Safety Declaration Form for India

Safety Declaration Form Template for India

A Safety Declaration Form is a legally binding document used in India to formally declare compliance with safety regulations, standards, and practices as mandated by Indian workplace safety laws, including the Occupational Safety, Health and Working Conditions Code, 2020, and related legislation. The document serves as an official attestation of safety measures implemented, risk assessments conducted, and emergency procedures established within a facility or organization. It includes comprehensive declarations about safety training, equipment maintenance, hazard management, and incident reporting protocols, providing accountability and documentation for regulatory compliance.

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What is a Safety Declaration Form?

The Safety Declaration Form is a fundamental document required under Indian safety regulations to ensure organizational accountability and compliance with safety standards. This declaration is typically required when establishing new facilities, during periodic safety audits, or when implementing significant operational changes. The form serves as a formal attestation that an organization has implemented all necessary safety measures, conducted required risk assessments, and established appropriate emergency procedures as mandated by Indian law. It encompasses declarations regarding various aspects of workplace safety, including but not limited to equipment safety, personnel training, hazard management, and emergency response protocols. The document is designed to align with key Indian legislation such as the Occupational Safety, Health and Working Conditions Code, 2020, the Factories Act, 1948, and other relevant safety regulations.

What sections should be included in a Safety Declaration Form?

1. Declaration Header: Contains the document title, date, and reference number for tracking purposes

2. Declarant Information: Details of the person/entity making the declaration, including name, designation, and contact information

3. Facility/Site Information: Specific details about the facility or site covered by the safety declaration

4. General Safety Compliance: Basic declaration of compliance with relevant safety laws and regulations

5. Risk Assessment Statement: Confirmation that all relevant risks have been assessed and documented

6. Safety Measures Implementation: Declaration of implemented safety measures and protocols

7. Emergency Procedures: Confirmation of established emergency procedures and protocols

8. Training Confirmation: Declaration regarding safety training status of relevant personnel

9. Incident Reporting Commitment: Statement committing to proper incident reporting procedures

10. Declaration Statement: Final declaration statement and signature block

What sections are optional to include in a Safety Declaration Form?

1. Hazardous Materials Declaration: Required when the facility handles hazardous materials or substances

2. Environmental Impact Statement: Needed when operations have significant environmental implications

3. Machinery Safety Certification: Required for facilities with heavy machinery or specialized equipment

4. PPE Compliance: Detailed section on Personal Protective Equipment when applicable to the workplace

5. Chemical Safety Measures: Required for facilities handling chemicals or dangerous substances

6. Height Work Safety: Necessary for construction sites or facilities with high-elevation work

7. Confined Space Operations: Required for facilities with confined space work areas

What schedules should be included in a Safety Declaration Form?

1. Schedule A - Risk Assessment Checklist: Detailed checklist of identified risks and mitigation measures

2. Schedule B - Emergency Contact List: List of emergency contacts and response team members

3. Schedule C - Safety Equipment Inventory: Inventory of safety equipment and maintenance records

4. Appendix 1 - Incident Reporting Forms: Standard forms for reporting safety incidents and near-misses

5. Appendix 2 - Safety Training Records: Documentation of completed safety training programs

6. Appendix 3 - Safety Inspection Certificates: Copies of relevant safety inspection certificates and permits

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

India

Publisher

Genie AI

Document Type

Declaration Form

Cost

Free to use
Relevant Industries

Manufacturing

Construction

Chemical Processing

Mining

Oil and Gas

Pharmaceuticals

Logistics and Warehousing

Infrastructure Development

Heavy Industry

Food Processing

Textile Industry

Automotive

Electronics Manufacturing

Steel and Metallurgy

Power Generation

Relevant Teams

Health and Safety

Operations

Facilities Management

Risk Management

Compliance

Quality Assurance

Environmental Health

Production

Site Operations

Emergency Response

Maintenance

Security

Human Resources

Legal

Training and Development

Relevant Roles

Health and Safety Manager

Facility Manager

Operations Director

Plant Manager

Safety Officer

Compliance Manager

Risk Assessment Officer

Environmental Health Officer

Production Manager

Site Supervisor

Quality Control Manager

Chief Operations Officer

Industrial Safety Engineer

Occupational Health Specialist

Emergency Response Coordinator

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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