Annual Health Checks Under OSHWC Code 2020: A Practical Guide for HR & Occupational Health Managers

The Occupational Safety, Health and Working Conditions (OSHWC) Code, 2020 has brought a renewed focus on preventive healthcare in Indian workplaces. One of its most significant provisions is the mandatory annual health examination—free of cost—for all employees aged 40 years and above, irrespective of employment category: organized, unorganized, contractual, or gig.

For HR and Occupational Health (OH) managers, this is not merely a compliance requirement—it is a powerful opportunity to detect health risks early, reduce absenteeism, and build a healthier, more productive workforce.

Why Annual Health Checks Matter in Modern Workplaces
Today’s workforce faces two major health risks:

1. Sedentary lifestyle risks (common in office employees)

• Prolonged sitting
• High screen exposure
• Stress and irregular food habits

These contribute to diabetes, hypertension, obesity, heart disease, fatigue, and declining productivity.

2. Occupational exposure risks (common in blue-collar employees)

• Dust, chemicals, fumes, noise, vibrations
•  Heat exposure and strenuous physical tasks
• Shift work, operational stress, and ergonomics

Both categories need structured health surveillance, but the test requirements differ significantly.

Recommended Tests for Sedentary White-Collar Workforce (Office Staff)
Office employees may not face physical hazards, but they are increasingly vulnerable to lifestyle-related medical conditions. For them, the recommended health package should focus on metabolic, cardiac, nutritional, and early disease markers.

Baseline Tests for All Employees (Any Age)

• CBC / Hemogram
• Blood Sugar (Fasting & HBA1c)
• Lipid Profile
• Liver & Kidney Function Tests
• Urine Routine
• Vision / Eye Test
• Physical Examination by Physician

Additional Tests Recommended for Sedentary Employees
Because sedentary work often leads to deficiencies and metabolic slowdown:

• Vitamin B12
• Vitamin D

Regular screening helps prevent fatigue, neuropathy, back pain, low energy levels, and bone health issues—some of the most common complaints among office staff.

Enhanced Tests for Employees Aged 40+ (Mandatory Category Under OSHWC)
Employees above 40 should undergo deeper cardiac evaluation, as heart disease often progresses silently.

Recommended Additional Cardiac Tests

• Resting ECG
• TMT (Treadmill Test) – evaluates stress-related heart performance
• 2D Echo – checks structural and functional cardiac health

Adopting these tests helps detect early signs of coronary artery disease, heart muscle dysfunction, and lifestyle-related cardiac deterioration.

Recommended Tests for Blue-Collar Workforce Exposed to Hazardous Environments

Workers in manufacturing, construction, mining, logistics, metal industry, waste handling, or chemicals require job-specific medical surveillance. These employees are exposed to occupational hazards that can impact lungs, hearing, skin, muscles, and overall fitness.

Core Tests for Blue-Collar Workers

• CBC, Sugar, Lipid, LFT, KFT
• Urine Routine
• Physical Examination by Factory Medical Officer / OH Physician

Exposure-Specific Recommended Tests

1. Dust / Particulate Exposure (mines, construction, manufacturing)

• Chest X-Ray
• Spirometry (Pulmonary Function Test) – mandatory for lung monitoring

2. Noise Exposure (fabrication, engineering, heavy machinery)

• Audiometry (Hearing Test)

3. Chemical Exposure (paint, solvents, metals, chemicals)

• LFT & KFT (frequent monitoring)
• Heavy Metal Screening (as needed)

4. Heat Stress / Outdoor Exposure

• Electrolyte Profile
• ECG (for older workers)

5. Vibrating Tools Exposure

• Neurological & musculoskeletal assessments

Fitness-to-Work Certification

After testing, employees should undergo a doctor-led assessment to determine fitness for their specific role and exposure category.

Under the OSHWC Code 2020, annual health checks are not just a statutory requirement—they are a proven investment in workforce wellbeing.

By differentiating tests for sedentary staff, 40+ employees, and hazard-exposed blue-collar workers, HR and OH managers can ensure:

• Compliance with national regulations
• Early detection of health risks
• Reduction in medical absenteeism
• Better productivity and employee morale

Dr Rajkumari Sahane 
PhD – Pharmacologists.