OSH Code · Form VIII (Form 8)
Form VIII — Health Examination (except mine employees)
Form VIII of the OSH & Working Conditions (Central) Rules 2026, prescribed under Rule 5(2).
Rule: Rule 5(2) · Signed by: FMO
What the form records
- Name of employee
- Gender
- Age (with DOB)
- Company
- Designation
- UAN
- Aadhaar Number (after obtaining consent)
- In-charge Employer / Executive Contacts
- Complete personal /plant Address
- Mobile /Phone
- Medical illness (Current) and under treatment & medication, If any
- Nature of Job (furnish more details, if hazardous and work-related viz. Physical, Chemical, Biological, Ergonomic etc)
- Date
- Signature of Employee
- Ht. (in cm)
- Wt. (in Kg)
- Chest measurement - On inspiration (cm)
- Chest measurement - On expiration (cm)
- Waist Circumference
- Body Mass Index
- