Some examinations under the Factories Act can only be performed and signed by the Certifying Surgeon appointed by the State Government. We organise those examinations as part of your batch, through appropriately authorised or empanelled professionals, subject to each state's appointment rules.
Section 10 of the Factories Act, 1948 empowers the State Government to appoint qualified medical practitioners as Certifying Surgeons for specified local limits or factories, and to authorise other practitioners to exercise those powers. The State Factories Rules then reserve certain functions to that office: certifying the fitness of young persons; visiting factories carrying on notified dangerous operations at the intervals set in the schedules; examining the exposed workers and recording the results in the Health Register — Form 7 in Maharashtra (Rule 18), Form 26 in Karnataka (Rule 15), Form 20 in Gujarat (Rule 15), Form 17 in Tamil Nadu (Rule 14); suspending a worker from a process and sanctioning re-employment by an entry in the register; and giving the final opinion when a Factory Medical Officer declares a hazardous-process worker unfit.
Nodal Healthcare is a service provider, not a statutory authority. Where a provision requires a Certifying Surgeon or other authority-approved practitioner, we coordinate compliant services through appropriately qualified, authorised or empanelled professionals, subject to the applicable state rules and appointment requirements. We do not describe our AFIH doctors as Certifying Surgeons unless a specific doctor holds that appointment and we have verified it.
Illustrative list from the Maharashtra, Karnataka, Gujarat and Uttar Pradesh schedules — the notified list differs by state.
Examination within 15 days of first employment and periodically; blood/urine lead, ALA, haemoglobin, stippling and steadiness tests.
Inspection of hands, forearms and nasal septum; cadmium in urine for cadmium plating; fortnightly inspections in some schedules.
Pulmonary function test and chest X-ray at first employment and periodically (X-ray typically every three years).
Clinical examination and haematology; urinary metabolites where indicated; suspension powers in the register.
Cholinesterase and three-monthly examinations for organophosphate and other listed compounds.
Heat, dust and fume surveillance; annual re-examination with process-specific tests.
We identify which of your processes are notified dangerous operations in your state and the interval and tests each schedule prescribes.
Roster of exposed workers, prior register entries, and the process-specific laboratory tests are completed before the visit so the Certifying Surgeon's time is used for examination.
The Certifying Surgeon examines the workers on site, issues or renews Certificates of Fitness and signs the Health Register in the prescribed form.
Suspensions, referrals and re-certifications are tracked; the next visit is calendared within the statutory interval.
Our doctors are AFIH-qualified occupational-health physicians who act as Factory Medical Officers. A Certifying Surgeon is a separate statutory appointment made by the State Government under Section 10 of the Factories Act. Where an examination must be performed by a Certifying Surgeon, we coordinate it with an appropriately authorised or empanelled Certifying Surgeon under that state's appointment rules. If a particular doctor holds both, we say so only after documentary verification.
Yes. The State Factories Rules contemplate examination at the factory — the manager must provide a clean, ventilated, furnished room for the Certifying Surgeon's exclusive use during the examination (for example Rule 18(10) in Maharashtra, Rule 15(10) in Gujarat). We arrange the batch so that the Certifying Surgeon's visit coincides with the technician and laboratory work.
The Certifying Surgeon records the finding — and the period of unfitness — in the Certificate of Fitness and the Health Register, and the worker may not be employed in that process until the Certifying Surgeon, after further examination, again certifies the worker fit and records it in the register. The employer must provide alternative placement where the rules so require. We track suspensions and re-certification dates so nothing lapses.
Send us your process list — we will identify the schedules that apply in your state and organise the Certifying Surgeon examinations.
Nodal Healthcare provides occupational-health services through qualified medical professionals. AFIH-qualified doctors and Factory Medical Officers are not, by virtue of that qualification, Certifying Surgeons; Certifying Surgeons are appointed or authorised by the State Government under Section 10 of the Factories Act, 1948. Where a statutory provision requires a Certifying Surgeon or other authority-approved practitioner, we coordinate compliant services through appropriately qualified, authorised or empanelled professionals, subject to the applicable state rules and appointment requirements. Content on this page is a general guide and not legal advice; always confirm current requirements with the competent state authority.
