The Basics

What is Form 19?

Form 19 is the Health Register prescribed by the Rajasthan Factories Rules, 1951, framed under the Factories Act, 1948 and enforced by the Factories and Boilers Inspection Department, Government of Rajasthan. Rule 14 (Duties of Certifying Surgeon) โ€” sub-rule (6): at visits to factories carrying on dangerous operations the Certifying Surgeon examines the persons employed and records the results in a register known as the Health Register (Form No. 19), kept by the factory manager and produced at each visit; sub-rule (7) provides the power of suspension by an entry in the register.

The hazardous-process (Section 41-C) register and certificate forms in Rajasthan are confirmed per client with the Factories and Boilers Inspection Department, Government of Rajasthan โ€” The hazardous-process medical-examination provisions (the 97-series rules cited by practitioners as Rule 97-H) are not contained in the edition of the rules published on the official portal; we confirm the current hazardous-process rule and register with the Factories & Boilers Inspection Department for each client..

Form 19 (Rule 14) verified against the official text. The published official edition predates the hazardous-process amendments; those provisions are confirmed per client until an amended official text is obtained.

Form 19 at a glance

  • โœ“ Health Register under the Rajasthan Factories Rules, 1951
  • โœ“ For workers in notified dangerous operations (Section 87)
  • โœ“ Completed and signed by the Certifying Surgeon
  • โœ“ Certificate of Fitness: Certificate of Fitness under the dangerous-operation schedules (Form 30 / Form 31 special certificates in the lead, manganese and related schedules)
  • โœ“ Kept by the factory manager; produced at each visit
  • โœ“ Hazardous-process forms confirmed per client
Plan a Periodic Medical Examination Batch
Question by question

Form 19 explained

Under which state rules is it prescribed?

The Rajasthan Factories Rules, 1951, made under Section 112 of the Factories Act, 1948 and enforced by the Factories and Boilers Inspection Department, Government of Rajasthan.

Which rule prescribes it?

Rule 14 (Duties of Certifying Surgeon) โ€” sub-rule (6): at visits to factories carrying on dangerous operations the Certifying Surgeon examines the persons employed and records the results in a register known as the Health Register (Form No. 19), kept by the factory manager and produced at each visit; sub-rule (7) provides the power of suspension by an entry in the register.

Who maintains it?

The factory manager keeps Form 19 on the premises, produces it to the Certifying Surgeon at each visit and to the Inspector on demand. Form 19 and the certificates of fitness are kept by the factory manager, produced to the Certifying Surgeon at each visit and on demand to the Inspector.

Who completes and signs it?

The Certifying Surgeon appointed or authorised by the State Government under Section 10 of the Factories Act, 1948. An AFIH-qualified Factory Medical Officer does not sign the dangerous-operation entries unless that doctor also holds the Certifying Surgeon appointment.

When is it required?

Whenever the factory employs workers in any operation notified as dangerous under Section 87 and the schedules to the Rajasthan Factories Rules, 1951 โ€” from the first examination after employment and at every periodic examination thereafter.

Which workers and processes does it cover?

Schedules (lead, electrolytic chrome, manganese, benzene, pesticides, chemical works and others) require Certifying Surgeon examination within 7โ€“30 days of first employment and re-examination at 3- to 12-month intervals as prescribed, with Health Register entries in Form 19 (Form 17 in some older schedules) and special certificates of fitness in Form 30/31. The benzene schedule requires six-monthly examinations by the Factory Medical Officer with blood tests, entered in Form 19.

What information is recorded?

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

How frequently are examinations required?

Dangerous operations: as prescribed per schedule โ€” commonly every 12 months, three-monthly for manganese and certain chemical exposures, six-monthly for benzene.

What is the role of the Factory Medical Officer?

The hazardous-process (Section 41-C) register and certificate forms in Rajasthan are confirmed per client with the Factories and Boilers Inspection Department, Government of Rajasthan โ€” The hazardous-process medical-examination provisions (the 97-series rules cited by practitioners as Rule 97-H) are not contained in the edition of the rules published on the official portal; we confirm the current hazardous-process rule and register with the Factories & Boilers Inspection Department for each client.. The FMO โ€” typically an AFIH-qualified doctor โ€” also runs the Occupational Health Centre (Occupational Health Centre requirement for hazardous-process factories โ€” rule number pending confirmation against the current amended text.) and reports abnormalities to the Certifying Surgeon.

What is the role of the Certifying Surgeon?

The Certifying Surgeon performs the dangerous-operation examinations, signs the register and certificates, suspends and re-admits workers, and gives the final opinion on appeals against the Factory Medical Officer's findings.

Can the examination be conducted at the factory premises?

Yes. The rules require the manager to provide a clean, ventilated, furnished room for the Certifying Surgeon's exclusive use during examinations at the factory. Our batches are organised on site.

How does Nodal Healthcare support the medical batch and documentation?

We map your processes to the Rajasthan Factories Rules, 1951 schedules, run the on-site batch with AFIH-qualified doctors and technicians (Per schedule โ€” blood tests for benzene; lead in blood/urine and haemoglobin for lead; skin, forearm and nasal inspection for chrome; pulmonary function and chest X-ray for silica and stone dust common to Rajasthan's marble and mining-linked units.), coordinate the Certifying Surgeon's visit, prepare the Form 19 entries and certificates for signature and deliver digital records, statistics and a recall calendar.

Our Process

How Nodal Healthcare supports the Form 19 workflow

1

Process mapping

We review your factory licence and process list against the Rajasthan Factories Rules, 1951 to confirm which workers fall under Form 19 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 19 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 19 โ€” common questions

Is Form 19 the only Health Register in Rajasthan?

Form 19 is the Certifying Surgeon's register for dangerous operations. The hazardous-process medical-examination provisions (the 97-series rules cited by practitioners as Rule 97-H) are not contained in the edition of the rules published on the official portal; we confirm the current hazardous-process rule and register with the Factories & Boilers Inspection Department for each client.

Can an AFIH doctor complete Form 19?

Only if that doctor is also appointed or authorised as a Certifying Surgeon by the State Government. The AFIH qualification alone does not confer that authority. We provide AFIH-qualified doctors for the Factory Medical Officer role and coordinate Certifying Surgeons for Form 19.

How did you verify the Form 19 requirement?

Rajasthan Factories Rules, 1951 โ€” official text published by the Factories & Boilers Inspection Department, Rajasthan (edition without the later hazardous-process chapter) (last checked 2026-09-12). This is the official government text.

Need Form 19 entries for your Rajasthan factory?

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