PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (1)
Proforma–I
Accidental Deaths due to Natural Calamities
State/UT/City_______________________________ Year ______
Number
of
Accidental
Female
Male
Sl.
No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Factors
2
Avalanche
Exposure to cold
Cyclone
Tornado
Tsunami
Starvation due to
natural calamity
Earthquake
Epidemic
Flood
Heat/Sun Stroke
Landslide
Lightning
Torrential Rain
Forest Fire
Other Natural
Causes
Total (sum of Sl. 1
to 15)
14 and
above
below
–
14
below
years
18
years
3
4
18 and
above
–
below
30
years
30 and
above
–
below
45
years
5
6
45 and
14 and 18 and
above 60
above above
Total below
–
years
–
–
(Col. 3 14
below
&
below below
– 8) years
60
above
30
18
years
years years
7
8
9
10
11
12
Sl.-15: Other natural calamities not listed above only should be reported under this head.
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
14 and 18 and
above above
above 60
Total
below
–
–
–
years (Col.
14
below below
below
&
10 years
18
30
60
above 15)
years years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 23)
60
above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (2)
Proforma–II
Profile of Accidents due to Un-natural Causes
State/UT/City_______________________________ Year ______
No. of Persons Injured
Sl. No.
Causes
1
1
2
3
4
5
6
7
No. of
Cases
2
Air Crash
Ship Accidents
Collapse of Structure (Total) (sum of 3.1 to 3.5)
3.1 Collapse of Dwelling House/Residential building
3.2 Collapse of Official/Commercial Building
3.3 Collapse of Dam
3.4 Collapse of Bridge
3.5 Others
Drowning (Total) (sum of 4.1 to 4.3)
4.1 Boat Capsize
4.2 Accidental Falls into Waterbody
4.3 Other Cases
Electrocution
Accidental Explosion (Total) (sum of 6.1 to 6.4)
6.1 Domestic Gas Cylinder
6.2 Industrial Boiler/Gas cylinder explosion
6.3 Ammunition explosion in Armed Forces/Police/CPMF
6.4 Others
Falls (Total) (sum of 7.1 to 7.6)
7.1 Fall from Height
7.2 Fall from Vehicles (Automobiles like Bus, Truck, etc.)
7.3 Fall into Manhole
7.4 Fall into Pit
7.5 Fall into Borewell
7.6 Others
Male
3
Female
4
5
No. of Persons Died
Transgender
Total (Col.
4+5+6)
6
7
Male
Female
8
9
Transgender
Total (Col.
8+9+10)
10
11
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (3)
Proforma–II (Concluded)
No. of Persons Injured
Sl. No.
Causes
1
8
9
10
11
12
13
14
15
16
No. of
Cases
2
Male
3
Female
4
5
No. of Persons Died
Transgender
Total (Col.
4+5+6)
6
7
Male
Factory/Machine accidents
Accidental Fire (Total) (sum of 9.1 to 9.5)
9.1 Electrical Short circuit
9.2 Riot/Agitation
9.3 Fireworks
9.4 Cooking Gas cylinder/stove burst
9.5 Other Causes
Firearm
Mines or Quarry disaster
Traffic Accidents (Total) (sum of 12.1, 12.2 & 12.3)
12.1 Road Accidents Total (sum of 12.1.1 & 12.1.1)
12.1.1 Which led into Road Rage incidents
12.1.2 Other Road Accidents
12.2 Railway Crossing Accidents
12.3 Railway Accidents
Stampede
Other Unnatural Causes
Causes not known
Total (sum of Sl. 1 to 15)
Sl.-12.1.1: Refers to road accidents which resulted into violence causing destruction of property and physical injuries or even death.
Sl.-12.2: Also include accidents reported at unmanned railway crossings.
Female
8
9
Transgender
Total (Col.
8+9+10)
10
11
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (4)
Proforma–II(A)
Fire Accidents classified according to Place of Occurrence
State/UT/City_______________________________ Year ______
Sl. No.
1
1
2
3
4
5
6
7
8
9
10
11
2
Fire in School Buildings
Fire in Commercial Buildings
Fire in Residential/Dwelling Buildings
Fire in Government Buildings
Fire in the Mines
Fire in Factory manufacturing combustible materials
including Cracker/Match Box Factories
Fire in the factories (other than Sl.– 6)
Accidental Fire in Train(s)
Accidental Fire in Vehicles (Automobiles) (Total)
(sum of 9.1 to 9.3)
9.1 Passenger Vehicle (e.g. Bus/Taxi/Auto/etc.)
9.2 Private Vehicle
9.3 Goods Carriers
Others
Total (sum of Sl. 1 to 10)
No. of Persons Injured
No. of
Cases
Place of occurrence
Male
3
Female
4
No. of Persons Died
Total (Col.
4+5+6)
6
7
Transgender
5
Male
Female
8
Total (Col.
8+9+10)
10
11
Transgender
9
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (5)
Proforma–III
Age Wise Distribution of Accidental Deaths by Un-Natural Causes
State/UT/City_______________________________ Year ______
Number
of
Male
Sl.
