FORM No. I-D [Prescribed under Rule 3] Name of factory______________________ Particulars of rooms in the factory Name Lengt Bread Dimensions in meter Breathing space (contents in cubic Total volume of air in the of room in h in Mt. th in Mt. Height Maximu m in Mt Minimum in Mt Averag e Total area in Floor area facto ry Sq.Mt. occupi ed by machi Mt.) room in nery in the room cubic Mt z Number and size of the doors Ventilation Whethe r the room is to be used as a work room or for a storage room Date of constru ction Remarks Number and size of window openings Number and size of skylight openings Total area in sq. Mt. Maximu m capacity of the room Maximu m number of persons intended to be employed in the room Signature of Occupier___________ Signature of manager___________ Page 108 of 151
