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Check List Under Shops & Establishments Act

1 Name of the Establishment


2 Address
3 Nature of activity of Business
i. Name of proprietor / partner /
Directors/occupiers
4 ii. Whether Registered under Factories Act, 1948
5 No. of workmen/employees employed
i. No of Male
ii. No .of Female
iii. Total
6 Category of employees/workmen & their nos.
i. Unskilled
ii. Semi-skilled
iii. Skilled
vi. Supervisor
v. Managerial
7 Whether contractual workmen employed
i. No. of Contract Labour employed
ii. Name & address of the contractor
iii. Whether Licence obtained under Contract Labour (Regulation &
Abolition) Act, 1970.
iv. Whether principal employer has obtained registration certificate under
Contract Labour (Regulation & Abolition) Act, 1970.
Whether following statutory records are
8 maintained.
i. Appointment letter issued
ii. Wages Register
iii. Attendance Register/card,
iv. Wage slip
v. O.T. Register
vi. Leave Card
vii. Fine Register
viii. Whether Leave book/leave card beingmaintained
9 Coverage of employees under ESIC 1948. if applicable, if employing more than
10 workers.
Coverage of employees under EPF & MPA
10 1952, if applicable. If employing more than 20 workers
11 Whether Register A. B. C under Payment of Bonus Act, 1965 is maintained
Whether Register maintained by the occupier u/s 11 of Child Labour (R&A) Act,
12 1986.
13 Whether abstract of Minimum Wages Act, 1948, displayed
Potential No. of workers assessed on the basis of machines installed, area of the
14 factory, packaging needs and no. of shifts.
15 Remarks, if any.
shments Act

Yes No
Regular Daily Wages Piece Rate

Yes No

Yes No

Yes No

Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No

Yes No

Yes No
Yes No

Yes No
Yes No

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