No.
1
1
2
3
2
Air Crash
Ship Accidents
Collapse of Structure
(Total) (sum of 3.1 to 3.5)
3.1 Collapse of Dwelling
House/Residential building
4
5
14 and
below above
14
–
years below
18 yrs
Causes
3.2 Collapse of
Official/Commercial
Building
3.3 Collapse of Dam
3.4 Collapse of Bridge
3.5 Others
Drowning (Total) (sum of
4.1 to 4.3)
4.1 Boat Capsize
4.2 Accidental Falls into
Waterbody
4.3 Other Cases
Electrocution
3
4
18 and
above
–
below
30
years
30 and
above
–
below
45
years
5
6
45 and
14 and
above 60
Total below above
–
years
(Col. 14
–
below &
3 – 8) years below
60 above
18 yrs
years
7
8
9
10
11
Accidental
Female
18 and
above
–
below
30
years
30 and
above
–
below
45
years
12
13
Deaths
Transgender
45 and
14 and 18 and
above 60 Total
above above
below
–
years (Col.
–
–
14
below below
below &
10 –
years
18
60 above 15)
30
years years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60 Total (Col.
–
years (Col. 9+16+
below &
17 - 23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (6)
Proforma–III (Contd...)
Number
of
Male
Sl.
No.
1
6
7
8
Causes
2
Accidental Explosion
(Total) (sum of 6.1 to 6.4)
6.1 Domestic Gas Cylinder
6.2 Industrial Boiler/Gas
cylinder explosion
6.3 Ammunition explosion
in Armed
Forces/Police/CPMF
6.4 Others
Falls (Total) (sum of 7.1 to
7.6)
7.1 Fall from Height
7.2 Fall from Vehicles
(Automobiles like Bus,
Truck, etc.)
7.3 Fall into Manhole
7.4 Fall into Pit
7.5 Fall into Borewell
7.6 Others
Factory/Machine accidents
14 and
below above
14
–
years below
18 yrs
3
4
18 and
above
–
below
30
years
30 and
above
–
below
45
years
5
6
45 and
14 and
above 60
Total below above
–
years
(Col. 14
–
below &
3 – 7) years below
60 above
18 yrs
years
7
8
9
10
11
Accidental
Female
18 and
above
–
below
30
years
30 and
above
–
below
45
years
12
13
Deaths
Transgender
45 and
14 and 18 and
above 60 Total
above above
below
–
years (Col.
–
–
14
below below
below &
10 –
years
18
60 above 15)
30
years years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60 Total (Col.
–
years (Col. 9+16+
below &
17 - 23)
60 above 22)
years
21
22
23
17
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (7)
Proforma–III (Concluded)
Number
of
Male
Sl.
No.
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
30
45
18 yrs
years years
Causes
1
2
3
4
5
6
45 and
14 and
above 60
Total below above
–
years
(Col. 14
–
below &
3 – 7) years below
60 above
18 yrs
years
7
8
9
Accidental Fire (Total)
9
(sum of 9.1 to 9.5)
9.1 Electrical Short circuit
9.2 Riot/Agitation
9.3 Fireworks
9.4 Cooking Gas
cylinder/stove burst
9.5 Other Causes
10 Firearm
11 Mines or Quarry disaster
12
Traffic Accidents (Total)
(sum of 12.1, 12.2 & 12.3)
12.1 Road Accidents Total
(sum of 12.1.1 & 12.1.1)
13
14
15
16
12.1.1 Which led into
Road Rage incidents
12.1.2 Other Road
Accidents
12.2 Railway Crossing
Accidents
12.3 Railway Accidents
Stampede
Other Unnatural Causes
Causes not known
Total (sum of Sl. 1 to 15)
Sl.-12.1.1: Refers to road accidents which resulted into violence causing death.
Sl.-12.2: Also include accidents reported at unmanned railway crossings.
10
11
Accidental
Female
18 and
above
–
below
30
years
30 and
above
–
below
45
years
12
13
Deaths
Transgender
45 and
14 and 18 and
above 60 Total
above above
below
–
years (Col.
–
–
14
below below
below &
10 –
years
18
60 above 15)
30
years years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60 Total (Col.
–
years (Col. 9+16+
below &
17 - 23)
60 above 22)
years
21
22
23
17
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (8)
Proforma–IV
Profile of Accidents due to Other than Un-natural Causes
State/UT/City_______________________________ Year ______
No. of Persons Injured
Sl. No.
