1

FORM NO. 7

Name of certifying Surgeon

Dr. Uttam R. Babar

{Prescribed under
HEALTH

From:
To:

Rule 18 (7)}
REGISTER

{In respect of persons employed in occupations declared to be dangerous operations under Section 87}

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Sr
No

1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Works
No.

2
43
41
29
32
61
18
40
37
13
51
50
36
7
3
64
6
47
34
19
24

Name of Worker

3
MR. KISHOR N. MAHALE
MR. ASHOK KURKUTE
MR. ROSHAN BHOIR
MR. SOPAN DESLE
MR. UMESH MALKARI
MR. HARESH RIKAME
MR. SHANTARAM BIJ
MR. RAVINDRA GAVIT
MR. VINIT RAUT
MR. RAMDAS SHENDE
MR. MANOJ BHOYE
MR. CHANDRAKANT BHUSARA
MR. SAMADHAN VARTAK
MR. VINOD BHADANE
MR. ANNA MARIAN
MR. BALAJI SHINDE
MR. GOPAL BHUSARA
MR. PRADIP GAVIT
MR. SHUBHAM MISTARI
MR. RUPESH DHONE

Sex

4
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M

Age

5
38
35
26
32
23
25
29
30
23
27
23
30
33
32
47
33
42
22
21
29

Date of
employment of
present work

6
2012
2012
2015
2012
2016
2016
2012
2012
2015
2016
2016
2012
2013
2012
2016
2013
2014
2012
2016
2011

Date of
Leaving
or
Transfer
to other
work

Reason
for
leaving /
Transfer
discharge

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Nature of job or
Occupation

9
Worker
Worker
Worker
Worker
Worker
Staff
Worker
Worker
Staff
Worker
Worker
Worker
Staff
Staff
Staff
Staff
Worker
Worker
Staff
Worker

Raw
Material
or
Byproduc
t handled

Date of Medical Examination by

Certifying Surgeon & Result of
Medical Examination

8-11-2016

10
E.O., DEG
E.O., DEG

E.O., DEG
E.O., DEG
E.O., DEG
E.O., DEG

E.O., DEG
E.O., DEG

11
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit

If suspended
from work
state period
of suspension
with detailed
reasons

Rectified fit to
resume duty
on with
signature of
Certifying
Surgeon

If certificate
of un fitness
or
suspension
Issued to
worker

12

13

14

Signature
With Date
of
Certifying
Surgeon

15
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016

FORM NO. 7

Name of certifying Surgeon

Dr. Uttam R. Babar

{Prescribed under
HEALTH

From:
To:

Rule 18 (7)}
REGISTER

{In respect of persons employed in occupations declared to be dangerous operations under Section 87}

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Sr
No

1
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

Works
No.

2
31
33
49
25
4
12
62
66
65
5
28
15
58
44
21
16
67
56
14
9

Name of Worker

3
MR. MOHAN KORDA
MR. VASANT BHUSARA
MR. BALU CHOUDHARI
MR. PANDURANG GHODWINDE
MS. RAKSHA JAIN
MS. PRAGATI PATIL
MR. SHYAM BHOYE
MR. KRISHNA THAPAD
MR. RAGHO NAU DHOOM
MR. SANDIP DUSANE
MR. SANDIP SAMBARE
MR. UDAY KADAM
MR. PRALHAD GHUTE
MR. ANANTA THAKARE
MR. DANANJAY CHOUDHARI
MR. SANDIP GURAV
MR. GURUNATH AGHANE
MR. PRASHANT PATIL
MR. SWAPNIL BHUSARA
MR. KUNAL AGIWALE

Name of certifying Surgeon

Dr. Uttam R. Babar

Sex

4
M
M
M
M
F
F
M
M
M
M
M
M
M
M
M
M
M
M
M
M

Age

5
30
27
31
24
32
24
26
30
45
29
24
28
22
29
22
29
25
45
20
28

Date of
employment of
present work

6
2015
2011
2010
2012
2012
2015
2016
2016
2016
2013
2014
2016
2016
2013
2016
2016
2016
2012
2016
2014

Date of
Leaving
or
Transfer
to other
work

Reason
for
leaving /
Transfer
discharge

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Nature of job or
Occupation

9
Worker
Worker
Worker
Staff
Staff
Staff
Worker
Worker
Worker
Staff
Worker
Staff
Worker
Worker
Staff
Staff
Worker
Staff
Staff
Staff

Raw
Material
or
Byproduc
t handled

Date of Medical Examination by

Certifying Surgeon & Result of
Medical Examination

10

11

E.O., DEG
E.O., DEG
E.O., DEG

E.O., DEG

8-11-2016
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit

FORM NO. 7

If suspended
from work
state period
of suspension
with detailed
reasons

Rectified fit to
resume duty
on with
signature of
Certifying
Surgeon

If certificate
of un fitness
or
suspension
Issued to
worker

12
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

13
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

14
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

Signature
With Date
of
Certifying
Surgeon

15
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016

From:
To:

{Prescribed under Rule 18 (7)}

HEALTH REGISTER

{In respect of persons employed in occupations declared to be dangerous operations under Section 87}

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Sr
No

1
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60

Works
No.

2
10
38
39
2
27
63
42
11
45
30
17
20
22
26
46
48
53
54
59
60

Name of Worker

3
MR. SAMRAT PATIL
MR. SURESH GAVALI
MR. SANJAY DALVI
MR. KISHOR BHOIR
MR. SUBHASH KUVARA
MR. KISHOR MAULE
MR. KISHOR DUDHEDA
MR. MAHESH SAMBARE
MR. NIVRUTI GAVIT
MR. AMOL BHOIR
MR. PRAFULL MACHHI
MS. JAGRUTI PATIL
MS. SNEHA PANVE
MR. SANDIP SHINDE
MR. DHANESH KADAV
MR. SUBHASH BIRARI
MR. SHYAM KURKUTE
MR. BHALCHANDRA RAUT
MR. MUKESH PATIL
MR. RAMDAS SHENDE

Sex

4
M
M
M
M
M
M
M
M
M
M
M
F
F
M
M
M
M
M
M
M

Age

5
34
39
34
42
25
23
29
26
24
23
29
22
28
29
25
40
29
29
26
28

Date of
employment of
present work

6
2015
2012
2012
2012
2013
2016
2013
2015
2012
2015
2016
2016
2016
2013
2013
2010
2012
2012
2016
2016

Date of
Leaving
or
Transfer
to other
work

Reason
for
leaving /
Transfer
discharge

Nature of job or
Occupation

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Staff
Worker
Worker
Staff
Worker
Staff
Worker
Staff
Worker
Worker
Staff
Staff
Staff
Worker
Worker
Worker
Worker
Worker
Worker
Worker

Raw
Material
or
Byproduc
t handled

Date of Medical Examination by

Certifying Surgeon & Result of
Medical Examination

10

11

E.O., DEG
E.O., DEG
E.O., DEG
E.O., DEG
E.O., DEG
E.O., DEG

E.O., DEG

8-11-2016

Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit
Fit

If suspended
from work
state period
of suspension
with detailed
reasons

Rectified fit to
resume duty
on with
signature of
Certifying
Surgeon

If
certificate
of un
fitness or
suspensio
n
Issued to
worker

12
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

13
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

14
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil
Nil

Signature
With Date of
Certifying
Surgeon

15
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016
8-11-2016