FORM 29 (prescribed under various schedule to Rule 160) HEALTH REGISTER Sl.No Deptt/ Works Name of Workers Sex Age at last birth day Date of employment on present work Date of leaving or transfer to other work Reasons for discharge or transfer Nature of job or occupation Raw materials products or by-products likely to be exposed to Dates of medical examination and the results thereof Signs and symptoms observed during examination Nature of tests and results thereof If declared unfir for work,sate period of suspension with reasons in details Whether certificate of unfitness issued to the worker Re-certified fit to resume duty on Signature of the Certifying Surgeon with date Dates Result Fit or Unfit 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
