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Preeti Pote
Dear All, I need your help with the Medical Fitness report for factory employees.
Do we need to do any particular tests and also, can a BHMS Doctor give this certificate, or do we need only MBBS?
Any notification from Govt of India or any details you have?
Please help i need it on very urgent basis.
Regards
Preeti

From India, Mumbai
Dinesh Divekar
7874

Dear Preeti Pote,

Every organisation is expected to check the medical fitness of the employees. Medically disabled or infirm workers could hinder the operations, create quality non-compliance and, in turn, could result in customer dissatisfaction. Medical fitness can be proved only after the diagnostic tests. Hence it is recommended to obtain the certificate from the certified medical practitioner.

There are two types of medical tests. The first is common to all and it includes tests on skin diseases and other communicable diseases. The second type is specific to the operations of the factory worker. These tests include:

a) Vision test
b) Night vision test
c) Colour blindness test
d) Ability to work at height
e) Ability to climb the tower
f) Pulmonary function test (for garment factories)
g) Allergy to specific smells, fumes, vapours, etc.
h) Hearing test

If your factory produces food items, and processed food, then additional medical tests on personal hygiene and sanitation are required. The medical tests are conducted in the laboratory. Therefore, it is important to have a laboratory certificate.

Thanks,

Dinesh Divekar

From India, Bangalore
raghunath_bv
163

Dear Preeti Pote,
For the Medical Fitness report for factory employees, the specific tests required can vary depending on the nature of the work and the industry. However, general guidelines typically include the following:

Common Medical Tests for Factory Employees:
Physical Examination: General health check, including vital signs (blood pressure, heart rate).
Vision Test: To check visual acuity, especially important if the job requires precision work.
Hearing Test: Particularly important in noisy environments.
Lung Function Test: Spirometry for assessing respiratory health, especially in industries with exposure to dust or chemicals.
Chest X-ray: To detect any lung conditions or infections.
Blood Tests: Basic tests like hemoglobin, blood sugar levels, and any other relevant tests based on the industry (e.g., liver function, kidney function).
Urine Test: To check for any abnormalities or infections.
ECG (Electrocardiogram): For assessing heart function, particularly for older employees or those with a history of heart problems.
Vaccinations: If required, such as tetanus or hepatitis, depending on the industry.
Doctor Qualification:
BHMS (Bachelor of Homeopathic Medicine and Surgery) doctors are not typically authorized to issue Medical Fitness certificates for factory workers under labour laws.
MBBS (Bachelor of Medicine and Bachelor of Surgery) doctors are generally required to issue such certificates.
Relevant Government Notifications:
According to the Factories Act, 1948, and the guidelines issued by the Ministry of Labour and Employment in India, medical examinations should be conducted by a "Qualified Medical Practitioner," which generally means a doctor with an MBBS degree recognized by the Medical Council of India (MCI).

Recommendations:
Ensure the doctor conducting the medical examination is an MBBS degree holder or higher.
The tests mentioned above should be part of the medical examination for your factory employees.

