FIRST SCHEDULE
Regulations 4(3) and 5(2) and (3)
First column
Second column
Third column
Nature of occupation
Types of medical examinations
Pre-placement and periodic medical examinations
1.Occupations involving the use or handling of or exposure to the fumes, dust, mist, gas or vapour of —
 
 
(a)arsenic or any of its compounds
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine arsenic examination
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iii)Liver function tests including serum bilirubin, alkaline phosphatase, gamma glutamyl transpeptidase, alanine and aspartate aminotransferase estimations
(iii)Pre-placement medical examination under regulation 4 only
(iv)A full size chest x‑ray examination
(iv)Pre-placement medical examination under regulation 4 only
(b)cadmium or any of its compounds
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Blood cadmium estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iii)Urine Beta2-microglobulin estimation
(iii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(c)lead or any of its compounds
 
 
(i)Inorganic lead
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(ii)Blood lead estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(iii)Haemoglobin
(iii)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(ii)Organic lead
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(ii)Urine lead estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(d)manganese or any of its compounds
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine manganese estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(e)mercury or any of its compounds
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine mercury estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
2.Occupations involving the use or handling of or exposure to the liquid, fumes or vapour of —
 
 
(a)benzene
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine tt-muconic acid or urine s‑phenylmercapturic acid estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iii)Haemoglobin estimation and full blood count
(iii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iv)Peripheral blood film
(iv)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(b)organophosphates
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(ii)Red blood cell acetylcholinesterase estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 6 months
(c)perchloroethylene
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine trichloroacetic acid estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iii)Liver function tests including serum bilirubin, alkaline phosphatase, gamma glutamyl transpeptidase, alanine and aspartate aminotransferase estimations
(iii)Pre-placement medical examination under regulation 4 only
(d)trichloroethylene
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Urine trichloroacetic acid estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(iii)Liver function tests including serum bilirubin, alkaline phosphatase, gamma glutamyl transpeptidase, alanine and aspartate aminotransferase estimations
(iii)Pre-placement medical examination under regulation 4 only
(e)vinyl chloride monomer
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Liver function tests including serum bilirubin, alkaline phosphatase, gamma glutamyl transpeptidase, alanine and aspartate aminotransferase estimations
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
3.Occupations involving the use or handling of or exposure to tar, pitch, bitumen or creosote
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
4.Occupations involving the use or handling of or exposure to the dust of —
 
 
(a)asbestos
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 36 months
(ii)A full size chest x‑ray examination
(ii)Pre-placement medical examination under regulation 4 and thereafter every 36 months
(b)raw cotton
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(ii)Lung function tests (FEV1 and FVC) before and after 6 hours of exposure to cotton dust on the same day
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
(c)silica
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter every 36 months
(ii)A full size chest x‑ray examination
(ii)Pre-placement medical examination under regulation 4 and thereafter every 36 months
5.Occupations involving exposure to excessive noise
(i)An audiometric examination (where the air conduction is abnormal, to include bone conduction testing and auroscopic examination)
(i)Pre-placement medical examination under regulation 4 and thereafter every 12 months
6.Occupations involving work in a compressed air environment
(i)Clinical examination
(i)Pre-placement medical examination under regulation 4 and thereafter —
 
 
(A)not less than once in every 3 months in respect of working pressures not exceeding one bar
 
 
(B)not less than once in every one month in respect of working pressures at or exceeding one bar
 
 
(C)not more than 3 days prior to re‑employment in a compressed air environment if an employee has —
 
 
(CA)not worked in a compressed air environment for more than 14 consecutive days
 
 
(CB)suffered from a ear, nose, throat or respiratory infection
 
 
(CC)suffered from any illness or injury necessitating absence from work for more than 3 consecutive days
 
(ii)Height, weight and body fat estimation
(ii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
 
(iii)An audiometric examination (where the air conduction is abnormal, to include bone conduction testing and auroscopic examination)
(iii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
 
(iv)Test in a lock
(iv)Pre-placement medical examination under regulation 4 only
 
(v)A full size chest x‑ray examination
(v)Pre-placement medical examination under regulation 4 only
 
(vi)Radiographic examination of shoulder, hip and knee joints
(vi)Pre-placement medical examination under regulation 4 in respect of all working pressures and thereafter every 12 months or just before stopping work whichever is earlier in respect of working pressures at or exceeding one bar
 
(vii)Electrocardiogram for workers who are 35 years of age and above
(vii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
 
(viii)Lung function tests (FEV1 and FVC)
(viii)Pre-placement medical examination under regulation 4 and thereafter every 12 months
[S 434/2024 wef 01/06/2024]