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ANNUAL RETURN OF COAL MINE FOR THE YEAR ENDING ON THE 31ST DECEMBER,20__
(Under the Mines Act, 1952 and allied legislations framed thereunder)
PART-A
1.
2.
Name of mine
Postal address of mine
3.
4.
5.
Date of opening
Labour Identification No. (LIN)
Name of Owner
(a) Contact details of Owner
(b) e-mail Id of Owner
(c) Postal address of Owner
6.
7.
Name of Manager
:____________________________________________
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
:____________________________________________
:____________________________________________
:____________________________________________
: Tel. No. - ____________ Mobile No. - ____________
:____________________________________________
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
:____________________________________________
8.
9.
No. of contractors
engaged
:____________________________________________
10. EMPLOYMENT
(1) Number of persons employed on roll in the mine :
Classification
Male
Belowground
Opencast
Aboveground
Departmental
Female
Total
Male
Contractual
Female
Total
(2) Maximum number of persons employed on any one day during the year 20_____
(i) in workings belowground on ____________ (specific day) : __________
(ii) in all in the mine on ____________ (specific day) : ____________
(3) Details of mandays worked and average employment:
Classification
Departmental
Total mandays
Average daily number
worked
of persons employed
Male Female Total Male Female Total
Contractual
Total mandays
Average daily number
worked
of persons employed
Male Female Total Male Female Total
(a) Belowground
(b) Opencast
(c) Aboveground
:_____________________________________________
:_____________________________________________
Grade
(1)
(b)
Opening
stock on
1st
January,
20___
Depillar.
Dev.
Extraction
(3)
(4)
(5)
(6)
(2)
(8)
Coal
Dispatched
Closing
stock
on 31st
December
20___
{Diff. of
Column
(9) &
(10)}
(9)
(10)
(11)
13.
(7)
SubTotal
of
(3)
to
(7)
Total of
Columns
(2) and
(7)
Electrical
Oil/natural gas/steam
Compressed air
(a) Underground
(b) Opencast
(c) Aboveground
Total
Lighting
Power
:____________________________________________
:____________________________________________
14.
Fatal accident
Number Number of
person(s)
killed
Serious accident
Number of
person(s)
seriously
injured
Number
Number of
person(s)
seriously
injured
Reportable accident
Number
Minor accident
20____
20____
20____
PART-B
1.
Departmental
Contractual
Departmental
Contractual
Departmental
No. of
persons
declared
medically
unfit
Contractual
2.
3.
PART-C
1.
: __________________________
: __________________________
VOCATIONAL TRAINING
Number of persons employed
Departmental
Contractual
Certified that the information submitted in the Annual Return (in page 1, 2 and 3) is correct to
the best of my knowledge.
Signature (with date and official seal) ______________
Designation : Owner/Agent/Manager
Annexure-II
ANNUAL RETURN OF METALLIFERROUS MINE FOR THE YEAR ENDING ON THE
31ST DECEMBER, 20____
(Under the Mines Act, 1952 and allied legislations framed thereunder)
PART-A
1.
2.
Name of mine
Postal address of mine
3.
4.
5.
Date of opening
Labour Identification No. (LIN)
Name of Owner
(d) Contact details of Owner
(e) e-mail Id of Owner
(f) Postal address of Owner
6.
7.
Name of Manager
(d) Contact details of Manager
(e) e-mail Id of Manager
(f) Postal address of Manager
8.
9.
:____________________________________________
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
:____________________________________________
:____________________________________________
:____________________________________________
: Tel. No. - ____________ Mobile No. - ____________
:____________________________________________
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
:____________________________________________
No. of contractors
engaged
No. available
Shortage/surplus
:____________________________________________
10. EMPLOYMENT
(1) Number of persons employed on roll in the mine :
Classification
Departmental
Male
Belowground
Opencast
Aboveground
Female
Contractual
Total
Male
Female
Total
(2) Maximum number of persons employed on any one day during the year 20__
(iii) in workings below ground on ____________ (specific day) :
(iv) in all in the mine on ____________ (specific day) :
(3) Details of mandays worked and average employment:
Classification
Departmental
Total mandays
Average daily number
worked
of persons employed
Male Female Total Male Female Total
Contractual
Total mandays
Average daily number
worked
of persons employed
Male Female Total Male Female Total
(d) Belowground
(e) Opencast
(f) Aboveground
:_____________________________________________
:_____________________________________________
Name
of
mineral
raised
(1)
(d)
Opening stock
Output of the Mineral
Despatches
on 1st January,
during the year
20___
Run- Processed
ROM
Processed ROM Processed
off
Mineral
Mineral
Mineral
Below- OpenMine
ground cast
(ROM)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Closing stock
on 31st December
20___
ROM
Processed
{Col.2+4 Mineral
+5-7}
{Col.3+68}
(9)
(10)
Metal Extracted,
if any
Name
Quantity
(11)
(12)
13.