Causes
2
1
1
2
3
4
5
6
7
8
No. of Cases
Sudden Deaths (Total) (sum of 1.1 to 1.3)
1.1 Industrial Accidents
1.2 Heart Attack
1.3 Others
Deaths of Women during Pregnancy (Total) (sum of 2.1
to 2.2)
2.1 Due to Abortions
2.2 Due to Other accidents during Pregnancy
Deaths Due to consumption of Illicit/Spurious Liquor
Killed by animals
Poisoning (Total) (sum of 5.1 to 5.3 & 5.4 to 5.6)
5.1 Food Poisoning
5.2 Accidental intake of Insecticides/Pesticides
5.3 Poisonous Gases (Total) (sum of 5.3.1 & 5.3.2)
5.3.1 Carbon Monoxide (CO) Gas
5.3.2 Other poisonous Gases
5.4 Snake bite
5.5 Animal/Reptiles/Insects bite
5.6 Other
Suffocation
Drug Overdose
Total (sum of Sl. 1 to 7)
3
Male
Female
4
Transgender
5
6
No. of Persons Died
Total (Col.
4+5+6)
Male
7
Female
8
Total (Col.
8+9+10)
10
11
Transgender
9
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (9)
Proforma–V
Age Wise Distribution of Accidental Deaths due to Other than Un-natural Causes
State/UT/City_______________________________ Year ______
Sl.
No.
Causes
2
1
1
2
3
4
below 14 and
14 above
years
–
below
18 yrs
Sudden Deaths (Total)
(sum of 1.1 to 1.3)
1.1 Industrial Accidents
1.2 Heart Attack
1.3 Others
Deaths of Women
during Pregnancy
(Total) (sum of 2.1 to
2.2)
2.1 Due to Abortions
2.2 Due to Other
accidents during
Pregnancy
Deaths Due to
consumption of
Illicit/Spurious Liquor
Killed by animals
3
4
Number
of Accidental
Deaths
Transgender
M a l e (M)
F e m a l e (F)
Grand
18 and 30 and 45 and 60
Total below 14 and 18 and 30 and 45 and 60 Total
14 and 18 and 30 and 45 and
Total
above above above years (Col.
14 above above above above years (Col.
above above above above 60 Total (Col.
–
–
–
&
3 – 8) years
–
–
–
–
&
10 - below
–
–
–
–
years (Col. 9+16+
14
below below below below above 15)
below below below above
below below below below
&
17 – 23)
years
18 yrs 30
30
45
60
45
60
18
30
45
60 above 22)
years years years
years years years
years years years years
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (10)
Proforma–V (Concluded)
Sl.
No.
1
below 14 and
14 above
years
–
below
18 yrs
Causes
2
5 Poisoning (Total) (sum
of 5.1 to 5.3 & 5.4 to 5.6)
5.1 Food Poisoning
5.2 Accidental intake of
Insecticides/Pesticides
5.3 Poisonous Gases
(Total) (sum of 5.3.1 &
5.3.2)
5.3.1 Carbon Monoxide
(CO) Gas
5.3.2 Other poisonous
Gases
5.4 Snake bite
5.5 Animal/Reptiles/
Insects bite
5.6 Other
6 Suffocation
7 Drug Overdose
8 Total (sum of Sl. 1 to 7)
3
4
Number
of Accidental
Deaths
Transgender
M a l e (M)
F e m a l e (F)
Grand
18 and 30 and 45 and 60
Total below 14 and 18 and 30 and 45 and 60 Total
14 and 18 and 30 and 45 and
Total
above above above years (Col.
14 above above above above years (Col.
above above above above 60 Total (Col.
–
–
–
&
3 – 8) years
–
–
–
–
&
10 – below
–
–
–
–
years (Col. 9+16+
14
below below below below above 15)
below below below above
below below below below
&
17 – 23)
years
18 yrs 30
30
45
60
45
60
18
30
45
60 above 22)
years years years
years years years
years years years years
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (11)
Proforma–VI
Details of Road Accident Deaths According to Type of Vehicle and Mode of Transport Involved (Culpability vis-à-vis Fatality)
State/UT/City_______________________________ Year ______
Number of Persons affected by Road Accidents
Sl. No.
Mode of Transport
2
1
Driver of Offending vehicle/Offending Padestrian
Died
Injured
M
F
TR
T
M
F
TR
3
4
5
6
7
8
9
Victims
Died
T
10
M
11
F
12
TR
13
T
14
M
15
Injured
F
TR
16
17
Total (sum of 1.1 to 1.4)
1.1 Normal Goods Carriers
1
Truck/Lorry
1.2 Trailer/Container Carriers
1.3 Tankers
1.4 Others
Total (sum of 2.1 to 2.3)
2
Bus
2.1 Government
2.2 Private
2.3 School Bus
Total (sum of 3.1 to 3.3)
3
SUV (7 & 8 Seater)/
StationWagon/etc.
3.1 Government
3.2 Private
3.3 Taxi
Total (sum of 4.1 to 4.3)
4
Car (4 & 5 Seater)
4.1 Government
4.2 Private
4.3 Taxi
Total (sum of 5.1 to 5.2)
5
Jeep
6
Tractor
7
Three Wheeler/Auto
rickshaw
5.1 Government
5.2 Private
Total (sum of 7.1 to 7.2)
7.1 Passenger Carriers
7.2 Goods Carriers
Sl.-1.2: Heavy vehicles carrying large cargo/vehicles towed by another vehicle/vehicle having platform for transporting another vehicle, ship, etc.
