Govt. of India, Ministry of Labour & Employment

FORMS UNDER PW(MINES) RULES, 1956

            

FORM I

(Rule 3)

Register of Fines

Part I

 

Mine …………………………

 

Sl. No.

Name

Father’s or husband’s Name

Nature of employ-ment

Rate of wages

Wages earned during the period

 
 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

Fines

Remarks

Acts or omissions for which fine imposed

Whether workmen showed cause, if so enter date

Date and amount of fine imposed

Date on which fine is realized

7

8

9

10

11

 

 

 

 

 

  

Part II

 

Particulars of disbursement of fines

 

Date of disbursement

Amount disbursed

Purpose for which amount disbursed

Remarks

1

2

3

4

 

 

 

 

  

 

FORM II

(Rule 4)

Register of deductions for damage or loss caused to the employer by the neglect or default of the employed persons.

  

Sl. No.

Name

Father’s or husband’s Name

Nature of employ-ment

Damage or loss caused and its value

Whether workmen showed cause against deduction or not, if so, enter date

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

  

Name of the person in whose presence a workman’s explanation is heard in respect of an employee engaged by a contractor

Date and amount of deduction imposed

Number of installments, if any

Date on which total amount realized

Remarks

7

8

9

10

11

 

 

 

 

 

 

 

Form III

 

(See Rule 5)

 

Register of Wages

 

Entries to be made against each individual worker.

Entries for each category of workers to be made separately.

 

Sl. No.

Name and address

Days/No. of units worked*

Basic Wages

Lead and lift

Dearness

Total

Ordinary

Special

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

  

Other cash payments

Total amount earned

Workman’s contribution to PF

Net amount payable

Other deductions made

Employer’s  contribution to PF

Signature or thumb impression or remarks#

9

10

11

12

13

14

15

 

 

 

 

 

 

 

 

             

 

*     Days worked in the case of time-rated workers.

#    If thumb impression is not taken, the signature of the person supervising the payment should be taken.

Note:   Columns not applicable to any particular mine may be left unfilled by the employer.

 

  

Form IV

(See Rule 8)

 

Name of mine:

Date from which wage rates will be or are enforced:

 

Sl. No.

Class of employees or description of work

Particulars of wage period or the unit of work e.g. per day, per tub etc.

Rate of wages

 

 

 

 

Rs.    P.

Rate of allowances if any

Remarks

1

2

3

4

5

6

 

 

 

 

 

 

  

Form IV-A

[See Rule 17(1)]

 

Register of work done by pieceworkers for the week ending ………..

Mine: 

S.No.

Name of worker

Design.

Father’s/ husband’s name

No. of units of work done

Total

S

M

T

W

Th

F

Sat

1

2

3

4

5

6

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

                       

  

Form V

(See Rule 18)

 

Annual Return

RETURN FOR THE YEAR ENDING 31st  DEC., 20...

1.

(a)

Name of the mine, location and postal address

:

 

 

(b)^

Name and address of the Manager/ Contractor

:

 

 

(c)^

Name of the Company/ Firm owning the establishment and full address of its registered office

:

 

 

(d)^

Name and residential address of the Managing Agent/ Director/ Partner in charge of the day to day affairs of the establishment

:

 

 

(e)^

Name and address of the person, if any, other than the manager/ Contractor, who is responsible for payment of wages in terms of the provisio to section 3 of the Payment of Wages Act, 1936

:

 

2.

 

Number of days worked during the year

:

 

3.

(a)*

Number of man-days worked during the year:-

 

 

 

Persons receiving less than Rs. 200/- per month

Persons receiving Rs. 200/- and more but less than Rs. 1000/- per month

 

 

Adults

 

 

 

 

Children

 

 

 

(b)#

Average daily No. of persons employed during the year:-

 

 

 

Persons receiving less than Rs. 200/- per month

Persons receiving Rs. 200/- and more but less than Rs. 1000/- per month

 

 

Adults

 

 

 

 

Children

 

 

 

(c)

Gross amount paid as remuneration to persons getting less than Rs. 200/- per month including deductions under section 7(2) is --- of which the amount due to profit sharing bonus is --- and that due to money value of concessions is ---

 

(d)

Gross amount paid as remuneration to persons getting Rs. 200/- per month and more but less than Rs. 1000/- including deductions under section 7(2) is --- of which the amount due to profit sharing bonus is --- and that due to $money value of concessions is ---

4.

