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    ALPHABETICAL SUBJECT INDEX TO IV EDITION

    Subject Page Subject PageA

    Abstention inquiry procedure(Reg. 52A)etc.

    Accident(s)Admitting ..as employment injury arising out of employmentContributory record for.Day of .TDB payableDefinition of Delay in reporting for treatmentafter .Further information onHigh incidence of .in a factory.

    Notice of .occurring outside factory etc.Report of ..Unreported

    Accident book (form11)

    Accident frequency: Registerof.

    Accident happening while--acting as per usage etc.-acting in breach of regulations-following ambiguous instruction-meeting emergency

    -performing a prohibited act-travelling in employer's transport-workman acting for own purpose

    Accident report(s)Action by Mgr. on .Late submission of.Monthly summary of ..register(ESIC-57)Where IP's Branch Office is not onereceiving.

    Act outside sphere ofemployment

    A-Day registration

    Added peril

    Adjudication of disputes andclaims

    Adoption Certificate for DB

    Advance Payment(s).. of DB of PDB

    Age limits for ESB

    426,428,452-456

    179-180149-151167-168181145-147181

    168182-184

    167178-179167172

    167

    182

    154-155153155158-160

    152155-158155

    168-170168170168,170

    179-180

    151-152

    20-24

    151

    102

    278,298

    299-300250-252

    359, 372

    Age ProofDependants'.IP's.

    Aggravation of diseaseRemarks in certificate re.

    Aggravation of injurypreviously assessed for PDB -review medical board.

    Aggregation of percentage loss

    Alphabetical lists of --disabilities with 25% or more lossof earning capacity

    Alternative evidence (ofincapacity)Form for . (ESIC-127)Interim information on toemployerIrregular certificate asMaternity Certificate as Proviso to Reg.53

    Register of

    Annual information by factory

    Appeal [sec.54A(2)]against MAT..against medical boardNotice of (B.I.5).. to MAT

    Appropriate (Branch) Office

    Receipt of RCs in

    Approved no. of employees forBO

    Artificial limbsCost of part of medical careIPs and families to get..List of . and appliancesProcedure outlined

    Role of Branch OfficeState Govt. to arrange for.

    Average daily wages

    295248,249,254,267,268

    77

    237,264

    228

    251,269-271

    83-86, 343

    90-9185,92

    8241383, 325

    92

    4

    230, 263230,263263263

    96,97,100

    553

    475

    523523525526

    523523

    331

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    BBack period covered by firstcertificate

    Benefit(s)Action whennot admissibleBar of.under other enactmentsBar on cashto convicted IP

    Calculation of ..rate where factoryclosedCompletion of ...documentsDate when.payableDelayed payment report/register

    .due at time of deathMaternity due to deceased IW..paid to closed factoryemployees-report to Hqrs.Payment of to IP's agent.periods

    Recovery ofimproperly receivedRounding Off of .paymentWhen . to be paid in Manager'spresenceWhen persons not entitled toreceive..

    Benefits payment docket(s)CancellationCertificate of holding.Preparation of and silpSafe custody of .

    Birth Certificate

    B.I. series of formsB.I.1-Injury report by IMO

    72-73

    11598104,345,350,460110-113, 248

    11597,463-464464

    129-130100,415110-113

    121326, 327

    99-100115

    121

    101

    128124115,342126

    413-414

    179,180,205,247,248

    B.I.1(a)-Report for information of

    medical board

    B.I.2-Medial board's report formB.I.3-Decsison of medical boardB.I.4-Medical board'srecommendation as to

    treatmentB.I.5-Notice of appeal before MAT

    Blank Books of--

    --non-regulation certificates--regulation certificates

    Blank forms

    Challan for..(ESIC-120)ESIC-37for registration

    Bracketed disease for ESB

    Branch office notice boardConvicted IP's name on..Display of scheduled sheet on..Payment hours

    Branch/sales/head officeRegn. of employees of .

    205,247,248,251

    253254254,256

    263

    8872

    8,21,475677

    357

    460123131

    24-25

    CCash balance-Deficit/excessin..

    CCP-Certificate of cont. payable

    Central statistical register

    Certificate(s) --MedicalBack Period in.

    Casuality medical officer's..certifying ODCollective responsibility for issueofCompletion of.Confinement.Death

    Defects in.Duplicate .: Reg.64 onESIC's powers to accept other.Exhaustion of stocks of booksExpected confinement.

    127,128

    555-556

    475, 492

    72-,73

    71204

    717186,420,42170,88,293,294

    89837189410,420,421

    FinalFinal..on delayed reporting by IPFirst..First.in hospital casesFirst-cum-final.Fitness..by MR (RM-10)Fraudulent CertificateFurtherby MRHospital case :..by IMO

    Intermediate.Intermediate..on delayedreporting by IPIntermediate /final..afterdischarge from hospitalIP avoiding operation etc.: Remarkin.IrregularLate deposit ofMiscarriage .Non-regulationNumberless..Old, Unpaid..

    69,737669,72747288788874

    70,73-7470,76

    74

    778279-8370,86,421,42270-71339-340120

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    Continued entitlement tomedical care

    Continuous service for ESB

    Continuous service as in I.D.Act 1947Contribution periods

    Contributory record

    Control over incidence of SB

    Conveyance Charges to IPs for

    appearing before-

    -Medical Board/MAT

    -Medial Referee

    565

    360-361,372,378,

    379,396-397

    374

    326-327

    167,174,175,345-346,351-352343-344

    265,447-452

    447-452

    Convicted IP barred frombenefits etc.

