Minimum rate of Wages fixed by Government but he has paid less wages to the following employees as given below:
Name of Child S/o. and Designation Wages Payable Basic + VDA Wages Paid Differenc Period of Total Claim Payable e

The applicant prays that a direction may be issued under Section 20 (3) for: a) Payment of the difference the wages due according to the Minimum rates of Wages fixed by Govt. and actually paid; b) Compensation amounting to Rs. Date: Signature of Applicant

BEFORE THE AUTHORITY UNDER THE MINIMUM WAGES ACT, 1948 AND THE ASST. COMMISSIONER OF LABOUR , HYDERABAD. T. ANJAIAH KARMIKA BHAVAN, RTC 'X' ROADS, HYDERABAD. M/W CASE NO. NOTICE Between: 1 Applicant AND 2

Opposite Party Whereas has made the above said application to me under the Minimum Wages Act, 1948 (Central Act 11 of 1948) you are hereby summoned to appear before me in person or by a duly authorized person, able to answer all material questions relating to the applications, or who shall be accompanied by some person able to answer all such questions, on the day of 200 at O' Clock at T. ANJAIAH KARMIKA BHAVAN RTC 'X' ROADS, HYDERABAD to answer the claim and as the day fixed for the appearance is appointed for the final disposal of the application you must be prepared to produce on that day all the witnesses upon whose evidence and all the documents upon which you intend to replay in support of your defence. Take notice that in default of your appearance on the day before mentioned, the application will be heard and determined in you absence. Date: Authority under Minimum Wages Act and The Asst. Commissioner of labour , Hyderabad To, Shri / Smt

CHILD LABOUR INSPECTION REPORT

1 2 3 Date and Time of Inspection Name & Address of the Establishment Name of the Employer including Age / Father's Name Hazardous / Non - Hazardous Registration Certificate No. Total No. of Employees Working Details of Child Labour Detected a) Name of the Child b) Father's Name c) Age / Sex d) Address e) Nature of Work f) Working Since g) Salary Paid h) Identification Marks if any i) Educational Qualification j) Whether willing to study k) Signature of Child Labour / Thumb Impression 8 9 11 13 Details of Parents Occupation of Father Occupation of Mother Whether the Family is depending on the Child 10. Monthly income 12. Monthly income : : :

4 5 6 7

: : : : : : : : : : : : : : :

Signature of the Employer / Manager

Witness

Signature of the Inspecting Officer

FORM - XXVI
[ Vide rule 30 of A.P. Shops & Establishments Rules, 1990]

LETTER OF APPOINTMENT
Name and Address of the Establishment

Name and Address of the Exployer

Registration Number 1. Sri/Srimathi/Kumari Son/Wife/Daughter of Aged Date of Birth is appointed as (Discribe here the nature of appointment) in this Etablishment with effect from in the scale of pay Rs 2. He /Her sclae of pay/rate of increment in wage..(insert the period) shall be 3. He/She will draw a total perday/weak

GOVERNMENT OF ANDHRA PRADESH

LABOUR DEPARTMENT

INSPECTION REPORT
!. MOTOR TRANSPORT WORKERS ACT 1961 & RULES 1963: 1 Date & Time of Inspection 2 Name & Address of the Motor Transport Undertaking : :

3 Name of the Owner with Father's Name and Residential Address 4 Date of Commencement of undertaking 5 Whether applied for Registration Certificate in Form 1 (U/s. RWR 4) 6 Total Number of Vehicles owned by the undertaking and their Registration number's under the Motor Vehicle Act. 7 Number of Motor Transport workers Employed in the undertaking 8 Whether notice of hours of work of the workers displayed in Form - V (U/R 28) 9 Whether Register of workers in Form - IX Produced or not ( U/R 35) 10 Whether Leave Book in Form - VIII produced or not (U/R 34) 11 Whether letter of Appointement issued to workers or not in Form XIV (U/R 35A) 12 Whether Register of Muster Roll in Form - X produced or not (U/R 36) 13 Whether Register of Compensatory Holidays in Form - VI produced or not (U/R 30)

: :

Contd..

STATEMENT OF EMPLOYEES SL. No.