Sl.-1.3: Road vehicles carrying liquids like oil, water, milk, etc.
Sl.-3.3: SUV licensed to transport passengers in return for payment of a fare.
Sl.-4.3: Car licensed to transport passengers in return for payment of a fare.
T
18
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (12)
Proforma–VI (Concluded)
Number of Persons affected by Road Accidents
Sl. No.
Driver of Offending vehicle/Offending Padestrian
Mode of Transport
Died
M
2
1
F
3
TR
4
T
5
M
6
F
7
Two Wheeler
8.1 Motor Cycle
8.2 Scooter
8.3 Others
9
Other Motor Vehicles
10
Sub-Total (sum of Sl. 1 to 9)
11
Bicycle
12
Hand Drawn Vehicle/Cycle rickshaw (Passenger)
13
Animal Drawn Vehicle
14
Pedestrian
15
Others
16
Sub-Total (sum of Sl. 11 to 15)
17
Grand Total (sum of Sl. 10 & 16)
Died
TR
8
Total (sum of 8.1 to 8.3)
8
Victims
Injured
Sl.-14: Pedestrian is a person who is walking and/or person not travelling in any mode of transport.
T
9
10
M
11
F
12
Injured
TR
13
T
14
M
15
F
16
TR
17
T
18
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (13)
Proforma–VII
Road Accidents Classified According to classification of Road
State/UT/City_______________________________ Year ______
Sl. No.
1
1
2
3
4
5
2
National Highways
State Highways
Expressways
Other Roads
Total (sum of Sl. 1 to 4)
No. of Persons Injured
No. of
Cases
Classification of Roads
Male
3
Female
4
Transgender
5
6
No. of Persons Died
Total (Col.
4+5+6)
Male
7
Female
8
Total (Col.
8+9+10)
10
11
Transgender
9
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (14)
Proforma–VIII
Road Accidents Classified According to Place of Occurence
State/UT/City_______________________________ Year ______
No. of Persons Injured
Sl. No.
No. of
Cases
Place of Occurrence
1
Rural Area
1
Near School/College/Educational institution
2
Near Residential area
3
Near religious place
4
Near recreation place/cinema hall
5
Near Factory
6
Other Rural Area
Sub Total (Rural) (sum of Sl. 1 to 6)
7
Urban Area
8
Near School/College/Educational institution
9
Near Residential area
10 Near religious place
11 Near recreation place/cinema hall
12 Near Factory/Industrial area
13 At Pedestrian crossing
14 Other Urban Area
15 Sub Total (Urban) (sum of Sl. 8 to 14)
16 Grand Total (sum of Sl. 7 & 15)
2
Male
3
Female
4
No. of Persons Died
Transgender
5
6
Total (Col.
4+5+6)
7
Male
Female
8
Transgender
9
10
Total (Col.
8+9+10)
11
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (15)
Proforma–IX
Road Accidents Classified According to Causes and Unmanned Railway Crossing Accidents
State/UT/City_______________________________ Year ______
No. of Persons Injured
Sl. No.
Causes
1
1
2
3
4
5
6
7
8
9
10
11
12
13
No. of Cases
2
Dangerous/Over-taking/Careless/etc.
Overspeeding
Driving under influence of drug/alcohol
Physical fatigue of Drivers
Defect in Mechanical condition of Motor Vehicle
Animal Crossing
Weather condition (sum of 7.1 & 7.2)
7.1 Poor visibility
7.2 Others causes of weather condition
Lack of road infrastructure
Vehicles Parking at road shoulders
Unmanned Railway Crossing
Causes not known
Other Causes
Total (sum of Sl. 1 to 12)
3
Male
Female
4
No. of Persons Died
Transgender
5
6
Total (Col.
4+5+6)
7
Male
Female
8
Total (Col.
8+9+10)
10
11
Transgender
9
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (16)
Proforma–X
Month wise occurrence of Traffic Accidents
State/UT/City_______________________________ Year ______
Sl. No.
Month
1
1
2
3
4
5
6
7
8
9
10
11
12
13
2
January
February
March
April
May
June
July
August
September
October
November
December
Total (sum of Sl. 1 to 12)
Road Accidents
No. of
No. of
No. of
Persons
Persons
Cases
Injured
Died
3
4
5
Railways Crossing Accidents
No. of
No. of
No. of
Persons
Persons
Cases
Injured
Died
6
7
8
Railway Accidents
No. of
No. of
No. of
Persons
Persons
Cases
Injured
Died
9
10
11
No. of
Cases
12
Total
No. of
Persons
Injured
13
No. of
Persons
Died
14
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (17)
Proforma–XI
Time wise occurence of Traffic Accidents
State/UT/City_______________________________ Year ______
Road Accidents
Sl. No.
