The obligation

How often workers must be re-examined

The frequency of periodic medical examination is set by the State Factories Rules and depends on the process. For workers in a hazardous process the rules across major states โ€” Maharashtra Rule 73-V, Karnataka Rule 88-L, Gujarat Rule 68-T, Uttar Pradesh Rule 63-I โ€” require examination by the Factory Medical Officer once in every six months, and sooner where the FMO considers it necessary for a particular worker. For workers in notified dangerous operations the interval is fixed by the relevant schedule โ€” most require re-examination by the Certifying Surgeon at least once in every twelve months, with shorter intervals (three-monthly, or fortnightly inspections) for certain lead, chrome and chemical exposures. Workers outside those categories have no statutory interval, though many employers run an annual check-up as policy.

Each examination must be recorded in the state Health Register with the correct signatory, and the Certificate of Fitness endorsed or renewed. A lapse in frequency is one of the most common findings in a DISH or Factory Inspectorate visit.

A periodic batch typically includes

  • โœ“ Clinical examination by an AFIH-qualified physician
  • โœ“ Vision, audiometry and spirometry as the exposure requires
  • โœ“ ECG and vitals where indicated
  • โœ“ Blood and urine pathology with hazard-specific assays
  • โœ“ Chest X-ray where the schedule or clinical picture requires
  • โœ“ Health Register entries, certificates and next-due calendar
Plan a Periodic Medical Examination Batch
Batch logistics

Designed around your shifts

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Roster & scheduling

Workers grouped by department and shift; fasting and consent instructions issued in advance; batch sized to finish within the shift.

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Mobile lab & stations

Phlebotomy, audiometry booth, spirometry, vision, ECG and physician stations set up at your premises โ€” no travel for workers.

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Barcoded records

Every sample and result is tied to the worker's register entry; cold-chain transport to NABL-partnered laboratories.

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Turnaround

Digital reports and register-ready entries within the agreed turnaround; abnormal results flagged for referral.

Recall system

Never miss a six-monthly due date

1

Master roster

Every worker's process, hazard category, last examination and statutory interval held in one register.

2

Due-date calendar

Automatic recall lists 30 days before each six-monthly or annual due date, by department.

3

Batch confirmation

Batches scheduled to clear all due examinations together with new joiners' pre-employment checks.

4

Compliance dashboard

Live view of examined / due / overdue counts for HR, EHS and management.

Related

Explore the rest of our occupational-health cluster

FAQs

Frequently asked questions

Is a six-monthly examination required for all factory workers?

No. The six-monthly interval applies to workers employed in a hazardous process under the state hazardous-process rule. Workers in notified dangerous operations follow the interval in the relevant schedule (usually twelve months, sometimes shorter). Workers in neither category have no statutory interval, although an annual examination is common practice. We classify every worker by process so you examine exactly who the rules require, when they require it.

Can new joiners' pre-employment examinations be done in the same batch?

Yes โ€” most clients combine them. Pre-employment examinations must be completed before first employment in a hazardous process, with a Certificate of Fitness issued; we schedule them with the periodic batch or as a separate onboarding slot depending on your hiring pattern. See pre-employment medical examination.

What do we receive after the batch?

Completed Health Register entries in your state's prescribed form (Form 7 in Maharashtra, Form 16/26 in Karnataka, Form 32/20 in Gujarat, Form 17 in Tamil Nadu), Certificates of Fitness, employee-wise digital reports, a referral list for abnormal results, de-identified batch statistics for management and a next-due calendar.

Is your periodic examination due?

Share your last examination date and headcount โ€” we will schedule a batch before the statutory interval lapses.