Name of the Employee, with Date of Whether Designation Appointment L. A Issued Whether Uniform provided Present Wages Drawn Signature of thumb Impression

5 6

A.P. LABOUR WELFARE FUND ACT 1987 AND RULES 1988 : : :

1 Whether Welfare Fund paid or not (U/s RWR 6) 2 Number of Workers covered 3 Particulars of Amount paid

3.

PAYMENT OF BONUS ACT 1965 & PAYMENT OF RULES ACT 1975 : : : :

a) Whether Bonus paid to Employees (U/S 10) b) % of Bonus and Amount Paid c) No. of Workers Benefited d) Whether Registers in form ABC Produced or not

4.

GENERAL REMARKS

Signature of the Employer / Manager

Signature of the officer

IR ON PRINCIPAL EMPLOYER INSPECTION REPORT UNDER THE CONTRACT LABOUR( R&A) ACT, 1970 AND A.P. CONTRACT LABOUR (R&A) RULES 1971 Date of Inspection Name of the Factory / Establishment with address a) Name of the Principal Employer, Age and Address b) Name of the Manager, Age and Address 4 5 Whether Registration obtained, if so the number and date. Any changes in the particulars of Registration, if so whether such changes are informed to the Registering Officer. Whether any Contractors are engaged without Registration Name and particulars of contractors engaged Furnish the information in Annexure - I

1 2 3

6 7 8

Whether submitted notice in Form - VIB abour commencement / completion of contract work by each contractor 9 Whether engaged any Contract Labour in the Core Activities. 10 Whether any contract labour do perform the same and similar kind of work as that of the workmen directly employed by the Prinipal employer. 11 Name, Designation and wages of lowest paid employee with Principal Employer ( Obtain Separate letter from the Management) 12 13 14 15 16 17 18 19 20

Yes / No. If yes furnish details in Annexure - II

GOVERNMENT OF ANDHRA PRADESH LABOUR DEPARTMENT INSPECTION REPORT UNDER THE PAYMENT OF BONUS ACT, 1965 AND RULES THERE UNDER. 1 Name of the Factory / Establishment inspected with : address inspected with address 2 Date and time of Inspection 3 Whether the Factory / Establishment is covered by the provisions of the Act. 4 Whether Sec. 16 is applicable to the Factory / Establishment. 5 Accounting year of the Factory / Establishment 6 No. of employees. 7 Accounting period for which Bonus was paid 8 : : : : : : : : :

Date of expiry of the 8 months period under Sec 19(b) :

9 Whether any extension of time was granted by the : Government. 10 Date of Payment of Bonus 11 Rate of Bonus Paid. 12 No. of employees to whom Bonus was paid 13 Total amount paid as Bonus : : : :

14 Whether bonus has been paid on the basis of the : allocable surplus 15 Whether necessary registers in Form - A Form-B, and : Form - C are maintained 16 Wheter Annual Return in Form -D submitted 17 Action taken or proposed to be taken 18 19 : :

Whether Bonus for the previous accounting year was : paid Rate of Bonus paid for the previous accounting year : :

20 No. of employees to whom Bonus was paid

21 Total amount of bonus paid for the previous : accounting year 22 Remarks :

Inspector under Payment of Bonus Act, 1965 & Asst. Commissioner of labour Karimnagar.

BUILDING AND OTHER CONSTRUCTION WORKERS ( R.E & C.S.) ACT, 1996 INSPECTION REPORT Name and Designation of the Inspector Date and time of Inspection 1 Registration No. :

2 Name of Establishment

3 Address of the Registered / Administrative Officer :

4 Name and Address of the Employer

5 Name and Address of the Contractor

6 Authority who has approved the Plan of the : Construction

7 Nature of work

8 Total estimated cost of the works

9 Total area proposed for construction

10 Date of commencement of work

11 Duration of Work

12 Date of Completion

13 No. of workers employed/ Proposed to be : employed

14 Violations detected remarks

Signatures of the employer / his representative present

Signature of the Inspector

IR ON PRINCIPAL EMPLOYER INSPECTION REPORT UNDER THE CONTRACT LABOUR (R&A) ACT, 1970 AND A.P. CONTRACT LABOUR (R&A) RULES 1971 1 2 Date of Inspection Name of the Factory / Establishment with address

a) name of the Prinicipal Employer, Age and Address b) name of the Manager, Age and Address

4 5

6 7

Whether Registration obtained, if so the number and date Any changes in the particulars of Registration, if so wheter such changes are informed to the Registering Officer. Whether any Contractors are engaged without Registration. Name and Particulars of Contractos engaged Furnish the information in Annexure- I

Whether submitted notic in Form - VIB about commencement / completion of contract work by each contractor.

