Download ESIC FORM 11
Download ESIC FORM 11 ACCIDENT BOOK EMPLOYEES’ STATE INSURANCE CORPORATION
As per Regulation 66 Every employer shall—
(i) Keep a book readily accessible (hereinafter called ‘the Accident Book’) in [Form 11], in whichthe appropriate particulars of any accident causing personal injury to an insured person may be entered;
(ii) Preserve every such book when it is completed for a period of five years from the date of the last entry thereon:
PROVIDED that it shall be necessary to enter in the said Accident Book particulars of any employment injury caused by an occupational disease specified in Schedule III to the Workmen’s Compensation Act, 1923:PROVIDED FURTHER that an employer shall be deemed to have complied with this regulation sufficiently if in any register maintained by him, the appropriate particulars are also shown.