Form 1 – Application for Grant of Certificate of Competency to a Person

PDF · 2 pages · English · Acts & Rules

Form 1 is an application format for obtaining a Certificate of Competency under the Occupational Safety, Health and Working Conditions framework. The form captures personal details, educational qualifications, professional experience, technical facilities available with the applicant, competency area sought, and declarations regarding compliance with certification requirements.

By Labour Department / Competent Authority under Occupational Safety, Health and Working Conditions Regulations · Published 2026-11-02 · Updated 2026-11-02

From the document

FORM – 1 (Prescribed under sub Rule (2) of Rule 2A) Application for grant of certificate of competency to a Person 1. Name : 2. Date of Birth : 3. Name of the Organization : (If not self-employed) 4. Designation : 5. Educational qualification : 6. Details of Professional experience : (In chronological order) Name of the Organization Period of Service Designation Area of responsibility (1) (2) (3) (4) 7. Membership, if any of professional : bodies 8. (i) Details of facilities (examination, : testing etc, ) at his disposal (ii) Arrangements for calibrating and: maintaining the accuracy of these facilities 9. Purpose for which competency : certificate is sought (section or sections of the Act should be Stated) 10. Whether the applicant has been : declared as a competent person under any statute (if so the details) 11. Any other relevant information : 12. Declaration by the applicant:
I _________________ hereby declare that the information furnished is true. I undertake – (a) That in the event of any change in the facilities at my disposal (either addition or deletion) or my leaving the aforesaid organization. I will promptly inform the Chief Inspector. (b) To maintain the facilities …

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