    Conviction of IP:Ask employer for disciplinary actionDisplay name on BO notice board.Inform trade union

    Corporation's new Resolutionon ESB

    ESIC's old Resolution on ESB

    Correct PDB/DB rate Mqr'sresponsibility

    Course of employmentInterruption in ..

    Criminal Procedure Code

    104,345,350,460

    460460

    460

    370-373

    366-369

    256

    147148

    462

    DDaily rate of-

    -Dependant's benefit (full rate)-Enhanced sickness benefit-Extended sickness benefit-Maternity benefit-Permanent disablement benefit-Sickness benefit-Temporary disablement benefit

    Date of accidentContribution for.TDB for

    Date for review of prov.assessment

    Death Certificate (funeralexpenses)Death (due to employmentinjury)case file(s).certificateDisposal of body of IPMgr's role on receipt of reportsome time laterDeclaration by persons--engaged after A-day-in employment on A-dayDeclaration form(s)Checking ofDefective.Filling of..Indirect employees'Installments of ..Late receipt of ..Lettersto employerLegal action against

    281347363-364409231-232327-330173,175

    176181

    255,256

    436

    29487,294291291-292293

    55

    13149-111212

    8-9,48-51169

    Maintenance of

    More than oneNew entrants'.Recalcitrant employees'.Received w/o photographsRegional language used in..Register ofReturn of

    Show cause notice on late.Submission of.to app. officeWeeding out of.Defaulter's note bookDeficit/excess in cash balanceDelay in---admission into hospital-reporting back to IMO while under

    treatment-reporting for treatment afteraccident-reporting to IMO after hosp.discharge-submission of certificate to BranchOffice-Submission of declaration formsDependant(s)Adopted son/daughter as .Age of..Certificate of dependence byotherCommunication of decision to.Date of birth ofDeceased .: payment due to aDefinition of..Eligibility etc. of each.General notice inviting claimsfromInfirmity of.

    16

    228228121312

    9,515,636-37458127-128

    77

    75-78

    181

    78

    79-838-9, 48-51

    278,298295

    298,299300295130, 306277279-282

    297295,303-304, 313

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    Entitlement cert. for medicalbenefitErroneous registrationESB (See Extended sickness

    benefit)

    "ESIC" formsESIC-12-Claims dairyESIC-25-Emp. injury reportESIC-26 BO PDB registerESIC-32-Wage/contributionsrecord for TDB/DB.ESIC-34-Letter to IP to receivebenefitESIC-38-Register of entitlementto medical benefit

    ESIC-40-BO DB registerESIC-44-Letter to IP for removalof defects in alt. evidence etc.ESIC-47-ESB rate card

    ESIC-48-ESB period for extendedmedical benefitESIC-55-Discrepancies incertificates/ClaimESIC-57-Accident report registerESIC-59-BO register of incapacityreferencesESIC-60-Abstention enquiryregisterESIC-61-BO register of referencesto medical BoardESIC-62-BO register of alt.evidenceESIC-63-A-Declaration by legal

    heirESIC-71--Contribution/wagerecord of IPESIC-86-Certificate ofemploymentESIC-88-Letter to employerbefore opening a duplicate ledgersheetESIC-89-Letter to IMO -do-ESIC-90-Letter to RD -do-ESIC-91-Declaration from IPESIC-95-BO diary of ESB casesESIC-96- to IP asking refund ofbenefitESIC-101-Letter to dependantsinviting claims for DB

    ESIC-102-RO DB registerESIC-105-Certificate ofemployment to IP proceeding tooutstationESIC-120-Challan for blank formsESIC-138-Excess paymentregisterESIC-142-Claim for conveyance-loss of wagesESIC-146-Regret letter to non-

    entitled dependants.ESIC-147-Letter admitteddependants

    56338

    109 420 421185-187249 256 257

    175 176

    113

    378 560 562

    300 301 319

    85377,378,390-391

    378 394 395

    113168

    441 482

    454-455 487246 249 255263 266

    92

    130, 139

    175 176

    7, 15

    108 132108 133108 134108 135386-387

    454 488 489

    314-315

    296

    7 377 8 21 47

    457 490

    450 485-486

    300,316

    300 317

    ESIC-151-RO register of medicalboard casesESIC-154-Med. board decision to IPESIC-156-Monthly letter to IP

    inviting PDB claim

    ESIC-162-Letter to IW returninginvalid cert. of exp. Confinement

    "ESIC-Med." formsESIC-Med.-8 IMO's confirmationof ESB diseaseESIC-Med-11-Information ofsickness for IP's employerESIC-Med.-12-Death certificateESIC-Med.-13-Hosp. certificate

    for IPESIC's power to accept non-reg. certificateEvidence in support of claim"Evidence" not the same asproof

    Exam. of dependants' claimpapers

    Excess/deficit in cash balance

    Excessive incidence ofsickness benefitExcess payments(s)Adjustment of...Causes of .........Defaulters' note bookFalse declaration resulting in..

    Fixing responsibility for..Ledger sheet entriesRegister of .. (ESIC-138)TDB..... at incorrect rateWaiver of ....qly. statementWatch over recovery of.......

