No worker may be employed for the first time in a hazardous process without a Certificate of Fitness from the Factory Medical Officer. We run pre-employment examinations that establish a clean baseline, satisfy the state rule and start the worker's Health Register record correctly.
The hazardous-process rules in every major state require a worker to be medically examined once before employment to ascertain physical fitness for the particular job, and prohibit first employment without a Certificate of Fitness granted by the Factory Medical Officer — Form 6 in Maharashtra (Rule 73-V), Form 4 in Karnataka (Rule 88-L), Form 33 in Gujarat (Rule 68-T), Form 26 in Uttar Pradesh (Rule 63-I). The details are entered in the state Health Register. For notified dangerous operations the schedules additionally require examination by the Certifying Surgeon within 14–15 days of first employment, often with process-specific baseline tests, and no worker may continue beyond that period without the Certifying Surgeon's certificate.
Beyond compliance, the pre-employment examination is the baseline against which every later periodic examination is compared — the reference audiogram, the reference spirometry, the reference blood lead. A missing or poor baseline makes occupational disease impossible to attribute later.
Baseline pure-tone audiogram, ideally after a noise-free interval, for future comparison.
Baseline spirometry; chest X-ray where the process schedule requires it.
Baseline blood/urine lead, haemoglobin, urinary metabolites or cholinesterase as the schedule prescribes.
ECG, blood pressure, vision and musculoskeletal assessment for physically demanding roles.
HR shares the role, process and hazard category for each candidate or joining batch.
Candidates examined on site or at a partner centre with the role-specific baseline tests.
Certificate of Fitness issued in the state form; unfit or conditionally fit findings communicated with reasons and appeal route.
Health Register entry opened and the six-monthly recall date set.
Not in a hazardous process: the rules prohibit first employment without a Certificate of Fitness from the Factory Medical Officer. In a notified dangerous operation the worker must be examined by the Certifying Surgeon within the period the schedule allows (commonly 14–15 days) and may not continue beyond it without certification. For other roles there is no statutory bar, but a baseline examination is strongly advisable.
The Factory Medical Officer records the finding and the worker has a right of appeal — in most states to the Certifying Surgeon (directly, or via the Inspector), whose opinion is final. Where the finding is conditional, we specify the restriction so HR can consider alternative placement. Findings are confidential and communicated only as the rules and the worker's consent allow.
We will set up a pre-employment examination flow with the correct certificate and register for your state.
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.