14.
Electrical
Oil/natural gas/steam
Compressed air
(d) Underground
(e) Opencast
(f) Aboveground
Total
15.
Fatal accident
Number Number of
person(s)
killed
Serious accident
Number of
person(s)
seriously
injured
Numbe
r
Number of
person(s)
seriously
injured
Reportable accident
Minor accident
20____
20____
20____
PART-B
1.
Departmental
Contractu
Departmental
al
Initial Medical Examination (IME)
Contractual
Departmental
No. of
persons
declared
medically
unfit
Contractual
2.
3.
PART-C
1.
: __________________________
: __________________________
VOCATIONAL TRAINING
Number of persons employed
Departmental
Contractual
Certified that the information submitted in the Annual Return (in page 1, 2 and 3) is correct to
the best of my knowledge.
Annexure-III
ANNUAL RETURN OF OIL MINE FOR THE YEAR ENDING ON THE 31ST DECEMBER,20__
(Under the Mines Act, 1952 and allied legislations framed thereunder)
1.
2.
3.
4.
5.
6.
7.
8.
PART-A
: The Oil Mines Regulations, 1984 (See Regulation 5):
Name of mine
:____________________________________________
Postal address of mine
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
Date of opening
:____________________________________________
Labour Identification No. (LIN)
:____________________________________________
Name of Owner
:____________________________________________
(a) Contact details of Owner
: Tel. No. - ____________ Mobile No. - ____________
(b) e-mail Id of Owner
:____________________________________________
(c) Postal address of Owner
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
Name of Agent (if any) as
:____________________________________________
defined in Section 2(c)of the
Mines Act, 1952
(a)
Contact details of Agent
: Tel. No. - ____________ Mobile No. - ____________
(b) e-mail Id of Agent
:____________________________________________
(c) Postal address of Agent
: Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
Name of Manager
:____________________________________________
(a) Contact details of Manager : Tel. No. - ____________ Mobile No. - ____________
(b) e-mail Id of Manager
:____________________________________________
(c) Postal address of Manager : Village/Area/Road ____________________________
Tehsil/Taluka/Sub-division______________________
District______________ PIN____________________
State_______________________________________
Statutory personnel employed in the mine
Sl.No.
Designation
No. required
No. available
Shortage/surplus
Departmental
Female
Total
Male
Contractual
Female
Total
(2) Maximum number of persons employed on any one day during the year 20__ in all in the
mine on ____________ (specific day):___________________________________
(3) Details of mandays worked and average employment:
Classification
Departmental
Total mandays worked Average daily number
of persons employed
Male Female Total Male Female Total
Contractual
Total mandays
Average daily number
worked
of persons employed
Male Female Total Male Female Total
Electrical
Oil/natural gas/steam
Compressed air
Total
Classification
Type of Rig
(2)
Drilling, Workover and other rigs
Drilling
Workover
Other Rigs
Oil, gas and other wells
Wells drilled
Wells abandoned
Gas wells completed
Oil wells completed
Gas wells on production
Oil wells on production
Oil wells where production discontinued
Pipelines
Flow lines laid from wells to gathering
station
Pipelines laid from gathering station to
central storage tanks
Others (Specify)
Total No. of
units in use
(4)
(3)
Length in metres
Diameter in metres
Type of
Product
(1)
1
(2)
Oil (in Metric
Tonnes)
Opening
stock as
on 1st
January
(3)
Production
(4)
Value
(in
Rs.)
(5)
Despatches
To
refinery
To
market
For house
consumption
(6)
(7)
(8)
Closing
stock as
on 31st
December
(9)
Fatal accident
Number of
Number of
person(s)
person(s)
killed
seriously
injured
Number
Serious accident
Number
Number of
person(s)
seriously
injured
Reportable accident
Minor accident
Number Number Number Number of
of
person(s)
person(s)
injured
injured
20____
20____
20____
PART-B
1.
Departmental
Contractu
Departmental
al
Initial Medical Examination (IME)
Contractual
No. of persons
declared
medically unfit
Contractual
2.
3.
PART-C
1.
: __________________________
: __________________________
VOCATIONAL TRAINING
Number of persons employed
Departmental
Contractual
Certified that the information submitted in the Annual Return (in page 1, page 2, and page 3) is
correct to the best of my knowledge.