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of <h1>Occupational safety and health standards set employer duties on hazard management, medical surveillance, and allow Central and State amendments.</h1> Section 18 empowers the Central Government to notify occupational safety and health standards for specified workplaces, requiring standards addressing physical, chemical, biological and other hazards and prescribing employer obligations on hazard appraisal, monitoring, medical examination and reporting of occupational diseases; consequence: employers must provide testing and medical examinations at their cost and maintain hazard evaluation procedures. The Central Government may amend the Second Schedule following National Board recommendation after notice, and the State Government may modify standards for establishments within the State with prior Central approval; consequence: regulatory uniformity subject to notified amendments and state-specific modifications.
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