Time
1
1
2
3
4
5
6
7
8
9
No. of
Cases
2
00:00 hrs. to below 03:00 hrs. (Night)
03:00 hrs. to below 06:00 hrs. (Night)
06:00 hrs. to below 09:00 hrs. (Day)
09:00 hrs. to below 12:00 hrs. (Day)
12:00 hrs. to below 15:00 hrs. (Day)
15:00 hrs. to below 18:00 hrs. (Day)
18:00 hrs. to below 21:00 hrs. (Night)
21:00 hrs. to below 24:00 hrs. (Night)
Total (sum of Sl. 1 to 8)
No. of
Persons
Injured
3
Railways Crossing Accidents
No. of
Persons
Died
4
No. of
Persons
Injured
No. of
Cases
5
6
Railway Accidents
No. of
Persons
Died
7
8
No. of
No. of
No. of
Persons
Persons
Cases
Injured
Died
9
10
11
Total
No. of
No. of
No. of
Persons
Persons
Cases
Injured
Died
12
13
14
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (18)
Proforma–XII
Classification of Railway Accidents and Causes of Railway Accidents
State/UT/City_______________________________ Year ______
No. of Persons Injured
Sl. No.
Classification/Causes
1
2
Part-I: Classification of Railway Accidents
1
Train Collisions
2
Train Derailments
3
Fall from train/Collision with people at tracks
4
Explosion/Fire in Train
5
Other Classifications
Total
(Classification) (sum of Sl. 1 to 5)
6
Part-II: Causes of Railway Accidents
7
Fault of Driver
8
Sabotage by Extremist/Terrorist/others
9
Signalmen's Error
Mechanical Failures (like poor design, track faults,
10 bridge/tunnel collapse, etc.)
11 Other Causes
12 Total (Causes) (sum of Sl. 7 to 11)
No. of
Cases
Male
3
Female
4
No. of Persons Died
Transgender
5
6
Total (Col.
4+5+6)
7
Male
Female
8
Sl.-1: Train Collisions refer to accidents involving more than two trains when one moving train meets another moving/idle train.
Sl.-2: Train Derailments refer to train accidents occurred due to run off of rails of a track.
Sl.-3: Refer to person fall out of a moving train or person coming under running train while on track.
Transgender
9
10
Total (Col.
8+9+10)
11
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (19)
Proforma–XIII
Details on Deaths of Central Armed Police Force (CAPF) Personnel
State/UT/City_______________________________ Year ______
Sl. No.
Number
of Accidental
Deaths
Male
Transgender
Female
18 and 30 and 45 and 60 years
Total
18 and 30 and 45 and 60 years Total
18 and 30 and 45 and 60 years Total
above – above – above – & above (Sum of above – above – above – & above (Sum of above – above – above – & above (Sum of
below 30 below 45 below 60
Col. 3 – below 30 below 45 below 60
Col. 8 – below 30 below 45 below 60
Col. 13
years
years
years
years
years
years
years
years
years
– 16)
6)
11)
Causes
1
1
2
3
4
5
6
7
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Fratricide
Deaths due to Road/Railway
Accident
Deaths due to Natural
Calamities
Deaths Due to Unnatural
Causes(Except Road/
Railway Accidents)
Killed in Action/ Operation/
Encounters/etc.
Other/Unknown Causes
Total (sum of Sl. 1 to 6)
Sl.-1: Refers to killing by personnel belonging to same force.
Central Armed Police Force (CAPF) includes Assam Rifles (AR), Border Security Force (BSF), Central Industrial Security Force (CISF), Central Reserve Police Force
(CRPF), Indo Tibetan Border Police (ITBP), National Security Guard (NSG) and Sashastra Seema Bal (SSB)
Grand
Total
(Col.
7+12+17)
17
18
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (20)
Proforma–XIV
Distribution of Suicides by Causes
State/UT/City_______________________________ Year ______
Number
Male
Sl.
No.
1
1
2
14 and
below above
14
–
years below
18 yrs
Causes
2
4
30 and
above
–
below
45
years
5
6
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
Bankruptcy or
indebtedness
Marriage Related
Issues (sum of 2.1 to
2.5)
2.1 Non Settlement of
Marriage
2.2 Dowry Related
Issues
2.3 Extra Marital
affairs
2.4 Divorce
2.5 Others
3
Failure in Examination
4
5
Impotency/Infertility
Family problems
Illness (sum of 6.1 to
6.5)
6.1 AIDS/STD
6.2 Cancer
6.3 Paralysis
6.4 Insanity/ Mental
illness
6.5 Other prolonged
illness
6
3
18 and
above
–
below
30
years
of Suicidal
Female
Sl.-5: Refer to family problems other than marriage related issues.
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60
above
Total
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (21)
Proforma–XIV (Concluded)
Number
Male
Sl.
No.
14 and
below above
14
–
years below
18 yrs
Causes
1
2
7
Death of dear person
8
Drug abuse/Alcoholic
addiction
9
Fall in social reputation
10
11
12
13
14
15
16
17
18
19
20
21
Ideological causes/
Hero worshipping
Love affairs
Poverty
Unemployment
Property dispute
Suspected/ Illicit
relation (Other than
item 2.3)
Illegitimate Pregnancy
(Other than item 2.3)
Physical Abuse (Rape,
etc.)