From India, Bangalore
loginmiraclelogistics
1070

Extract from the Act reproduced here under for your guidance:
Factories Act, 1948:
69. Certificates of fitness
(1) A certifying surgeon shall, on the application of any young person or his parent or guardian accompanied by a document signed by the manager of a factory that such person will be employed therein if certified to be fit for work in a factory, or on the application of the manager of the factory in which any young person wishes to work, examine such person and ascertain his fitness for work in a factory.
(2) The certifying surgeon, after examination, may grant to such young person, in the prescribed form, or may renew-
(a) a certificate of fitness to work in a factory as a child, if he is satisfied that the young person has completed his fourteenth year, that he has attained the prescribed physical standards and that he is fit for such work;
(b) a certificate of fitness to work in a factory as an adult, if he is satisfied that the young person has completed his fifteenth year, and is fit for a full day's work in a factory:
PROVIDED that unless the certifying surgeon has a personal knowledge of the place where the young person proposes to work and of the manufacturing process in which he will be employed, he shall not grant or renew a certificate under this sub-section until he has examined such place.
(3) A certificate of fitness granted or renewed under sub-section (2)-
(a) shall be valid only for a period of twelve months from the date thereof;
(b) may be made subject to conditions in regard to the nature of the work in which the young person may be employed, or requiring re-examination of the young person before the expiry of the period of twelve months.
(4) A certifying surgeon shall revoke any certificate granted or renewed under sub-section (2) if in his opinion the holder of it is no longer fit to work in the capacity stated therein in a factory.
(5) Where a certifying surgeon refuses to grant or renew a certificate or a certificate of the kind requested or revokes a certificate, he shall, if so requested by any person who could have applied for the certificate or the renewal thereof, state his reasons in writing for so doing.
(6) Where a certificate under this section with reference to any young person is granted or renewed subject to such conditions as are referred to in clause (b) of sub-section (3), the young person shall not be required or allowed to work in any factory except in accordance with those conditions.
(7) Any fee payable for a certificate under this section shall be paid by the occupier and shall not be recoverable from the young person, his parents or guardian.
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Health Check Rules as per Factories Act 1948
The Factories Act, 1948 contains provisions related to the health and welfare of workers employed in factories. The Act stipulates that every factory must provide for the health and welfare of its workers, and that specific provisions must be made for medical examinations, first aid, and welfare facilities. Here are the relevant sections and rules related to health checks of workers or employees:
Section 41C – Health of workers: This section requires every factory to maintain adequate health and hygiene conditions, including provision for regular medical examination of workers.
Rule 70 – Medical examination of workers: This rule provides details on the medical examination of workers. It states that every worker must be examined by a certifying surgeon within a period of three months from the date of their employment. The certifying surgeon must be appointed by the factory and must examine the worker for any illness or physical impairment that may render them unfit for employment. The examination must be repeated at least once every twelve months.
Rule 71 – Records of medical examination: This rule requires the factory to maintain a register of medical examination in Form 7, which must contain details of the medical examination conducted by the certifying surgeon.
Rule 78 – First aid appliances: This rule stipulates that every factory must provide first aid appliances and a first aid box or cupboard, with the prescribed contents, for every 150 workers or part thereof.
Rule 79 – Ambulance room: This rule requires every factory employing more than 500 workers to provide and maintain an ambulance room with prescribed equipment.
In summary, the Factories Act, 1948 contains provisions related to the health and welfare of workers employed in factories. The Act mandates regular medical examination of workers by a certifying surgeon, maintenance of records of medical examination, provision of first aid appliances, and an ambulance room for factories employing more than 500 workers. The relevant sections and rules related to these provisions are Section 41C, Rule 70, Rule 71, Rule 78, and Rule 79.
Section 41C of the Factories Act, 1948 is a central provision that applies to all states and union territories in India. This means that every factory in India, regardless of its location, is required to maintain adequate health and hygiene conditions for its workers, including provision for regular medical examination of workers. The provision is enforced by the respective State Governments and the Ministry of Labour and Employment at the central level. However, some states may have their own rules and regulations that provide additional safeguards for the health and welfare of workers.

The Factories Act, 1948, is a legislation in India that governs the health, safety, welfare, and working conditions of workers in factories. While the Act provides a framework for ensuring the health of workers, including provisions for medical examinations, the specifics regarding annual health checks may vary from state to state as each state government has the authority to make rules and regulations under the Factories Act. Here’s a general overview of the provisions related to health checks under the Factories Act and its associated rules in India:
Section 41B of the Factories Act, 1948: This section mandates that every worker employed in a factory undergo a medical examination by a certified medical practitioner within 45 days of their employment. The examination includes general physical health and tests for specific occupational hazards.
State-specific rules: Each state in India has its own set of rules and regulations under the Factories Act, which may include provisions for annual health checks or periodic medical examinations for workers. These rules may vary in terms of the frequency of health checks, the categories of workers covered, the procedures to be followed, and the responsibilities of employers.
Occupational Health Centres: Some states require factories to establish occupational health centres or appoint occupational health officers to oversee the health of workers and conduct medical examinations. These centres may be responsible for organizing annual health checkups or periodic medical camps for workers.
Industry-specific regulations: Certain industries or sectors may have additional requirements or guidelines for health checks based on the nature of work and associated health risks. For example, industries dealing with hazardous substances or processes may have more stringent health monitoring requirements.
Employee welfare provisions: The Factories Act also includes provisions for ensuring the welfare of workers, which may encompass measures such as providing clean drinking water, sanitary facilities, first aid facilities, and proper ventilation in the workplace—all of which contribute to maintaining the health and well-being of workers.
Inspections and enforcement: State governments typically conduct inspections of factories to ensure compliance with the provisions of the Factories Act and associated rules. Employers found to be in violation of health and safety regulations may face penalties or legal action.

It’s important for employers to familiarize themselves with the specific rules and regulations applicable in their state regarding annual health checks or medical examinations for workers under the Factories Act. They should ensure compliance with these requirements to promote the health and safety of their workforce and avoid potential legal liabilities. Additionally, consulting with legal experts or industry associations can provide further guidance on adhering to relevant health and safety regulations.
https://prognohealth.com/health-check-rules-as-per-factories-act/
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All the above stipulations & procedures, I doubt very much that a BHMS practioner can do. You'll have no choice than engaging MBBS qualified & regd.practioner familiar with these stipulations for the purposes.

From India, Bangalore
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