    Exhaustion of stocks of cert.books

    Exit of IP while undertreatmentExposure to heat, cold etc.

    Extended medical benefit

    Extended sickness benefit(ESB).........admissible for strike periodetc.Confirmation of....diseaseContinuous Service for Contributory condition after A-dayDaily rate of Diary of.

    Diary of referred cases.......Drug reaction forDuration of ........

    253 255255

    258 272

    421

    377 388

    8870 88 294

    88

    7196

    149

    294-296

    127-128

    334-335

    123-124457458459

    458-459458457 490176457,491458

    89

    565

    147

    378 394 565

    101, 453377, 388360-361362-363363-364, 378377, 389

    386363, 373372

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    ESB periodEvolutionExtension beyond 124 days

    Extension beyond 309 daysIncapacity referencesInitial payment upto 124 daysIP to exhaust SB firstList of diseasesMedical Care for.......cases

    Monthly statement of ESIC-48New Resolution on..No..... for paid leave etc.Old Resolution on....Premature termination of..........

    period

    364,372355372, 381

    372, 381380379-380379370-371365,378, 394558-559, 565378 394370-373453366-369

    364

    Protection from discharge etcQualifying afreshRare disease.

    Rate card for..(ESIC-47)Record of.....casesReference to medical BoardRelaxation of ESIC's Resolution

    Restoration of Return of terminated casesService condition before A-day

    Verification of ESIC-71Waiting days

    365365371,384-385 399

    377386372 381-382365 373 378 379383 396446386360-361 372 379

    378364

    FFacilitation center/counter forcomplaintsFactories Act first scheduleto..........Factory/establishment closed:Determination of benefit rate

    Factory reporting excessiveaccidents etc.FailureIP's....... to follow IMO'sinstructions etc...............IP's ..............to submitcertificates in time (Reg. 64)

    False statement/declaration:Bar of benefits to convicted IP(Rule 62)Display of his name on noticeBoardInformation to employer andunionProsecution for (Sec. 84 & 86)Where certificate is also tamperedwith

    FamilyDefinition of............... Photograph of IP residing elsewhere: regn of

    .residing in other State:regn of

    Fatal AccidentFatal Accident fileFee paid for post-mortemexam.Files-subject wise

    Finance & A/s of Branch Office-See AnnexureFirst aid by employerFirst benefit period-Precaution

    467

    209

    111 248

    182-184

    75-78

    79 83

    104 460

    460

    460104 459

    461

    10 111025 27 58

    27 28 59 60

    291294

    29334-36, 473-474

    168341

    First Schedule to the FactoriesAct.Forms under ESI (Genl.)Regulations, 1950Form 01 Employer's registration.From 01 (A)- Annual informationof factory/estt.Form 1-Employee's declaration.Form 1 A-Family declaration.Form 2-Changes in familyForm 3-Return of declarationformsForm 4- Identity card.Form 4 A-Family Identity Card

    Form 6 Register of employeesForm 7-First/inter/final certificateForm 8- Special inter. certificateForm 9- Claim for SB/TDB/Mat.benefit for related sickness.Form 10-abstension enquiry re:SB/TDB/Mat.bebefitForm 11-Accident BookForm 12- Accident report fromemployerForm 12A -OD report fromemployerForm 13-Death certificateFORM 14-PDB claimForm 15-DB claimForm 16-Claim for Periodical DB

    paymentsForm 17-Notice & certificate ofpregnancyForm 18-Certificate of exp.confinement /miscarriageForm 19- Claim for mat. Benefit &notice of workForm 20- Claim for Mat. benefitafter IW's deathForm 21-Mat. benefit deathcertificateForm 22Funeral expenses claim

    209-210

    3-44

    566

    5-6166

    1269 82 41170 74 77

    334 411426 428 453 -456167

    167 291

    20470 86 294257294 298 299 307279 300 302 318

    86 410 42070 86 410 411420

    411 421

    411 422

    70 86 411 422433,435,437

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    Form 23-Life certificate for PDBForm 24- Decl. & certificate forDBFRAUDULENT certificate

    Fresh claim to be indicated inschedule of benefits paidFresh injury on old injury site

    Funeral expensesClaim for... (form 22)

    258302 320

    78-79

    124249 262

    433 435 437

    Countersignature on claimDeath certificate (Reg, 95C)Death report (Reg. 95B)Eligibility

    EISC's resolution dated14.12.1980Other evidence of death(Reg.95D)Payment procedureTime-barred claimTime-limit for claimingTime-limit for payment

    433432432431

    431432433 434434 438433434

    GGeneral notice invitingdependants' claimsGraphs at Branch OfficeGrouped diseases for ESB

    297476 496 497357

    Guardian (for DB)AppointmentRemoval

    297 300 302302

    HHead of account forConveyance Charges and /or lossof wagesFee paid for post-mortem exam.Money order paymentsHeadquartersCertificate reg. recovery action to.Death case of OD to..Doubtful cases of OD to..ESB for rare disease toRelaxation of ESIC Resolution onESB to..

    451293117-119

    346207-208207371 384

    373

    Heart failure etc. at work

    High incidence of accidents ina factory etc.

