Medical Tests Required for Compliance under the Gujarat Factories Rules, 1963

For Hazardous Units
Workers in hazardous units are exposed to dangerous substances and processes, necessitating a thorough and regular medical examination regime. Here are the specific tests required for compliance

Pre-Employment Medical Examination : Complete Physical Examination: Comprehensive check-up to establish baseline health.

Blood Tests : Complete Blood Count (CBC): To detect any underlying health conditions.
Liver Function Tests (LFTs) : Essential for workers exposed to chemicals affecting the liver.
Kidney Function Tests (KFTs) : Important for detecting nephrotoxic effects from exposure.
Urine Analysis : To detect any abnormalities that might indicate organ damage or systemic illness.
Chest X-Ray : To check for respiratory issues, especially for those exposed to dust, fumes, or gases.
Spirometry (Pulmonary Function Test) : To evaluate lung function and detect respiratory impairment.
Audiometry : Hearing test for workers exposed to high noise levels.
Vision Test : Essential for workers in roles requiring precise visual tasks or exposure to bright light.
Periodic Medical Examinations (at least once a year as per Rule 68-V (1)

Yearly Regular check-up to monitor ongoing health.

Blood Tests :
Regular CBC : To monitor any changes in blood cell counts.
LFTs and KFTs : For continuous monitoring of liver and kidney health.
Urine Analysis : Ongoing check for any systemic health issues.
Chest X-Ray : Regular monitoring for respiratory health, especially if the worker’s role involves significant exposure to airborne contaminants.
Spirometry : To track lung function and identify any decline over time.
Audiometry : Regular hearing assessments to detect any noise-induced hearing loss.
Vision Test : Periodic vision checks to ensure continued suitability for specific roles.
Additional Specific Tests (based on the type of hazard exposure):

Biological Monitoring : Tests for specific chemicals in the blood or urine, such as lead, mercury, or other toxic substances.
Skin Examination: For workers exposed to chemicals that may cause skin disorders.
Neurological Assessments: For workers exposed to neurotoxic substances.

Special Situations :
Post-Exposure Medical Examination: Immediate health check after any significant exposure incident.
Pre-Reassignment Medical Examination: Before assigning workers to new roles involving different hazardous exposures.

For Non-Hazardous Units
Though the medical requirements for non-hazardous units are less stringent, ensuring regular health monitoring is still important for worker well-being and safety.

Pre-Employment Medical Examination :
General Physical Examination : To assess overall health and fitness for the job.
Basic Blood Tests :
CBC : To detect any general health issues.
Basic Metabolic Panel (BMP) : To check for common metabolic issues.
Urine Analysis : For detecting any urinary or systemic health conditions.
Vision Test : To ensure that vision is adequate for the job’s requirements.
Hearing Test : Especially for roles where hearing ability is crucial.
Periodic Medical Examinations.

Yearly Physical Examination : To monitor general health over time.
Basic Blood Tests:
CBC and BMP : Regular checks to monitor any changes in health status.
Urine Analysis : Periodic check for early signs of health issues.
Vision and Hearing Tests : Regularly, especially if the job involves significant visual or auditory demands.  

Special Situations :
Post-Illness Medical Examination : To ensure fitness to return to work after significant illness or injury.
Job-Specific Health Checks : For roles with specific physical or sensory demands, tailored health checks may be necessary.