Form No. 7: Avesta Pharma Pvt. LTD., Vikramgad

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

Dr. Uttam R. Babar
{Prescribed under
HEALTH
From:
To:
Rule 18 (7)}
REGISTER

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

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

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

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

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

Form No. 7: Avesta Pharma Pvt. LTD., Vikramgad

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1

Name of certifying Surgeon

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Date of Medical Examination by

Name of certifying Surgeon

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Name of certifying Surgeon

Date of Medical Examination by

{Prescribed under Rule 18 (7)}

AVESTA PHARMA PVT. LTD., VIKRAMGAD

Date of Medical Examination by

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