    HospitalCertificate by IMO referring IP toCertificate to IP undergoingtreatment in (ESIC-Med-13).Direct admission of IP byemployer into..

    161

    182-184

    74

    88

    75

    IIdentity card (s)Duplicate..... ProcedureFamily .Fraudulent use of.Permanent.....

    Production of..... at payment timeImmediate employerEmployees of ...to be coveredImpersonation for obtainingbenefitIncapacity beyond medicalBoard decision

    Incapacity prolonged etc.Incapacity reference(s)BO follow up on..Controlling incidence of SBthroughDefinition of......Disposal of .... by MRESB cases:...........ofGuidelines for BO on ..............IP fails to attend for exam etc.Less frequent.More frequent.....

    38-4325-2744- 456 16 17 2324 26 2798

    12

    460-461

    262

    77

    445 446

    344441441-444444-445380445443-444111 344 443

    MR's reply to..............of TDB cases having longspellsProcedure forReferences other thanReg. 105 re:....Incidence of SB, TDB- watchby BMIncreases in DB ratesIncreases in PDB ratesIndelible ink for ESIC-38registersIndemnity bondIndex sheet

    Indian Penal Code(IPC)Induced/voluntarymiscarriageIndustrial Disputes Act, 1947Section 25B of...Infirmity of dependantcertificate of .Information of Sickness-ESIC Med. 11- FOR IP's employerInitial checks on certificatesInjury on pre-existing injurysite

    445

    181441-447444441

    475,476286 287231 232 263

    566130 14016,54

    460 - 462

    407-408

    374

    303 304 313

    88341-342

    249 262

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    Injury resulting in diseaseInquires re: abstention fromworkSee enquiries/s: abstention etc.

    Inspecting officers' duty re:Branch Office complaintsInsurance No. allotmentInsured woman definedInterim information foremployer re: alternativeevidenceInter-regional transferInterruption in course ofemployment

    Investigation of accident (s)

    By BO other than IP'sIn area served by pay officeOccurring outside factoryPersons competent for..Preparation of report (ESIC-25)

    193

    465

    14

    405

    8530-32

    148

    180170178169171 172 185-187

    Visit to factory for..

    Investigation of OD

    Inviting advance claims for DB

    IP convicted for falsedeclarationIP in hospital: certificate forIP's identity : steps toestablishIP to follow instructions etc.(Sec.64)

    Irregular certificate(s)Acceptance as alt. evidence

    IW receiving mat. benefit togive notice of work (Reg.91)

    171-172

    204-205, 216-218

    294 297 307 314

    104 459-460

    88

    114 121

    75

    82

    412 413 424-425

    LLate Submission of declarationforms letters to employer

    Ledger Sheet(s)Calling for............Detailed procedure for...........Duplicate............

    Entries in........

    Entry of overpayment in..............

    Keeping.....during payment hrsMissing...

    New entrant's..........No slip pasting on......Weeding out

    Legal heir/representative

    Life certificate for PDB/DB

    Live lists for medical benefit

    Location of Injury

    Lock-out period

    Log book of complaint box

    8,48-51

    107 339-34018-20108 132-135340

    34 122 342425 434

    457-458

    474108 132-13534034134037129-130 422423258 302 320

    562 563

    249 262

    343 344

    465 468

    Loss of earning capacityAdding up......for injuries onsame spot on different datesAggregateDisabilities with 25% or more

    Hundred percent or more.Less than 100% .Medical board only competent todetermine...

    Review of decision by MedicalBoard

    Single limb and multiple limbs

    Loss of teeth

    Loss of wages compensationfor appearing beforeMedical board /MATMedical referee

    Lowest wage group-specialincrease in DB rates

    LunaticPayment to...

    228

    228269-271

    227227

    228-229

    237

    228

    229

    265 447-452447-451

    287

    130

    MMalignant diseases(cancer)explainedManagers action / role on-employment injury death reportcomplaint received

    358

    291-292464-465

    Manager's powers on-admittance of accident as emp.injury-enforcement of Reg. 64

    17979-83

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    Mass registration on A-dayMaternity BenefitAbstention enquiry re.

    -admissible while IW on paidleaveCertificate for.

    claimed after confinement forsome period before itAuthority for issuing med. cert.for ..Authority to certify eligibility to ..

    Claim when becomes dueClaim when becomes payable

    Commencement of payment

    Confinement definedContributory conditionDaily rateDay of miscarriage payment forDefinitionsDelay in submission of certificatesDisqualification for (Reg. 93)Duration of ..for/on-confinement..-death of IW-miscarriage-related sickness

    Eligibility for ..Liability of employer to pay..not to combine with otherbenefits

    Other important matters re.'Related sickness

    Repayment of....improperlyreceivedStoppage and resumption of....when IW dies etc

    Where payment is postponed

    Maternity benefit Act, 1961-See 5AMeasures to curb highincidence of SB

    Medical appeal tribunals(MAT)Medical benefitImportance of...........Provisions in the Act, Rules re.Provisions in the Regulationsre.

    Medical board(s)Action at BO on decision of . Ofreceived from RO

    Action at RO on decision of .Age to be determined by ..Appeal against.......... decision

    20-23

    426, 428

    452-45386, 413-414,419

    407, 422

    413-414405

    96-97 41297-98, 412

    420-421,424-425405405-406409-410, 424421405422414406, 407,424408407, 421408,423

    405, 406-408406, 414

    414

    425-426408-409,420, 423-424

    414413, 424-425408, 420,422-423421

    406

    343-345

    237

    556556-557557

    256

    255254230-231, 263

    BO register of references toconveyance/loss of wages etc. forappearing before ....../ MATDeath of IP before ........exam.