Professional/Career
Problem
Causes not known
Other causes
Total (sum of Sl. 1 to
20)
3
4
18 and
above
–
below
30
years
30 and
above
–
below
45
years
5
6
of Suicidal
Female
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60
above
Total
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (22)
Proforma–XV
Profession Profile of Suicide Victims
State/UT/City_______________________________ Year ______
Number
Male
Sl.
No.
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
Profession
2
1
1
House-wife
2
Professional/Salaried
Persons (Total) (sum of 2.1
to 2.3)
Govt. Servants
(Total)
(sum of 2.1.1 to
2.1.3)
2.1.1 Central/UT
2.1 Govt. Govt Servants
2.1.2 State Govt
Servants
2.1.3 Other
Statutory Body/
etc.
2.2 Private Sector
Enterprises
2.3 Public Sector
Undertaking
3
4
Students
Unemployed Persons
3
4
5
6
45 and
14 and
above 60
below above
–
years Total
–
14
below & (Col.
years below
60 above 3 – 8)
18 yrs
years
7
8
9
10
11
of Suicidal
Female
Deaths
Transgender
30 and 45 and
18 and
18 and
14 and
above above 60 Total
above
abovebelow above
–
–
years (Col.
–
below
–
14
below below &
below
10 –
30
years below
45
60 above 15)
30
years
18 yrs
years years
years
12
13
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below &
17 – 23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (23)
Proforma–XV (Concluded)
Number
Male
Sl.
No.
Profession
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
45 and
14 and
above 60
below above
–
years Total
–
14
below & (Col.
years below
60 above 3 – 8)
18 yrs
years
of Suicidal
Female
Deaths
Transgender
30 and 45 and
18 and
18 and
14 and
above above 60 Total
above
abovebelow above
–
–
years (Col.
–
below
–
14
below below &
below
10 –
30
years below
45
60 above 15)
30
years
18 yrs
years years
years
30 and
above
–
below
45
years
Grand
45 and
Total
above 60
Total
(Col.
–
years (Col.
9+16+
below &
17 –
23)
60 above 22)
years
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Self-employed Persons
5
(Total) (sum of 5.1 & 5.2)
5.1 Business (Total)
(sum of 5.1.1 to 5.1.3)
5.1.1 Vendor
5.1.2 Tradesmen
5.1.3 Other Business
5.2 Other Self-employed
Persons
6 Persons engaged in
Farming Sector (Total)
(sum of 6.1 & 6.2)
6.1 Farmers/Cultivators
(Sub-Total) (sum of 6.1.1 &
6.1.2)
6.1.1 who cultivate their own
land with or without
assistance of agricultural
labourers
6.1.2 who cultivate on lease
land/work on lease/on other's
land (known by different
nomenclature) with or
without assistance of
agricultural labourers
6.2 Agricultural labourers
7 Daily Wage Earner
8 Retired Persons
9 Other Persons
10 Total (sum of Sl. 1 to 9)
Note1: 'Farmer/Cultivator' are those whose profession is farming and include those who cultivate on their own land as well as those who cultivate on leased land/other's land with or without the
assistance of agricultural labourers.
Daily wage earner excludes Agricultural labourer.
Note2: 'Agricultural labourer' person who primarily work in farming sector (agriculture/horticulture) whose main source of income is from agriculture labour activities.
Disclaimer: “This data depicts only profession of persons who have committed suicide and has no linkage whatsoever regarding cause of suicide.”
Sl.-6: Farming sector refers to agricultural field crops as well as horticulture crops.
Sl.-7: Refers to persons working of daily wage basis and excludes agricultural labourer.
1
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (24)
Proforma–XVI
Social and Economic Status of Suicide Victims
State/UT/City_______________________________ Year ______
Number of Suicidal Deaths
Sl.
No
Status
Religion of Victims
Christian
Sikh
Caste of Victims
SC
Hindu
Muslim
Others
General
OBC
ST
Total
Total
M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T
1
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46
Part-I: Social Status
1 Un-Married
2 Married
Widowed/
3
Widower
4 Divorcee
5 Separated
6 Others
Status not
7
known
Total (Social
8 Status) (sum
of Sl. 1 to 7)
Part-II: Economic Status
less than `1
9
lakh
`1 lakh &
10 above – less
than `5 lakhs
`5 lakhs &
above – less
11
than `10
lakhs
`10 lakhs and
12
above
Total
(Economic
13
Status) (sum
of Sl. 9 to 12)
Sl.-9: Also include victims whose economic status is not known.
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (25)
Proforma–XVII
Educational Status of Suicide Victims
State/UT/City_______________________________ Year ______
Number of Suicidal Deaths
Sl.
Educational Status
No
1
1 No Education
Primary (upto
2
class–5)
Middle (upto
3
class–8)
Matriculate/
4 Secondary (upto
class–10)
Hr. Secondary/
Intermediate/ Pre5 University (upto
class–12)
Diploma/ITI/
6
Certificate
Caste of Victims
SC
Others
General
OBC
Muslim
ST
Hindu
Total
Total
M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T M F TR T
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46
7 Graduate and above
Professionals (MBA
etc.)
