EMPLOYEE STATE INSURANCE (GENERAL) REGULATIONS

Disablement Benefit

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Rule 66 : Maintenance of accident book

Every employer shall-

(i) Keep a book readily accessible (hereinafter called the Accident Book) in Form 11, in which the appropriate particulars of any accident causing personal injury to an insured person may be entered;

(ii) preserve every such book when it is completed for a period of five years from the date of the last entry thereon:

Provided that it shall not be necessary to enter in the said Accident Book particulars of any employment injury caused by an Occupational Disease specified in Schedule III to the Workmens Compensation Act, 1923.
Form 15 — Regulation 80 : Dependants Benefit - Claim Form (Old Form 18)