    Delayed request for refce. toDespatch of papers for ..Disablement declared tempy. byDocuments to accompany refce.to Earlier injury be informed to.Errors by............etcESIC to set up

    Incapacity beyond decisionIntimation about meeting of

    .......to IPs

    Intimation of. decision to IPLaw provisions on..Line of treatment by........ on BI-4Managers certificate on every

    case referred to RO for..

    Meeting of ......... etc.MR's opinion on case for....etc.No appreciable disablementdeclared byPayment of PDB despite ROappeal against......decisionPeripatetic..Procedure for reference to ..Reference after treatmentsuggested by.Relapse of temporary disablement

    after..examinationReport of............. (Reg. 73)RO Official to assist etc.Stages before case's refec. toTime of reference to (Reg.72)

    Medical care for IP entitled toESB

    Medical care for relapse oftempy disablement (Reg103)

    Medical care for thepermanently disabled andsuperannuated

    Fresh identity card for.Fresh MRE for ..Monthly statement for ..Procedure for.Provisions of law for..Regret letter to those foundIneligible for ..Sharing of expenditure on ..withState Govt.

    246

    265,447-452263

    250249-250256

    247-248249254230

    262

    253

    255227-230256

    249-250

    253253

    255

    256-257253246-248,249

    256

    262-263230, 255254245

    229, 250

    365,378,394,558-559

    262-263

    504504,509505503-505501-503

    504, 510

    505

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    Medical record card (MRC).for each family memberFor family

    For IP / IW

    Retention of ........... on deathWeeding out of ................

    1616-5516

    3737

    Mental diseases explainedMiscarriageCertificate of ............Definition etc. of

    Payment for day ofWeek of pregnancy to be shownMISLO=01 Schedule ofBenefits paidMoney order paymentprocedureMonthly summary of accidentreportsMuslim widow as guardianetc.Myocardial infarction

    explained

    358

    421-422405, 407, 421

    421421

    122-124

    117-119

    170

    298

    359

    NNervous ShockNew list of ESB diseasesPayment of benefit to

    Payment in absence or on deathof.

    146370-371129, 415,422, 423,427

    130

    Non-regulation certificatesNon-regulation formsNotice board of Branch OfficeConvicted IP's name..Payment hrs. on..Schedule sheet on.Notice of accidentNotice & certificate ofpregnancy (form 17)Notice of work

    887

    460131123167

    420412-413, 424-425

    O

    Occupational DiseasesAdditions to 3rd ScheduleBroken spellsCertificates of..Death cases to Hqrs.DefinitionDocumentationDoubtful cases to Hqrs.Employers' report in Form 12-AEnquiries at work place

    Excludes injury caused byaccidentHazardous processesIdentification of OD proneindustries-

    Managers roleIMO's roleIndustries vis-a-vis OD peculiarthereto

    PDB when TDB not claimedRef. to Spl. Med. Board not toawait termination of TDBRelaxation in service conditionReport to CIF

    193206204208191205207204204-205,216-218

    193209-210

    201202

    201-202,211-212207

    207193203

    Section 52 A on.Special Medical Boards

    Refce. of fresh as well as reviewcasesThird schedule to the ActTreatment centresOpening of S/B account by IPMgr to assist in

    Other important mattersconcerning IPs etc. (ChapterXII)Artificial limbsConfinement expenses for IW/IP'swife

    Medical care to permanentlydisabled and retired IPsUnemployment allowance underRGSKYVocational Rehabilitation SkillsDevelopment Scheme underRGSKYVocational rehabilitation Schemefor permanently disabled IPs

    191205-206, 219-224

    206,207195-197203

    122

    523-526

    521-522

    501-510

    527-543

    544-550

    511-520

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    12

    PPanel areas-procedure for Live

    ListsPartial dependenceIllustrative list of ...........Payee's acquittanceCashier's responsibility toobtainManager's responsibility toensure..Payment without ...........not validTreatment of docket without.Record of.......... made (schedulesheet)Rectification of incorrect.Stamped receipt

    Payment (s) (of benefits)Cashier responsible for anywrong.Cheque.... separate schedule forDB........ due to deceaseddependantDockets-custody ofIP claims he did not receive.IP not entitled to........ to beinformed earlyLunatic etc:...... to

    Payment by money orderFirst claim of PDB / DB notadmissible for.........of claim brought by agent

    Procedure for..........Payment hoursPayment slipPay Order: Cancel afterpaymentPending accident reports:return to ROPermanent acceptance CardPermanent disablementFinal AssessmentProv. assessmentPermanent DisablementBenefit (PDB)Advance PaymentAuthority to certify eligibilityClaim for complete months etc.

