कर्मचारी राज्य बीमा निगम निरीक्षण कार्यालय, Korba
(श्रम एवं रोजगार मंत्रालय, भारत सरकार) ESI Hospital Complex, Dingapur,
EMPLOYEES” STATE INSURANCE CORPORATION Inspection Office Rampur, Korba
495677 E
MinistryofLabour&Employment,Govt.ofIndia)
Phone No. 07759-247087
_________________________________________________________________________________
Ref No. Date :
VISIT NOTE(FIRST VISIT)
Shri/Smt./Ms._______________________________________________
M/S_______________________________________________________
__________________________________________________________
__________________________________________________________
LIN________________________
ESI CODE NO.___________________
Ref :- Inspection of records of your Factory/Establishment U/S 45 0f ESI Act. 1948
Dear Sir/Madam,
Please refer to my visit to your factory/establishment on _________________with advance
intimation for inspection of records under section 45(2) of the ESI Act 1948 to ascertain compliance
under the provisions of the ESI Act.Shri/Smt./Ms________________________________________
who was available at the time was contacted by me. All the relevant records are/were, however, not
produced before me for inspection purposes on the above date i.e __________________ though
prior notice of my visit was given to you.
Non-production of records before the Social Security Officer Under section 45(2) of the ESI Act
amounts to obstruction of the SSO and/or non-compliance under the ESI Act attracts Prosecution
Action Under Section 85 of the ESI Act. This will also attract other action against you in accordance
with the provisions of the ESI Act. However before recommending legal action as mentioned above
to the Regional Director and accepting your request for adjournment of inspection, you are given
another opportunity to produce the following records of your factory/establishment
on____________ when I will be visiting your Factory/Establishment between___________AM/PM.
The details of records to be produced by you are as under:-
1. All Attendance Registers for the period from___________ to __________ or last five years of
date of inception whichever is earlier.
2. All Wages Registers for the period from___________ to __________ or last five years of date
of inception whichever is earlier.
3. Accounts Books, Ledgers, Cash Books, Day Books, Journals and subsidiary books of accounts
along with vouchers and other documents.
4. All Registers to be maintained ( such as Form-7, Accident Register, Inspection Books) under
ESI General Regulations.
5. Challans for payment of contributions made from starting of factory/last five years to current
date.
6. Returns submitted Inspection of Factories/Commissioner of Shops & Establishments etc.
including for application for Licence/renewal of licence under various Acts.
7. Any other documents relating to your factory/Establishment relevant to the employment
position and payment of wages, Remuneration etc.
8. Audited Balance Sheet, Trial Balance and Profit & Loss A/C for the above referred periods.
Please note that no further postponement of inspection will be allowed and in case of failure to
produce all or any of the records detailed above on the above said date, I will have no other
alternative but to recommend the case to the Regional Director for Criminal Prosecution or other
Legal Action against you as per law.
( JITENDRA KR SINGH)
SOCIAL SECURITY OFFICER
Mob No. 9433390422
Copy forwarded to Asst Director/Dy. Director, PICI Br, R.O Raipur for information and necessary
action.
Monthly Wages Calculation
Name: Lt. Dilip Partagiri
IP No: 5917308385
Date of Appointment: 13.02.2020
Date of Accident: 17.11.2020
Gross Income in October-2020: 8866.00
Total days worked during month: 27
Total Income in 01 days: 328.37
Total Income in full month (328.37X26): 8537.62
Per days Wages: (8537.62 /26): 328.37