986

THE NEW ZEALAND GAZETTE.

[No. 29

Form F. 5B.

Under "The Factories Act, 1908" (Sections 17 and 22).

TIME, WAGES, AND OVERTIME BOOK.

Week ending , 191 .

Name. Age if under 20 Years. Occupation. First Day. Second Day. Third Day. Fourth Day. Fifth Day. Sixth Day. Hours worked. Total Hours. Ordinary Time. Overtime. Ordinary Rate of Pay. Total Wages. Remarks.

Form F. 5C.

Under "The Factories Act, 1908" (Section 17).

ALTERNATIVE FORM OF TIME, WAGES, AND OVERTIME BOOK.

Name of employee : . Occupation :

Week ending 191 .

First Day. Second Day. Third Day. Fourth Day. Fifth Day. Sixth Day. Hours worked. Total Hours. Ordinary Time. Overtime. Ordinary Rate of Pay. Total Wages. Remarks.

Form F. 6A.

Under "The Factories Act, 1908" (Section 24).

[To be posted in some conspicuous part of the factory.]

OVERTIME WARRANT

(For women and boys).

Department of Labour, , 191 .

To

PERMISSION is granted for the undermentioned persons to work overtime in the trade from p.m. till p.m. on the instant.

[Names.]

, Inspector.

"The Factories Act, 1908," section 24, subsection (6).—"Notice shall, during some part of the working-day immediately preceding that on which the extension is intended to apply, be given to every woman or boy to whom such extension is intended to apply; or, where such notice is impracticable, the occupier shall, in addition to any payment for overtime, provide every such woman or boy who resides at a further distance than one mile from the factory either with a sufficient meal between the hour at which the factory ordinarily closes and the hour at which the extension is to commence, or with an allowance of not less than one shilling, such allowance to be paid on the day on which such extension is to apply not later than the hour at which the factory ordinarily closes."

Section 22 (3).—“Provided also that when the ordinary rate is by time, and not by piecework, the overtime rate shall not be less than sixpence per hour for those persons whose ordinary wages do not exceed ten shillings a week, and ninepence per hour for all other persons so employed, and shall be paid at the first regular pay-day thereafter.”

Form F. 7A.

Under "The Factories Act, 1908" (Section 29).

CERTIFICATE OF FITNESS.

I, THE undersigned Inspector of Factories, hereby certify that I am satisfied by the production of that is of the age of years, that he [she] has passed the Standard, or an equivalent examination, and is fit for employment in the factory of , in the trade of , or in any other factory in the same line of trade.

Dated at , this day of , 191 .

[Initials of Inspector, and date.]

, Inspector.

Form F. 8A.

Under "The Factories Act, 1908" (Section 33).

CERTIFICATE OF EMPLOYMENT Of

Period of Employment. From To Years. Months. Weeks.

Length of Employment.

This is to certify that has been employed in factory in the trade, department, during the period set opposite.

Dated this day of , 191 .

, Occupier.

This is to certify that has been employed in factory in the trade, department, during the period set opposite.

Dated this day of , 191 .

, Occupier.

Note.-This certificate should be retained by the employee, and filled up by each of his employers.

Form F. 8B.

Under "The Factories Act, 1908" (Section 33 (3)).

REGISTER OF PERSONS EMPLOYED BY

Address : . Trade:

Full Name of Person employed. Department. Period of Employment. From To Years. Months. Weeks. Length of Employment. Date of Issue of Certificate of Employment. Remarks.

Form F. 9A.

Under “The Factories Act, 1908” (Section 41 (a)).

NOTICE OF ACCIDENT.

[To be served by occupier on Inspector.]

, 191 .

The Inspector of Factories,

I HAVE to notify you of an accident that occurred in my factory on , 191 , to , aged , residing at .

He was removed to .

The following are particulars of the accident:

, Occupier.

[Trade.]

Section 41 (b).—"If the notice is not duly served as aforesaid within forty-eight hours after the accident occurred, the occupier shall be liable to a fine not exceeding ten pounds."

Form F. 10A.

Under "The Factories Act, 1908" (Section 66 (d)).

NOTICE OF APPEAL FROM REQUISITION OF INSPECTOR OF FACTORIES.

In the matter of "The Factories Act, 1908," and of a requisition by , of , an Inspector under the said Act, dated the day of , 191 .

NOTICE is hereby given that I, [we,] the occupier upon whom the said requisition has been served, consider such requisition to be unreasonable, and desire to appeal therefrom. The grounds of the appeal are set forth in the attached memorandum marked "A." A true copy of the said requisition is also attached hereto, marked "B."

Dated at , this day of , 191 .

To the Clerk of the Magistrate's Court, .

, Occupier of Factory.