2. Purpose
The purpose of periodic medical examination to monitor the health status of
employee to determine its departure from normal health, so as to identify
potential problem area and effectiveness of existing preventive strategies and
provide preventive counseling. Periodic medical examination is a common means of
conducting health surveillance.
3. Objectives
To detect early abnormalities and prevent worker exposed to hazardous work
from developing occupational disease
To ensure legal compliance
To describe role of medical examiner
Early detection ,treatment and appropriate preventive action to be taken in
time to prevent progression of occupational disease
To provide health education and advice to target group as well as to all
employees
5. Procedure-1
After identification of employees exposed to hazardous occupation /working
in dangerous operation on the basis of industrial hygiene survey report.
Department wise list of employees to be prepared and to OHC .The medical
examination will be conducted as per the criteria laid down at OHC twice in a
year or as frequently it is required .
Periodic medical examination is legal requirement Factories are formulated
by state government under factories act, oblige such employees to have their
fitness certificate to work certified by the factory medical officer/certifying
surgeon at each examination as per annexure-1
Records of medical check up and legal form maintained in individual
employees file
6. Procedure-2
Record of medical check up, Fitness certificate, Legal form and results of
various tests carried out are recorded in periodic medical examination form
(physical or computerized)
Results of clinical/physical examination and various tests specific to
hazardous area/dangerous operation job are reviewed by the medical
examiner.
Information regarding His/hers fitness is sent to HR/Personnel department on
fitness certificate duly signed by the medical examiner.
The Medical examiner is empowered to get opinion of specialist, if required.
7. Preventive health care advice/Measures
As appropriate, The candidate should be counseled on life
style/communicable diseases/use of safety devices/information about blood
group
The content of medical examination form and reports should be shown to
candidate and his signature obtained on the report.in case of unfitness, a
copy of medical examination report to be given to candidate for obtaining
second opinion regarding findings, if required by specialist or competent
authority.
8. Tests Recommended
The tests are recommended as per the hazardous area/dangerous operation
as per annexure-2
Appropriate equipment's should be used for assessment
Delegation of technical work to unauthorized person must be avoided
All findings should be seen personally and recorded
Ensure that blood samples/urine sample collected, tested and reported upon
belongs to the person examined
Sop on Universal precaution to be followed
9. Annexure-2
S.No Particulars Medical check up
criteria
Frequency Legal
compliance
1 Employees working
in High Noise area
Physical/clinical
examination/ECG/Audiometry
Six Monthly Legal form no .as per
the state factory rule
2 Employees working
in confined space
Physical/clinical
examination/BMI/ECG/BLOOD
SUGAR,AUDIOMETRY/VISION
TEST/COLOR VISION TEST/PHYSICAL
FITNESS TEST/LFT/RFT/PULMONARY
FUNCTION TEST/SQUAT
TEST/COMPLETE BLOOD COUNT/STEP
TEST/URINE
TEST/EEG/PRESONAL,FAMILY
HISTORY/PERSONAL HABIT HISTORY
Six Monthly and as &
when required
Legal form no. as per
the state factory rule
3 Food Handlers
medical examination
Physical/clinical
examination/Complete blood
count/Urine test/Stool Test/Hygiene
status/Personal habit status/Vision
test/Past and family medical history
Six Monthly
Hygiene status-
Monthly
Legal form no.. as per
the state factory rule
10. Annexure -2(2)
4 Employees working at
height
Physical/clinical
examination,ECG/AUDIOMETRY/BLOOD
SUGAR/COMPLETE BLOOD COUNT/BMI/VISION
TEST/VISION AQUITY/PHYSICAL FITNESS
TEST/CHESTER TEST/PAST H/O ILLNESS/H/O
MEDICATION/PULMONARY FUNCTION
TEST/EEG/HAND GRIP TEST/CNS AND CVS
EXAMINATION/H/O DISABILITY/H/O PERSONAL
HABIT/
SIX MONTHLY AND AS
AND WHEN REQUIRED
Legal form no .as per the
state factory rule
5 Security medical
examination
Physical/clinical
examination,ECG/AUDIOMETRY/BLOOD
SUGAR/COMPLETE BLOOD COUNT/BMI/VISION
TEST/VISION AQUITY/PHYSICAL FITNESS
TEST/CHESTER TEST/PAST H/O ILLNESS/H/O
MEDICATION/PULMONARY FUNCTION
TEST/EEG/HAND GRIP TEST/CNS AND CVS
EXAMINATION/H/O DISABILITY/H/O PERSONAL
HABIT/HIV1/2 AND HBsAg
Once a year Legal form no .as per the
state factory rule
6 Drivers Medical
Examination-Bus/crane
operators/Hydra
operators/Fork lift
operators/
Complete medical examination/vision
test/color vision test/ECG/Blood sugar/stool
test/Urine test/Audiometry/Pulmonary
function test and special investigations as
advised by the factory medical officer
Six Monthly Legal form number as per
state factory rule
11. Annexure-2(3)
7 Employees working in
fire department
Complete medical
examination/PFT/Audiometry/ECG/Blo
od
sugar/LFT/RFT/HIV1/2/HBsAg/CBC/Phy
sical fitness test/vision test/squat
test/hand grip test and special test as
advised by the factory medical officer
Six monthly Legal form no. as per
the state factory rule
8 Employees exposed to
chemicals/dust
exposure/fumes and
vapor exposure
Physical/clinical examination/ECG/X-
ray chest/CBC/Blood Sugar/Urine
test/Biological
Monitoring/RFT/LFT/LIPID
PROFILE/PFT/Peak flow meter
test/ENT examination/Vision test/Color
vision test/Audiometry and special
investigations as per the chemical to
which employees are exposed
Six monthly Legal form no. as per
the state factory rule
9 Executive medical
examination
Complete medical examination and
investigations as per SOP
Once a year Legal form no. as per
the state factory rule
12. Fitness Certificate-Annexure-1
Pre –employment medical Fitness Certificate
To,
HR Department
From
OHC
Certified that Mr/Mrs---------------------------------has been medically examined and His/hers Blood grp is----------------Height------Weight-----
--
Vision test:
Color vision test:
Identification Mark:1-------------------------------------2----------------------------
To day I have examined and reviewed his/her investigations which are normal and also found that he/she is not suffering from any
contagious /infectious disease.
She/he has been Medically Recommended/Not Recommended/Fit/Unfit/Temporary Unfit
Date:
Signature of Medical examiner with seal
13. Role and Responsibilities
To identify hazardous area /Dangerous
operations in consultation with HOD
Safety and environment officer
To prepare the list of identified employees exposed Safety/Environment officer/Admin
To send list of identified employees to OHC HR/Admin
To conduct medical examination and send fitness
certificate to HR/Admin
OHC
Medical examination record Maintenance OHC
To upload medical examination report in
computerized OHS
OHC
To follow universal precaution SOP OHC Staff
