Specification of the Form of Second Notice for Medical Examination under Rule 111(4) of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026

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....G.S.R. 604(E).-In exercise of the powers conferred on me under sub-Rule 4 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026, I, Ujjwal Tah, Chief Inspector-cum-Facilitator of Mines, also designated as the Director General of Mines Safety, hereby, specify the form of the second notice of medical examination shall be given by manager to the person to be ....

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....and applicable to the all mines Second notice of Periodical medical examination No......... Date............ Shri/Shrimati/Miss............... Nature of employment............ Serial number of Form______ Register ......... Son/daughter/wife of .......... failed to present himself/herself for a periodical medical examination on...... in respect of which he/she/had been given a notice on....