Rule 131. Occupational Health Centers

(1) In respect of any factory carrying on "Hazardous process" there shall be provided and maintained in good order an Occupational Health Centre with the services and facilities as per scale laid down hereunder:

(a) For factories employing up to 50 workers

(i) the services of a Health Surveillance Officer on retainership basis, in his clinic to be notified by the occupier. He will carry out the pre employment and periodical medical examination as stipulated in Rule 47 and render medical assistance during any emergency;

(ii) a minimum of five persons trained in first-aid procedure amongst whom at least one shall always be available during the working period;

(iii) a fully equipped first aid box.

(b) For factories employing 51 to 200 workers

(i) shall have an occupational health centre. It is suggested that it shall have a room with a floor area of fifteen square meters with floors and walls made of smooth and imperious surface and adequate illumination and ventilation. It is suggested to have the equipment given in the Schedule annexed to this rule;

(ii) a part-time Health Surveillance officer shall be in overall charge of the center who shall visit the factory at least twice in a week and whose services shall be readily available during medical emergencies;

(iii) one qualified and trained dresser-cum-compounder on duty throughout the working period;

(iv) a fully equipped first-aid box in all the departments.

(c) For factories employing above 200workers i. one full time Health Surveillance officer for factories employing up to 500 workers and one more Health Surveillance for every additional thousand workers or part thereof; ii. shall have an Occupational Health Centre. It is suggested that it shall have two rooms with a floor area of fifteen sq. meters with floors and walls made of smooth and impervious surface and adequate illumination and ventilation. It is suggested to have the equipment given in the Schedule annexed to this rule; iii. there shall be one nurse, one dresser-cum-compounder and one sweeper-cum-ward boy throughout the working period: iv. the Occupational Health Centre shall be suitably equipped to manage medical emergencies;

(2) The Health Surveillance Officer required to be appointed under sub-rule (1) shall possess any recognised medical qualification as defined in the National Medical Commission Act, 2019 (30 OF 2019) and who is enrolled on a Indian Medical Register as defined in clause (e) and on a State Medical Register as defined in clause (l) of section 35, 36, 37 and 40 of the Act and possess a certificate of Training in Industrial Health of minimum three months duration recognized by the State Government

Provided that

(i) a person possessing a Diploma in Industrial Health or equivalent shall not be required to possess the certificate of training as aforesaid;

(ii) the Chief Inspector-cum-facilitator may subject to such conditions as he may specify, grant exemption from the requirement of this sub-rule, if in his opinion a suitable person possessing the necessary qualification is not available for appointment:

(3) The syllabus of the course leading to the above certificate, and the organisations conducting the Course shall be approved by the Director General, Occupational Safety and health (DGOSH) and Labour Institutes or the State Government in accordance with the guidelines issued by the DGOSH.

(4) Within one month of the appointment of a Health Surveillance Officer, the occupier of the factory shall furnish to the Chief Inspector-cum-Facilitator the following particulars

(i) Name and address of the Factory Medical Practitioner;

(ii) Qualifications;

(iii) Experience, if any; and

(iv) The sub-rule under which appointed.

THE SCHEDULE SUGGESTIVE LIST OF EQUIPMENT FOR OCCUPATIONAL HEALTH CENTRE IN FACTORIES 1. A glazed sink withhot and cold water always available. 2. A table with a smooth top atleast 180cm x 105cm. 3. Means for sterilizing instruments. 4. A couch. 5. Two bucket sorcontainers with close fitting lids. 6. A kettle and spirits tove or other suitable means of boiling water. 7. One bottle of spirit ammonia aromatics (120ml.) 8. Two medium size sponges. 9. Two "Kidney" trays. 10. Four cakes of toilet, preferably antiseptic soap. 11. Two glass tumblers and two wine glasses. 12. Two clinical thermometers. 13. Two teaspoons. 14. Two graduated (120 ml.) measuring glasses. 15. One wash bottle (1000 cc) for washing eyes. 16. One bottle (one liter) carbolic lotion 1 in 20. 17. Three chairs 18. One Screen 19. One electric hand-torch. 20. An adequate supply of tetanustoxoid. 21. Coramine liquid (60ml.) 22. Tablets—anti histaminic anti spasmodic (25 each.) 23. Syringe swith needles-2cc., 5cc. and 10cc. 24. Two needle holders, big and small. 25. Suturing needles and materials. 26. One dissecting forceps. 27. One dress in forceps. 28. One scalpel. 29. One stethoscope. 30. Rubber bandage --pressure bandage. 31. Oxygen cylinder with necessary attachments. 32. One Blood Pressure Apparatus. 33. One Patellar Hammer. 34. One Peak-Flow meter for lung function measurement. 35. One stomach wash out. 36. Any other equipment recommended by the Factory Medical Officer according to specific need relating to manufacturing process. 37. In addition

(1) For Factories employing fifty one to two hundred

(a) Four plain wooden splints 900mmx100mmx6mm:

(b) Four plain wooden splints 350mmx75mmx6mm;

(c) Two plain wooden splints 250mmx50mmx12mm;

(d) 0ne pair artery forceps;

(e) Injections-morphia, pethidine, atropine, adrenaline, coramine, Novocain (2 each);

(f) One surgical scissor;

(2) For Factories employing above two hundred workers

(a) Eight plain wooden splints 900mm x 100mm x 6mm;

(b) Eight plain wooden splints 350mm x 75mm x 6mm;

(c) Four plain wooden splints 250mm x 50mm x 12mm:

(d) Two pair sartery forceps;

(e) Injections Morphia, pethadine, atropine, adrenaline, ceramine, novacain (4 each):

(f) Two Surgical scissors.