Form 4 ( See rules 6) CERTIFICATE OF STABILITY 1. Name of the factory 2. Full Postal address of the factory 3. Name of the Occupier 4. Nature of the manufacturing process to be carried on the factory 5. Number of the floors on which workers will employed I certify that I have inspected the premises, the plants of which have been approved by the Chief Inspector of Factories in his letter no ........dated .....and examined the various parts including the foundations with special reference to the machinery, plant, etc that have been installed. I am of the opinion that all the works of Engineering construction in the premises is/are structurally sound and that its/their stability will not be endangered by its/their use as a factory/part of a factory for the manufacture of ..... or for which the machinery, plant etc., installed are intended. Signature Qualification Address Date (If employed by a company or Association, name and address of the company or Association). _________________________________________________________________