    Date revised rate payable onreviewFirst paymentIncreases in daily rate ofManager responsible for correctrate entryPayment while ESIC's appealpending in CourtPre-audit of rate etc.Pre-existing injury site: rate forfresh injury onSix monthly life certificateSubsequent payments

    563

    278

    127

    127127127-128

    122176-177122

    121123

    130126129

    115130

    116116

    116-119131115

    128

    18016,17

    227255-256

    250-252238238

    237233,257231,232,263

    256

    256-257255

    262238-239234,258

    TDB not having been claimed,

    date-payable in accident casesWhen claim becomes dueWhen claim becomes payablePermanent Identity Card- SeeIdentity cardsPermanently disabled personMedical benefit toDIC toPermanent partialdisablementDefinition - Sec. 2 (15A)Permanent total disablementDefinition - Sec.2 (15B)

    Personal Injury explainedPhotograph of IP/ FamilyPost Mortem exam. etc.IMO may arrange for..Not necessary when.Payment of feeRO may decide death casewithout reportPre-existing injury site

    Pregnancy related sicknessPrinted certificate booksExhaustion of.........Prohibited actAccident occurring whileperforming......Practice existing in violation

    of...........Proof of ageDependent children'sfor DBIPs for PDBProsecution (s) - Sec. 86Authority competent tosanction.

    Court competent to try complaintProcedure for..Written Complaint essential forProsecution of employerfor..Providing false information inESIC-32-repeated late submission of

    accident reports

    Protection from discharge etc.Provisional DB PaymentPublicity

    Public grievances (see alsoComplaints / grievances)Director..........Hqrs.RD as.......Officer

    233233233

    501-51039

    227

    227

    1455,6,8,10

    291293293

    293249, 262

    408-409

    89

    152

    152-153

    295248,249,267,268

    104

    104459-462104

    176

    168

    102,415299,30021

    466465

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    13

    QQuadriplegias-ESB also

    admissible

    Qualifying condition of ESB

    359

    360-363

    Question if old injury has

    aggravated 237

    RRare disease for ESBRate of DB - increases inRate of PDB - increases inRecalcitrant employees -regn. ofRecord Keeping at BranchOfficeRecords weeding outprogrammeRecovery notice to IP/IWRegd. midwife's certificateetc. (Reg. 94)

    Regional OfficeEmployment injury cases to......Official of ......BO to assistMedical BoardReference to Medical BoardbyRegister under Reg.32RegistrationBlank forms forDocuments to be preparedDouble.

    Duplicate identity cardsprocedureEmployees'..........Employers' communicationon ........... to beauthenticatedEmployer'sErroneous .Family residing at a differentplaceFamily residing in other stateForms for.........Inter-regional transferMass......... on A-DayMeaning of ..Office of..

    Persons leaving before A-DayProgress report on..Stamps for needed byemployerRegret SlipRegulation certificates-blankbooks ofRegulations10B. Regn. of factories/estts.10C submission of annualinformation by employer11. Declaration by persons inemployment on A-day

    371,384,385,399286-287231-232,263

    21

    473-474

    477-481454-455

    87,413

    179-180

    254

    253-25412

    7,201632-34, 62

    38-434

    45

    338

    25-27,5827,59- 61730-3220-2337

    2223

    8115,342

    72

    3

    4

    5

    12. Declaration by personsengaged after A-day14. Decl. form to be sent toApp. Office15. Allotment of Insurancenumbers15A. Regn. of families.

    15B changes in family16 ESIC to receive assistanceetc.17 Identity cards17A Certificate of employment17B Permanent acceptance card26 Returns of contributions32 Employees' register45 When claim becomes due46 Availability of claim forms47 Claim on wrong form48 Evidence in support of claim49 Defective claim50 Claim for inappropriatebenefit51 Authority for certifying

    eligibility52 Benefit when payable52A Abstention verification53 Evidence of sickness etc.54 Cert. by authorized persononly56 Time of granting medicalcertificate57 Medical certificate on firstexam58 Final certificate59 Intermediate certificate61 Special intermediatecertificate64 Failure to submit certificate65 Notice of Accident

    66 Accident Book68 Accident Report71 Beneficiary to submit tomedical exam. etc.72 Reference to Medical Board73 Report of Medical Board-Relaxation by DG on IP's deathetc.74 Occupational disease-specialmedical board75 ESIC to constitute Medicalboard/special medial board76B Commutation of PDB

    5

    5-6

    66

    6

    66665131296-9795959696

    96

    9897-9845383, 325

    71

    71-72

    727373-74

    70,74,77,8879-83167

    167167

    234229,250230

    263

    205-206

    23099,234

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    14

    77 Death report due toemployment injury78 Disposal of Body of IP dying

    of employment injury79 Death Certificate80 Claim for DB (Form 15)82 Intimation of decision re: DB83 Date of accrual of DB83 A Periodical claims for DB84 Review of DB

    86 Appointment of anotherguardian87 Notice of Pregnancy88 Mat. Benefit commencing

    before confinement89 Mat. Benefit afterconfinement etc.89A Mat. Benefit after IW'sdeath89B Mat. Benefit for relatedsickness90 Alt. evidence for mat. benefit91 Notice of work

    92 Date from which mat. benefitpayable93 Disqualification for mat.benefit94 Authority for issuingcertificate for mat. benefit95B Death report (for funeralexpenses)95C Death certificate (-do-)

    95D Other evidence of death95E Claim for funeral expenses96 Authority to determine valueof non-cash benefit is MC97 Discontinuance etc. ofbenefits by employer98 Employer may terminateemployee on prolongedincapacity etc.99 Suspension of SB or TDB99A Entitlement to benefitduring strike period