Whether engaged any Contrat Labour in the Core Yes / No. Activities If yes furnish details in Annexure-II

10

Whether any contract labour do perform the same and similar kind of work as that of the workmen directly Yes / No. employed by the Prinicipal Employer If yes furnish details in Annexure-III Name, Designation and wages of lowest paid employee with principal Employer ( Obtain separate letter from the management)

11

12

Whether provided within seven days from the expiry of period under Rule 40 (1) read with Section 20 as per the specifications under the Rules a) Dirnking water b) First - Aid facilities C) Washing facilities d) latrines & Urinals Whether provided as per the specifications under the Rules a) Rest rooms (within 15 days from the expiry of period as per Rule 41(1) b) Canteen within 60 days from expiry of the time allowed to the Contractor

13

( if Provided record the details such as number and condition of such amenity) ( If provided record the details)

14

Name and Designation of authorised representative of principal Employer to be present at the time of disbursement of wages ( Rules 72) Wheter the authorised representative certified the amounts paid to the contract workers ( Rule 73)

15

15 A

Whether the Principal employer paid unpaid / short If not paid give the details payments to contract labour, if contractor fails to pay wages within the prescribed time Whether maintained and produced Register of contractors in form - XIII ( Rule 74) Whether displayed the Name and Address of the Inspector, date of payment of wages and rates of wages ( Rule 81 (1) (i)) Wheter the notices under Rule 81 (1) (i), are submitted to the Inspector Rule 42 ( rule 81 (2)) Whether annual return in Form XXV is sent to the Registering Officer. ( Rule 82 (2) Remarks

16 17

18

19 20

INSPECTION REPORT UNDER CONTRACT LABOUR ( R&A) ACT, 1970 1 2 Date & Time of Inspection Name & address of the Principal Employer : :

Particulars of Registration a) Registration No. b) No. of contractors c) Total No. of workers Name & address of the Contractor Particulars of Licence a) Licence No. & Date b) Total No. of workers c) Nature of Contract d) Period of Contract

4 5

: : : : : : : : : : : : : : : :

Facilities provided to the Workers a) b) c) d) e) Whether uniforms & shoes issued to the workers or not.? Whether canteen provided to the workers or not.? Whether holidays allowed to the workers or not.? Whether O.T paid to the workers or not..? Whether Bonus paid to the workers or not?

Whether the following registers & records are maintained U/R 78 of Contract Labour ( R & A) Act & Rules 1 Whether a Muster Roll & Register of wages in Form No. XVI and Form No. XVII maintained & produced or not? Whether a Register of Deductions for Damage of Loss, Register of Fines & Register of Advances in Form No. XX Form No. XXI & Form XXII maintained & produced or not? Whether maintained a Register of Overtime in Form No. XXIII recording Their names no. of hours & wages paid for overtime work? Whether issued wage Slips in form No. XIX to all the wlrkmen atleast a day prior to the disbursement of the wages or not?

8. Particulars of employement of Contract Workers: Sl. No Name & Designation Wages paid Period of Service Signature

Remakrs

Signature of the Employer Manager/Representative with Date

Signature of Inspecting Officer.

CHILD LABOUR INSPECTION REPORT Child Details Child ID Mandal: Child Name: Gender: Mother Tongue: Date:

Tim

Address:

Studied Upto: Father or Mother Name:

Parent Occupation: Total income of the family : month Rs.. No. of children studying: per

Family Status Major property : Approximate worth: Health status

Any family members with physical or mental disability : Disability nature: Mental / Physical Disability cause:

Enforcement Name of the Establishment: Name of the Employer, Age And Establishment Address: Nature of work:

Hazardous / Non - Hazardous Earlier Found working in:

Signature of Inspector

Signature of Employer

Signature of Witness

Signature

CHILD LABOUR INSPECTION REPORT Date: District: Village: Child Identified on: Identification Marks: Time:

