📍 When to use this template
- At the start of a project and updated monthly for all contractors.
- Whenever a new specialized activity (e.g., heavy lift, specialized welding, confined space entry) is planned.
- Filled by the Contractor's Site In-charge/HR and verified by the PMC Safety/Execution team before allowing work.
Sections & fields
Preview of the template structure. Download Excel to fill on site.
1Header / Project Information8 fields
Project Name
_____________
Contractor Name
_____________
Contract Package No.
_____________
Document Number
_____________
Date of Submission
_____________
Revision No.
_____________
Prepared By (Contractor)
_____________
Verified By (PMC)
_____________
2Worker Identification6 fields
Worker ID / Gate Pass No.
_____________
Trade / Designation (e.g., Fitter, Welder, Rigger, Mason)
_____________
Sub-contractor Name (if any)
_____________
Date of Joining Project
_____________
3Skill & Competency Details5 fields
Primary Skill
_____________
Skill Level (Skilled / Semi-Skilled / Un-Skilled)
_____________
Years of Experience (Total)
_____________
Years of Experience (On this project)
_____________
Secondary Skill (if any)
_____________
4Certification & Training Record7 fields
Certification Name (e.g., 6G Welder, Rigger Level-1, Scaffolder)
_____________
Issuing Authority (e.g., TUV, BV, Internal)
_____________
Certificate No.
_____________
Last Training Attended (e.g., Safety Induction, H2S, First Aid)
_____________
Training Date
_____________
5Medical Fitness & Statutory Compliance6 fields
Medical Fitness Certificate Status (Fit/Unfit)
_____________
Date of Last Medical Check-up
_____________
BOCW Registration No.
_____________
PF / UAN No.
_____________
💡 Sample filled excerpt
Worker: Ramesh Kumar | Trade: Structural Welder | Primary Skill: 6G SMAW Welding | Certification: TUV SUD, Cert# TUV-W-12345, Valid Upto: 15-Dec-2024 | BOCW No: DL123456789
⚖ Compliance notes
- Helps ensure compliance with BOCW Act, 1996, which mandates employing competent persons for specific tasks.
- Crucial for audits (internal & external) to demonstrate that skilled jobs are performed by certified personnel.
- Supports Rule 225 of BOCW (Central) Rules, 1998, regarding health and safety policy and worker competency.
- Aids in fulfilling requirements of the Contract Labour (Regulation and Abolition) Act, 1970 by maintaining worker records.