    103 Medical benefit for relapseof temp. disablement to IP inreceipt of PDB

    103A Medical benefit: durationetc.103B Med. benefit forpermanently disabled andsuperannuated105 Incapacity reference to MR106 Change of circumstances tobe notified by beneficiaries107 Six-monthly life certificateby PDB recipient

    107A Six-monthly life certificateetc. by dependant

    291

    291294307300285279,319282-285, 304-305

    302410

    410-411

    95,411

    411

    41187 413412-413, 424-425

    406-407

    414

    87 413

    432432

    432433-435

    99-100

    100-101

    10275,99

    101-102,452,453

    262-263

    365

    501441

    100

    238-239

    302

    107B Manager may askbeneficiary to be present at

    Branch Office for receivingPDB/DB etc.Relapse of temporarydisablement while IP inreceipt of PDB-Medical benefit for relapseperiod-TDB for relapse period

    Relaxation of ESIC'sResolution on ESB

    Repayment of benefitimproperly receivedReport to Regional Board onComplaints

    Retention period of BOrecordsRetired personsIssue of DIC is..Returns of contributions(RCs)Provisions in regulationsDisposal by Branch OfficeReceipt, checking, dispatchReminder to employerWatch-over register

    Return on pending accidentreports to RO

    Review Medical Boards (Sec.55)Review of dependants'benefitRM Series of FormsRM-1 Br. Mgrs. letter to MRRM-2 MR's letter to IPRM-3 MR's letter to IMORM-4 MR's reply to BranchManagerRM-5 MR's reply to IMORM-6 MR's record ofexamination of IPRM-10 MR's cert. to IP makinghim fitRM-1 (M)-List of incapacityreferencesRM-1(P)- List of incapacityreferences to part-time MR

    RM 1 (a)IMO's reference to MR foropinion and replies etc.Rubber stamps for RC / 103 AworkRules20A Appeal to MAT20B Appeal to E.I. Court54 Standard benefit Rate

    258, 302

    262-263263

    365,373,378,379, 383,396

    99,414,457

    467

    477-481

    43

    553554,555,564553-555555571

    180

    237,264282-285,304-305,321

    441441-442441-442442,445

    442,445

    442

    445

    442,445,483

    442,484

    441-442

    567

    230230327-330

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    15

    55 (1) Qualifying condition forSB55 (2) SB Rate56 Qualifying condition for mat.benefit56A Confinement expenses57 (2) Permanent disablementbenefit57 (3) TDB rate

    325-326

    331

    405

    415,521-522

    227173

    58 (1) (A). DB to widow,widowed mother and children58 (1)(B) DB to otherdependants

    59 Funeral expenses60 Medial benefit to thepermanently disabled

    61 Medical benefit to thesuperannuated62 Bar on grant of cash benefitsto convicted IP

    279-282

    280

    431

    501-510

    501-510

    104

    SSchedule of benefits

    paid(MISLO-01)Certificate to be recorded

    Exhaustion of SB to be shownin.Flyleaf to file of.Fresh claims to be showninPoints to be kept in mind whilepreparing.Separatefor M.O. Payments

    Scrutiny ofclaims/certificates

    Sections of the Act-Section 2 - Definitions:2(3). Confinement2(6A). Dependant2(8). Employment injury2(11). Family2(13A). Insurable employment2(14). Insured person2(15A). Permanent partialdisablement2(15B). Permanent totaldisablement2(20). Sickness2(21). Temporary disablementOther Sections-2A. Registration of factories andestts.45C-45I read with Sec.70 andReg.96.-

    Repayment etc. of benefitsimproperly received46(1)(b). Mat. benefit-periodical payments46(1)(c). Disablement benefitdefined46(1)(d). Dependant's benefitdefined46(1)(f). Funeral expenses51(b). Entitlement to PDB51A. Accident duringemployment presumed to arise

    from it etc.

    124

    124124-126

    124

    123-124123

    88-89,107,341,342

    40527714510-11360431

    227

    227325161

    3

    99-100

    405

    227

    27796,431227

    149

    51B. Accident while acting in

    breach of regulations etc.51C. Accident while travelling in

    employer's transport51D. Accident while meetingemergency52. Dependant's benefit-entitlement to52A. Occupational Disease

    54. Disablement question to bedecided by medical board54A (1) Reference to MedicalBoard54A (2) Appeal against MedicalBoard decision by IP/ESIC

    55 Review Medical Board55A Review of DB

    55(2) SB Rate56(3) second proviso Med.benefit to the permanentlydisabled and the superannuated58 (2) Excessive incidence of SBto be shared by State Govt.61 Bar of benefits under otherenactments.63 No SB/TDB etc. for paidleave/holiday/strike etc.

    64 Recipients of SB/TDB toobserve conditions (See alsoReg. 99)

    65 Benefits not be combinedetc.69 Employer's liability forexcessive SB in his factory etc.70 Repayment of benefitimproperly received72 Employer not to reducewages etc.: exceptions thereto73. Security of service duringsickness/maternity etc.74. Constitution of E.I.Court75. Matters to be decided by E.I.

    court

    153

    155-158

    158-160

    279-280191

    228

    228-229

    230

    237,264282-285,304-305331

    501-510

    335

    98

    101,162,452,453

    75 99 163

    99

    334-335

    99-100

    100-101

    102,415102-104

    103

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    16

    75(2A) Disablement Question-direction by E.I.Court76 Institution of proceedings

    etc.77. Time-limit for makingapplication to E.I. Court82 Appeal against E.I. courtdecision84 Punishment for falsestatement86 Prosecutions99 ESIC may enhance benefits

    Service Conditions for ESB

    Severely disabled personPayment at residence of .........