Age: Religion: Caste Wages or Salary of child: No. of children in the family: If not studying what are they doing:

tor

Signature of Employer

Signature of Witness

Signature of child labour

GOVERNMENT OF ANDHRA PRADESH LABOUR DEPARTMENT INSPECTION REPORT 1 Name of the Establishment & Postal Address 2 Name and Residential Address of the Occupier of the Factory & Registration Number 3 Name and Residential Address of the Managing Agent/ Director Partner in charge of the day -to -day affairs of the Factory 4 Date & Time of Inspection 5 Nature of Manufacturing Activity 6 Name of the Scheduled Employement 7 No. of workers for which factory license obtained MINIMUM WAGES ACT 1948 & A.P. MINIMUM WAGES RULES 1960 8 Whether the following records Produced at the time of inspection (U/R 30) a b c d Muster Roll in Form V (U/R 30(5)) Register of wages (U/R 30(1)) Whether wage slips issued in form XI (U/R 30(2)) Whether a notice in form No. XII in Telegu / english containing Minimum rate of wages fixed for workers in the Shops/Estt/Factory together with abstract of the Act & Rules Exhibited ( Rule 23) e Register of over time in form IV (U/R 20) f Whether the signature of thumb impression of the employees in the register of wages & in wage slip obtained from the employees (U/R 30 (3))

9 a) Staff

Existing manpower Particulars

Male

Female

b) Regular Workers C) Casual Workers d) trainees e) Contract Labours Total:

10 Principal Employer & Registration No

a) Total No. of Contract Workers b) Details of Contractors i) ii) iii) iv) Llicence No Valid Up to

11 No. of days worked during the year PAYMENT OF BONUS ACT 1965 &PAYMENT OF RULES ACT 1975 12 Whether Bonus paid to Employees (U/S 10) a) Bonus Amount paid with date b) % of Bonus paid c) No of Beneficiaries d) Whether Registers in form ABC Producd or not A.P. LABOUR WELFARE FUND ACT 1987 AND RULES 1988 13 a) Whether Welfare Fund paid or no (U/S 10 RWR 6) b) Particulars of amount paid with date

14 Wages particulars Skilled Semi-Skilled Un-Skilled

No. of Workers

Minimum Wages

GENERAL REMARKS:

Signature of the Occupier/Manager/Incharge

Signature of the Officer

Total

No. of Worker Engaged

Maximum Wages

GOVERNMENT OF ANDHRA PRADESH LABOUR DEPARTMENT INSPECTION REPORT UNDER ANDHRA PRADESH SHOPS AND ESTABLISHMENT ACT, 1988 AND RULES 1990 Previous Inspection Date. Time Date Time.. name (Inspecting Officer) Name of the Officer: Inspected. 1 Name and Addres of the Shop/ Establishment: 2 Name , Age and Residential address of the Employer: 3 Registration No. of Shop/ Establishment: 4 No. of Employees as per the Registration Certificate/ found on physical verification: 5 Whether maintained and produced the following Registers for inspection: (a) Register of Employment in Form -XXII under Rule 29 (1): (b) Register of Wages in Form - XXII under Rule 29(6) (c) Register of Leave in Form-XXV Under Rule 18 (4): (d) Register of Advance in Form-XII under Rule 18(4): (e) Appointment Letter (s) in form-XXVI under Rule 30: (f) Notice of weekly holiday in Form-XXIV under Rule 29(3):

GENERAL REMARKS:

Signature the Employer of the

Signature and Designation

Shop/ Establishment.

of the Inspecting Officer

STATEMENT SHOWING THE PARTICULARS OF THE EMPLOYEES EMPLOYED IN SHOP /ESTABLISHMENT.... WAGES PAID Sl. No. Name of the Employee with Father's Name Age Residential Address Date of Appointment Designation Minimum wages to be paid Basic V.D.A Total Signature of the Employee

Signature of the Employer / Manager of the Shop / Establishment

Signature of the inspecting Officer and Designation

LOYED IN SHOP /ESTABLISHMENT....

Remarks

STATEMENT SHOWING THE PARTICULARS OF THE WORKERS WORKING IN M/S. .... working Hours Beginning Ending

Sl. No .

Name of the Employee and father's Name Residential Adresses

Designation

Age ( Yrs)

Wages per Service month/day

Bonus paid in Rupees

Weekly Off allowed / not allowed

....

Signature of Employee