9 Status not known
Total (sum of Sl. 1
10
to 9 )
8
Religion of Victims
Sikh
Christian
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (26)
Proforma–XVIII
Distribution of Suicides by Means Adopted
State/UT/City_______________________________ Year ______
Number
Male
Sl.
No.
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
Means
1
2
1 By consuming Sleeping Pills
By Drowning
By Fire/Self Immolation
By Firearms
By Hanging
By Poison (sum of 6.1 &
6
6.2)
6.1 By Consuming
Insecticides
6.2 By Consuming other
Poison
2
3
4
5
7 By Self inflicting Injury
8 Jumping (sum of 8.1 to 8.3)
8.1 from Building
8.2 from Other sites
8.3 by Jumping off moving
trains/vehicles
By Coming under running
9
vehicles/trains
10 By touching electric wire
11 By Other means
12 Total (sum of Sl. 1 to 11)
3
4
5
6
45 and
14 and
above 60
Total below above
–
years
(Col. 14
–
below &
3 – 8) years below
60 above
18 yrs
years
7
8
9
10
11
of Suicidal
Female
18 and
above
–
below
30
years
30 and
above
–
below
45
years
12
13
Deaths
Transgender
45 and
18 and
14 and
above 60 Total
above
below above
–
years (Col.
–
–
14
below &
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16
below &
17 – +23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (27)
Proforma–XIX
Cause-wise distribution of suicides committed by Farmers/Cultivators
State/UT/City_______________________________ Year ______
Number
Male
Sl.
No.
1
1
2
3
4
5
14 and
below above
14
–
years below
18 yrs
Causes
2
3
4
18 and
above
–
below
30
years
30 and
above
–
below
45
years
5
6
of Suicidal
Female
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
Poverty
Property dispute
Marriage Related
Issues (sum of 3.1 to
3.5)
3.1 Non Settlement of
Marriage
3.2 Dowry Related
Issues
3.3 Extra Marital
affairs
3.4 Divorce
3.5 Others
Family problems
Farming related Issues
(sum of 5.1 & 5.2)
5.1 Failure of Crop
(sum of 5.1.1 & 5.1.2)
5.1.1 Due to Natural
Calamities
5.1.2 Due to Other
reasons
5.2 Inability to Sell
Sl.-4: Refer to family problems other than marriage related issues.
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60
above
Total
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (28)
Proforma–XIX (Contd...)
Number
Male
Sl.
No.
Causes
1
6
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
2
Illness (sum of 6.1 to
6.5)
6.1 AIDS/STD
7
6.2 Cancer
6.3 Paralysis
6.4 Insanity/ Mental
illness
6.5 Other prolonged
illness
Drug abuse/ Alcoholic
addiction
8
Fall in social reputation
9
Bankruptcy or
Indebtedness (sum of
9.1 to 9.3)
9.1 Bankruptcy or
Indebtedness due to
Loan taken from
Financial Institutions
like Bank/Registered
Micro Financial
Institutions
9.2 Due to loan taken
from Money Lenders/
Non-Financial
Institutions
3
4
5
6
of Suicidal
Female
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60
above
Total
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (29)
Proforma–XIX (Concluded)
Number
Male
Sl.
No.
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
Causes
1
9.3 Due to loan taken
from both Financial
Institutions as well as
Money Lenders/NonFinancial Institutions
Causes
not known
10
11 Other causes
Total (sum of Sl. 1 to
12 11)
2
3
4
5
6
of Suicidal
Female
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60
above
Total
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (30)
Proforma–XIX(A)
Cause-wise distribution of suicides committed by Agricultural Labourers
State/UT/City_______________________________ Year ______
Number
Male
Sl.
No.
18 and 30 and
14 and
above above
below above
–
–
14
–
below below
years below
45
30
18 yrs
years years
Causes
1
2
1
2
Poverty
Property dispute
3
Marriage Related
Issues (Dowry, Non
settlement of marriage,
divorce/ extra-marital
affairs etc.)
4
5
6
7
8
9
10
11
12
13
14
3
4
5
6
of Suicidal
Female
45 and
14 and 18 and
above 60
Total below above above–
years
–
below
(Col.
14
below
&
3 – 8) years below 30
60 above
18 yrs years
years
7
8
Death of dear person
Family Problems
Illness
Drug abuse/ Alcoholic
addiction
Fall in social reputation
Bankruptcy or
Inebtedness from
Financial Institutions
Bankruptcy or
Inebtedness from NonFinancial
Institutions/Money
Lenders
Physical Abuse (rape
etc.)
Causes not known
Other causes
Total (sum of Sl. 1 to
13)
Sl.-5: Refer to family problems other than marriage related issues.
9
10
11
12
30 and
above
–
below
45
years
13
Deaths
Transgender
45 and
18 and
14 and
above 60 Total
above
below above
–
years (Col.
