Form 32
RCCPL PRIVATE LIMITED, BHARAULI (MAIHAR)
MADHYAPRADESH -485773

FORM NO- 32
CERTIFICATE OF FITNESS FOR HAZARDIOUS PROCESS/DANGERIOUS OPERATION
[Prescribed under rule 131 & Sch.XVII (7)]
ORIGINAL/COUNTER FOIL

2. He/She is Medically Fit to be employed but may be employed on some other non-hazardous operation such as..................

3. He/She may be produced for further examination after a period of.......

4. He/She is advised following further examination..............................

5. He/She is advised following treatment............

6. The serial No. Of the previous certificate is..........
Signature / LTI of person examined
Digital Signature with Stamp
Name of Medical assistant
( Factory Medical Officer)