FORM-C (See rule 37) Certificate of Inspection of the Welfare Centre Inspection Report of the ……………………………………. ……………………… Welfare Centre at ……………………………. by the ………………………. ……. for the year ending ……………………… 19 . 1. Name of establishment (including factory)/contractor engaged in the manufacturer of beedi served by the centre. 2. Number of workers for which it caters 3. Date and hour of inspection. 4. Date of the last inspection. 5. Centre Building- (a) Condition of the building. (b) Does the accommodation provided conform to the prescribed standard? 6. Equipment- (a) Are the equipments provided according to the prescribed standard? (b) Is timely repairs/replacements done where necessary? (c) Are the equipments all in serviceable condition? 7. Establishments- (a) Officer-in-charge- (i) Part-time/Whole-time. (ii) Name and qualifications. (b) Designation and pay of staff- (i) Adult Education Instructor. (ii) Sevika, (iii) Sweeper. (c) Attendance Register-Do the staff attends regularly? 8. Annual expenditure- (a) Establishment. (b) Repairs and replacement of equipments. 9. Activities- (a) Total number of rolls attending the centre. (b) Number seen at the time of inspection. (c) Number of adults attending literacy classes. (d) Number of women attending craft classes. (e) Number of adults participating in games and sports. 10. Are you satisfied with the working of the Centre? If not, what suggestion can be made for its improvement? I certify that I have inspected the Welfare Centre noted above and that conforms/does not conform in the following respects* to the standards laid down in the Beedi W6rkerg Fund Rules, 1978. Signature of Inspecting Officer Date........................ Counter signature of Com- missioner with date *Give details below. NOTE. -The countersignature of the Commissioner is not necessary when the Commissioner himself is the Inspecting Authority.
|