    Sickness arising out ofpregnancy, miscarriage,confinement etc.

    Sickness BenefitBar on..... to convicted IPClaim for .Excessive incidence of.Employer's liability forMaternity related sicknessMeasures to control incidencePaid holidays/leave to count aswaiting daysPreparation of claimQualifying conditionRecipients to observe conditions

    Regret slip where benefit notpayableState Govt. to share excessivecostTotal daysWaiting daysSix-monthly declaration forDBSix-monthly certificate forPDBSleep during employmentetc.

    228

    103-104

    96,237

    104

    104104355

    360-361,372,379

    117

    408-409, 411,423-424

    104334,339

    334-335408-409343-345334

    342325-32675,99,163,334

    342

    335331331-333

    302-303,320

    238,258

    148

    Special intermediatecertificateBY IMO

    By MR for over 28 daysPayment of SB/TDB onStandard benefit rate

    Statistical Chart

    StrainStrike period: SB controlmeasuresSubject-wise filesSubmission of annual

    information by employer(Reg. 10C)Superannuated personMedial benefit to:Super speciality medical careEligibility conditionExcluded categoriesRelaxation power with SMCSupplementary Live ListSupplementary RC -Precautions required

    Surety bondSuspension of BenefitNo.... where delay by IP inreporting for treatment afteraccident results in aggravationWhen IP fails to carry outinstructions etc.

    Symbols used in ESIC-38registers.

    73,74,77

    88342-343109-110,136,327-330

    475-476, 494-495147

    343-345

    34-36

    4

    501-510

    567-568568569563

    346

    130

    181

    75,79,99,163

    560-562

    TTable of standard benefit

    ratesTampered med. cert.: spotinvestigation forTemporary acceptance cardTemporary disablementDefinitionDelay in reporting for treatmentof.Long spells to be watchedMinimum duration of..Relapse of.Relapse when IP in receipt ofPDB

    327-330

    461

    23161

    181181-182161181

    262-263

    Termination of .When medical board declaresas..Temporary disablementbenefit (TDB)Conditions attached toDaily rate of..Day of accident: paymentof..forDefinition of.Duration of.

    245

    256

    162173-175

    181167161

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    17

    Payment at incorrect ratePayment in absence of ledgersheet

    Rate checking of..Recipients to observe conditionsSB in lieuWhen not payable (Sec. 63)Exceptions thereto (Reg. 99A)

    Temporary identificationcertificateTemporary residentsCertificate of employment(ESIC-105)Termination of service for

    prolonged sickness etc.

    176

    108

    175-17675,99,163169162101-102

    14-15 23 26

    37-38

    102,415

    Thumb ImpressionAttestation by another IPPad ink to be used for

    When Cashier can attestWhere required Thumb ismissingTime barred claim (s)Funeral expensesMaternity benefitRD's powers to admitTraining of employer's staff

    TransferInter-regional........of DB record

    ........of PDB recordRegister of ... of recordsTuberculosis explained

    121121

    121

    122

    434,438422462,46321

    30-32303

    25730358

    UUncertified periodBetween first/inter. certificateand admission in hospital

    Underpayment (s)Procedure for rectificationRegister of ...........Undertaking fromdependants claiming advanceDB payment

    75

    177177

    300

    Unemployment allowance byRajiv Gandhi Shramik KalyanYojna*Disqualification to.DurationEligibility conditionsForms for..Kinds of unemploymentMedical careProceduresRate of.Unexplained accidentUnreported accident

    Investigation ofUnusual cases of accident

    527-541

    528529527531-541527529529-530528160-161

    172160

    *See also Hqrs. Circular No. N-11/12/2003-Bft.II dt. 9th February, 2009 (page 542-

    543), which supersedes the earlier instructions.

    VVerification of wages etc.

    Visual record of payments

    Vocational rehabilitationscheme for disabled IPs

    Application from IP for ..Cash allowanceEligibility forEntry in PDB registerJourney fareLetter from VRC

    175-176 248 346

    474-475

    511-520

    514-516512,520511512512,520519

    Letter to VRCList of centres forProcedure for referenceRegister of cases at ROVocational RehabilitationSkill Development Schemeby Rajiv Gandhi ShramikKalyana YojnaDurationEligibilityFees, etc.Forms forProcedures forVoluntary miscarriage

    518513511-512517

    544544544546-550545407-408

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    18

    WWage verification / ratechecking etc.

    Waiting days of SB

    Waiting days for TDB neednot be continuous

    Weeding out of decl. forms,ledger sheets, MREs

    Weeding out of old records at

    Branch Office

    175-176 248 346

    331-333

    161

    36-37

    477 481

    Widower not a dependant

    Widow mother as dependant

    Workmen's CompensationAct, 1923Comparison with provisions inSec. 51B of ESI Act.

    Wrong PaymentsCashier personally responsiblefor any ......made by him

    277

    280

    153

    121