For mine employees only

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.... the opinion of the .......... Specialist from ....................  Employee may be permitted/not permitted to carry on their duties during this period. Space for affixing Passport Size Photograph of the Candidate.                 Place : Signature & name of the examining authority With date and seal Report of the examining authority (to be filled in for every medical examination whether initial or periodical or re-examination or after cure/control of disability). Annexure to Certificate No. ................. as result of medical examination on ............... Identification Mark.................. Left thumb impression and Signature of The candidate 1. General development-             Good/Fair/Poor 2. Height. .............Cms. 3. Weight. ..............kg. 4. Eyes : (i) Visual acuity-Distant vision (with or without glasses): Right eye .......... Left eye ............. (ii) any organic disease of eyes (iii) night blindness (iv) Color blindness (to be tested in IME)....

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.... Lipid profile WNL/Abnormal 5 Blood Urea, Creatinine WNL/Abnormal 6 Urine (Reaction, Albumin, Sugar) WNL/Abnormal 7 Stool Routine WNL/Abnormal 8 Sputum test for AFB(For Food handling employee)   9. Hemoglobin Electrophoresis for sickle cell disease /trait (to be tested in IME ) WNL/Abnormal 10. Bilirubin WNL/Abnormal 11. SGOT WNL/Abnormal 12. SGPT WNL/Abnormal 13. delta aminolevulinic acid in urine ( for person exposed to Lead) WNL/Abnormal Enclose all Investigation Reports. 17. Skiagram of chest. ILO Classification of Chest Radiograph : Profusion of Pneumoconiotic opacities Grades Types Present/Absent     Enclose Chest Radiograph 18. Any other abnormality. 19. Any other test considered necessary by the examining authority. 20. Any opinion of specialist considered necessary. Signature & name of the examining authority With date and seal Place: Medical Standard of Fitness for Persons to be employed in Mines (Initial Medical Examination). 1. The person shall be in good physical and mental health and free from any physical defect, ....

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.... One eyed person - Presence of binocular vision is essential, one functional eye should be considered a disqualification. j) There shall be no Nystagmus. 7. Respiratory system: Chest must be well formed Respiratory system should be sound and free from any chronic laryngeal, bronchial pulmonary disease. Tuberculosis of lungs if not active should not be a disqualification. a) A full sized postero-anterior chest radiograph (not less than 11 inch. X 14 inch.) enough to include thoracic inlet and both costophrenic angles obtained by an X-ray machine (analog /digital) of atleast 300 Milli-Ampere strength shall be classified as per ILO international Classification of Radiographs of Pneumoconiosis by Medical Officer trained in such ILO classification. X-ray shall be classified using LED view box accommodating at least four chest radiographs of 14 inch. X 17inch size. b) Lung function tests (spirometry) to record forced vital capacity (FVC) and forced expiratory volume in one second (FEVI) shall be made. Findings of spirometry shall be within normal limit. 8. Circulatory system: - There should be no evidence of cardiac or vascular disease which may interfere....

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..... Teeth shall be in good condition and where necessary, the employee shall be provided with dentures, where necessary, for effective mastication (well filled teeth will be considered as sound). The Gums should be in healthy condition. 4. Locomotor System: The limbs should be well formed and developed, and the function of all the limbs should be within normal limits. Any deformity should be recorded. There should be no deformity or paralysis which may interfere with their efficient employment in a mine. 5. Skin: - There shall be no evidence of extensive and chronic skin disease or ulceration. In case of infective skin disease, the candidate maybe declared fit after he has undergoing a treatment. All occupational skin diseases should be noted. 6. Eye : (a) Vision with or without glass should not be less than the following standard: i. Better eye       6/9 ii. Worse eye      6/12 (b) There should be no night blindness for persons employed below ground and for persons employed in open cast working in shifts other than in morning's shifts. (c) A person having only one eye which functio....