The Basics

What is Form 20?

Form 20 is the Health Register prescribed by Rule 15(7) of the Gujarat Factories Rules, 1963. When the State-appointed Certifying Surgeon visits a factory carrying on notified dangerous operations and examines the exposed workers, the Certifying Surgeon issues a Certificate of Fitness in Form No. 5 and enters the record of each examination โ€” including the nature and results of the tests โ€” in Form 20, which the manager keeps. Suspension of a worker from the process, and sanction to resume, are recorded in the same register. Several dangerous-operation schedules (lead, chrome and others) expressly require a Form 20 register containing the names of all workers employed in the process.

Form 20 is distinct from Form 32, the register under Rule 68-T in which the Factory Medical Officer records pre-employment and six-monthly examinations of workers in a hazardous process, with the Certificate of Fitness in Form 33. We verified all four form numbers against the consolidated text published by DISH Gujarat.

Form 20 at a glance

  • โœ“ Health Register under Rule 15(7), Gujarat Factories Rules, 1963
  • โœ“ For workers in notified dangerous operations (Section 87)
  • โœ“ Completed and signed by the Certifying Surgeon
  • โœ“ Certificate of Fitness in Form 5
  • โœ“ Kept by the factory manager; produced at each visit
  • โœ“ Companion register for hazardous processes: Form 32 with Form 33 certificate (Rule 68-T)
Plan a Periodic Medical Examination Batch
Question by question

Form 20 explained

Under which state rules is Form 20 prescribed?

The Gujarat Factories Rules, 1963, framed under Section 112 of the Factories Act, 1948 and enforced by the Directorate of Industrial Safety and Health (DISH), Government of Gujarat.

Which rule prescribes it?

Rule 15 โ€” Duties of Certifying Surgeon โ€” sub-rule (7): after examining a worker in a dangerous operation the Certifying Surgeon issues a Certificate of Fitness in Form No. 5 and enters the record of each examination in the Health Register in Form No. 20; sub-rule (8) provides for suspension by an entry in the register.

Who maintains it?

The factory manager keeps Form 20 in custody on the premises and produces it to the Certifying Surgeon at each visit and to the Inspector on demand.

Who completes and signs it?

The Certifying Surgeon appointed or authorised under Section 10 of the Factories Act. The Factory Medical Officer records hazardous-process examinations in Form 32, not Form 20.

When is it required?

Whenever workers are employed in an operation notified as dangerous under Section 87 and the Gujarat schedules โ€” at first employment and at each periodic examination.

Which workers and processes does it cover?

Workers in the scheduled dangerous operations, which in Gujarat prominently include lead, chrome, electrolytic plating, solvent and dye-intermediate processes, pesticide formulation and chemical works โ€” the processes typical of the Ankleshwar, Vapi, Dahej and Vadodara estates.

What information is recorded?

Worker identity, process and job, date and result of each examination by the Certifying Surgeon with the nature and results of tests, fitness or unfitness, suspension with period and reasons, and re-certification with signature and date.

How frequently are examinations required?

As the relevant schedule prescribes โ€” commonly at first employment and at least every 12 months, with shorter intervals for certain exposures.

What is the role of the Factory Medical Officer?

Under Rule 68-T the FMO (an AFIH-qualified doctor) examines hazardous-process workers before employment and every six months, records the examinations in Form 32, issues the Form 33 Certificate of Fitness, and reports abnormalities to the Certifying Surgeon; under Rule 68-U the FMO runs the Occupational Health Centre.

What is the role of the Certifying Surgeon?

The Certifying Surgeon performs the dangerous-operation examinations, issues Form 5 certificates, signs Form 20, exercises the power of suspension and gives the final opinion on appeals against the FMO.

Can the examination be conducted at the factory premises?

Yes โ€” Rule 15(10) requires the manager to provide a clean, ventilated and furnished room for the Certifying Surgeon's exclusive use during examinations at the factory. We organise the batch on site.

How does Nodal Healthcare support the medical batch and documentation?

We identify which of your processes fall under the Gujarat schedules and which under Rule 68-T, run the on-site batch with AFIH-qualified doctors and technicians, coordinate the Certifying Surgeon's visit, prepare the Form 20 / Form 32 entries and Form 5 / Form 33 certificates for signature, and deliver digital records, DISH-ready files and statistics.

Our Process

How Nodal Healthcare supports the Form 20 workflow

1

Process mapping

We review your factory licence and process list against the Gujarat Factories Rules, 1963 to confirm which workers fall under Form 20 and which tests and intervals apply.

2

On-site examination

AFIH-qualified occupational-health doctors and technicians examine workers at your premises; where the schedule requires the Certifying Surgeon, we coordinate their visit as part of the same batch.

3

Register & certificates

Entries are prepared in the prescribed Form 20 format with the correct signatory, together with the Certificates of Fitness, ready for the authority's inspection.

4

Digital copy & recall

You receive a digital copy, de-identified batch statistics and a due-date tracker for the next periodic examination.

FAQs

Form 20 โ€” common questions

Does a hazardous-process factory in Gujarat need Form 20 or Form 32?

Form 32 (Rule 68-T) for the Factory Medical Officer's pre-employment and six-monthly examinations of hazardous-process workers โ€” and Form 20 (Rule 15) as well if any of its processes are also notified dangerous operations examined by the Certifying Surgeon. Chemical units in Ankleshwar, Vapi and Dahej commonly need both.

What are Form 5 and Form 33?

Both are Certificates of Fitness. Form 5 is issued by the Certifying Surgeon after examining a worker in a dangerous operation (Rule 15(7)); Form 33 is issued by the Factory Medical Officer before a worker's first employment in a hazardous process (Rule 68-T(2)).

What does DISH Gujarat inspect?

The Form 20 and Form 32 registers, Form 5 and Form 33 certificates, evidence that examinations were done at the prescribed intervals, the Occupational Health Centre required by Rule 68-U with a suitably qualified FMO, and compliance with Rule 68-R on making health records available to workers.

Need Form 20 entries for your Gujarat factory?

Send us your process list and headcount and we will scope the examination batch and documentation.

Verification record

Status: Verified against official text ยท Last checked: 2026-09-12. Source: Gujarat Factories Rules, 1963 โ€” consolidated text published by DISH Gujarat.