London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
St Giles (Camden) 1893
Annual report for the year ending 25th March 1894
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98
FORM PRESCRIBED BY THE SECRETARY OF
STATE.
Outworkers—Form for use of.
Duplicate—Occupier, Contractor.
Factory and Workshop Act, 54 & 55 Vict., c. 75, sec. 27.
(Outworkers).
Address of Factory or Workshop
Name of Occupier of Factory or Workshop
Business carried on
Names of persons employed (by the occupier) outside the
Factory (or workshop) in the business of the Factory (or
workshop) where they are employed, viz.—
A.—
| Christian and Surname. | Place where employed. |
|---|---|
| (or a Contractor with the occupier and the places where | |
| they are employed) viz.— | |
| B.—Persons so employed as Contractors. | |
| Christian and Surname. | Place where employed. |
Note.—In order that these lists may be correct lists of
persons employed at any given time, it will be necessary
that the name of any person newly taken into employment
should be immediately entered, and the name of any person
ceasing to be employed should be immediately struck
through.