 

Total wages paid including deductions under section7(2) on the following account:-

 

 

 

Persons receiving less than Rs. 200/- per month

Persons receiving Rs. 200/- and more but less than Rs. 1000/- per month

 

(a)

Basic wages including overtime wages and non- profit sharing bonus

 

 

 

(b)

Dearness and other allowances in cash

 

 

                 

…2..

- 2 -

 

 

(c)

Arrears of pay in respect of previous year paid during the year

 

 

5.

 

Number of cases and amount realized as:-

 

 

 

Persons receiving less than Rs. 200/- per month

Persons receiving Rs. 200/- and more but less than Rs. 1000/- per month

 

 

 

No. of cases

Amount

No. of cases

Amount

 

(a)

Fines

 

 

 

 

 

(b)

Deductions for damage or loss

 

 

 

 

 

(c)

Deductions for breach of contract

 

 

 

 

6.

 

Disbursement of the fines fund:-

 

 

Purpose

Amount

 

(a)

 

 

 

(b)

 

 

 

(c)

 

 

 

(d)

 

 

7.

 

Balance of fines fund in hand at the end of the year:

                   

 

 

Signature ---

Designation ---

*           This is the aggregate number of attendances during the year

#          The average daily number of persons employed during the year is      

obtained by dividing the aggregate number of attendances during the year by the number of working days.

$          Money value of concessions should be obtained by taking the difference or the cost price paid by the employer and the actual price paid by the employee for supplies of essential commodities given free or at concessional rates.

^          Strike off whichever is not applicable.

 

Form VI

[See Rule 19(3)]

 

Register of advances made to employed persons

 

Sl. No.

Name

Father’s name or husband’s name

Nature of employment

Earnings during a wage period

Date and amount of advance

1

2

3

4

5

6

 

 

 

 

 

 

  

Purpose(s) for which advance made

No. of installments by which advance to be repaid

Amount of installments repaid with dates of postponement granted

Date on which total amount paid

Signature or thumb impression of the worker or remarks

7

8

9

10

11

 

 

 

 

 

  

 

Form – A

(See Rule 2A)

 

Notice of opening, abandonment, discontinuance, re-opening

and change in the ownership, address etc.

 

From:

…………………

…………………

 

To,

The Regional Labour Commissioner (Central),

…………………

 

Sir,

 

            I have to furnish the following particulars in respect of*……………. at ………….. mine of …………… (owner)……………….. :

            1.         In the case of change of name of mine –

                        Old name of mine:

                        Date of change:

            2.         (a)        Situation of the mine: ……………. Village,

                                    Police Station:

                                    Sub-Division (Taluk):

                                    District: ……………….. State …………..

(b)               In the case of new mine, particulars of situation of mine:

Post Office: ………….. Telegraph Office: ……………

Railway Station ………….. Rest House ………………

(Give distance therefrom), Means of traveling ………...

            3.         (a)        Name and postal address of the present/ previous#

                                    (i)         Owner

                                    (ii)        Managing Agent

(iii)             Agent, if any

(iv)             Manager

(v)               In case of change, date of change

4.      Date on which it is intended to open/ reopen/ abandon/ discontinue(+) the mine

5.      Actual date of opening/ reopening/ abandonment/ discontinuance(+) of mine

6.      No. of persons affected

 

 

Yours Faithfully,

Signature

Designation: Owner/ Agent/ Manager

 

Date:

 

INSTRUCTIONS

* Mention the matter to which the notice refers.

     # To be filled in only when the notice refers to a change and only against the item 

         in respect of which notice is given.

     (+) Delete whatever is not applicable.