Every employer shall send a report in Form 12 to the nearest Branch Office and to the nearest Insurance Medical Officer-
(i) immediately if the injury is serious, i.e., it is likely to cause death or permanent disablement or loss of a member; and
(ii) in any other case within 24 hours after the receipt of the notice under Regulation 65 or of the time when the accident came to the notice of the employer or of a foreman or other official under whose supervision the insured person was employed at the time of the accident or any other person designated for the purpose by the employer:
Provided that in case of a serious injury, and particularly when the injury results in death at the place of employment , the report to the Insurance Medical Officer and the Branch Office shall be sent through a special messenger, or otherwise, as speedily as may be practicable under the circumstances:
Provided further that where a report of the accident is made by the employer under the Factories Act, 1948, the report to the Branch Office and to the Insurance Medical Officer may be made in the same form as is prescribed under the Factories Act 1948, provided that all the additional information under Form 12 is added thereto:
Provided further that it shall not be necessary for the employer to send a report in Form 12 if an employment injury is caused by an Occupational Disease specified in Scheme III to the Workmens Compensation Act, 1923; but the employer shall furnish on demand to the appropriate Bracnh Office, within such reasonable period as may be specified, such information and particulars as shall be required of the nature of an other relevant circumstances relating to any employment specified in Schedule III to the Workmens Compensation Act, 1923.
Accident
Death of Employee
Fatal Accident
Injury To Employee
Form 16 - Regulation 83-A : Defendants Benefit/ Claim Form for periodical payments (Old Form 18-A)
