Rule 13. Annual Health Examination of employees of certain establishments under clause (c) of sub-section (1) of Section 6

(1) The employer of every establishment shall arrange to conduct free of cost health examination of all the employees who have completed forty years of age, at least once in every twelve months, all persons before employing them, and of the employees who have met an accident resulting in serious bodily injury in previous two years during the course of employment :

Provided that the employees employed in Hazardous process or Dangerous Operations shall be examined in accordance with the provisions of the rule specifically provided therein.

(2) The health examination shall be conducted by a qualified medical practitioner or factory medical officer, as the case may be . Records of such annual examination shall be maintained in a Health Register in Form-7. If the examination is conducted for pre-employment, it shall also be maintained in Form-8 as a Certificate of Fitness. Findings of such examinations shall be shared with the employee concerned.

(3) The medical examination shall include -(i) Full medical and occupational history;

(ii) Clinical examination with particular reference to-(a) general physique;

(b) vision - It shall include visual acuity and macular function test or fundoscopy examination;

(c) hearing - Audiometry test, if required;

(d) breathing - Pulmonary function test or X - ray, if required;

(e) upper limbs - Adequate arm function and grip (both arms);

(f) lower limbs - Adequate leg and foot function;

(g) spine-Adequately flexible for the job concerned;

(h) general - Mental alertness and stability with good eye, hand and feet coordination;

(i) complete blood count test, lipid profile

(iii) Any other tests which the examining doctor considers necessary.