–
–
14
below
&
below
10 –
years below
60 above 15)
30
18 yrs
years
years
14
15
16
17
18
19
30 and
above
–
below
45
years
20
Grand
45 and
Total
above 60
Total (Col.
–
years (Col. 9+16+
below
&
17 –
23)
60 above 22)
years
21
22
23
24
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (31)
Proforma–XX
Educational Status-wise distribution of suicides committed by Farmers/Cultivators
State/UT/City_______________________________ Year ______
Sl.
No.
M
1
1
2
3
4
5
6
7
8
9
10
Un-Married
Educational Status
2
No Education
Primary (upto class–5)
Middle (upto class–8)
Matriculate/Secondary (upto
class–10)
Hr. Secondary/Intermediate/
Pre-University (upto class–12)
Diploma/ITI/Certificate
Graduate and above
Professionals (MBA etc.)
Not known
Total (sum of Sl. 1 to 9)
F
3
4
TR
5
Married
T
M
6
F
7
8
TR
9
Widowed/Widower
T
M
10 11
F TR
12 13
T
M
14 15
Divorcee
F TR
16 17
Separated
T
M
18 19
F TR
20 21
Status not known
T
M
22 23
F TR
24 25
T
M
26 27
Total
F TR
28 29
T
30
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (32)
Proforma–XXI
Land Holding Status-wise distribution of suicides committed by Farmers/Cultivators
State/UT/City_______________________________ Year ______
Sl. No.
Land Holding Status
1
1
2
3
4
5
2
Male
3
Female
4
Transgender
5
Total
6
Marginal Farmers (sum of 1.1 & 1.2)
1.1 Irrigated
1.2 Un-irrigated
Small Farmers (sum of 2.1 & 2.2)
2.1 Irrigated
2.2 Un-irrigated
Medium Farmers (sum of 3.1 & 3.2)
3.1 Irrigated
3.2 Un-irrigated
Large Farmers (sum of 4.1 & 4.2)
4.1 Irrigated
4.2 Un-irrigated
Total (sum of Sl. 1 to 4)
Sl.-1: Refers to
Sl.-2: Refers to
Sl.-3: Refers to
Sl.-4: Refers to
Farmers/Cultivators having having less than 1 hectre of agricultural land
Farmers/ Cultivators having having 1 hectre or more but less than 2 hectre of agricultural land.
Farmers/Cultivators having having 2 hectre or more but less than 10 hectre of agricultural land.
Farmers/ Cultivators having having 10 hectre or more of agricultural land.
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (33)
Proforma–XXII
Distribution of Suicides of Central Armed Police Force (CAPF) Personnel by Causes
State/UT/City_______________________________ Year ______
Number of Suicidal Deaths
Sl.
No.
Causes
1
1 Bankruptcy or indebtedness
2 Marriage Related Issues (sum of 2.1 to 2.5)
2.1 Non Settlement of Marriage
2.2 Dowry Related Issues
2.3 Extra Marital affairs
2.4 Divorce
2.5 Others
3 Property dispute
4 Impotency/Infertility
5 Family problems
6 Service Related Issues (sum of 6.1 to 6.5)
6.1 Physical fatigue
6.2 Mental Depression
6.3 Promotion related issues
6.4 Leave related issues
6.5 Other service conditions
7 Drug abuse/Alcoholic addiction
8 Fall in social reputation
9 Causes not known
10 Other causes
11 Total (sum of Sl. 1 to 10)
2
18 and
above –
below
30
years
30 and
above –
below
45
years
3
4
Sl.-5: Refer to family problems other than marriage related issues.
Male
45 and
60
Total 18 and
above – years & (Col. 3 above –
– 6)
below above
below
60
30
years
years
5
6
7
8
30 and
above –
below
45
years
9
Female
45 and
60
Total 18 and
above – years & (Col. 8 above –
below above – 11) below
60
30
years
years
10
11
12
13
Transgender
Grand
30 and 45 and
60
Total
Total
above – above – years & (Col.
(Col.
below below above 13 –
7+12+17)
16)
45
60
years years
14
15
16
Central Armed Police Force (CAPF) includes Assam Rifles (AR), Border Security Force (BSF), Central Industrial Security Force (CISF), Central Reserve Police Force
(CRPF), Indo Tibetan Border Police (ITBP), National Security Guard (NSG) and Sashastra Seema Bal (SSB)
17
18
PROFORMA FOR ACCIDENTAL DEATHS & SUICIDES IN INDIA, NCRB (MHA) (34)
Proforma–XXIII
Mass/Family Suicides
State/UT/City_______________________________ Year ______
Sl. No.
Mass/Family Suicides
Male
1
2
3
4
5
6
7
8
Married
Female Transgender
Total number of cases of
Mass/Family Suicides
Age group wise classification of Mass/Family Suicide Victims
below 14 years
14 and above – below 18 years
18 and above – below 30 years
30 and above – below 45 years
45 and above – below 60 years
60 years & above
Total (sum of Sl. 2 – 7)
Total
Male
No. of Suicides
Un-Married
Female Transgender
Total
Male
Grand Total
Female Transgender
Total