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ESI Accident Register

ESI Accident Register

What is the Accident register?

Every employer shall keep an accident book readily accessible in the given format in which the appropriate particulars of any accident causing personal injury to an insured person may be entered.Preserve every such book, when it is completed, for a period of five years from the date of the last entry thereon

Who and When?

Users can get the Form-11 to furnish accident injury details. This form is provided by the Employees’ State Insurance Corporation, Ministry of Labour and Employment, Government of India.

The following details to be furnished in Accident report

FORM 11 ACCIDENT BOOK EMPLOYEES STATE INSURANCE CORPORATION Regulation 66 Shift department and Occupation of the employee Insurance No. Age Sex Name and Address of Injured Person Time of Notice Date of Notice Sl. No. Details of Injury Cause Nature Date Time Place What exactly was the injured person doing at the time of accident Name occupation address and signature or the thumb impression of the person s giving…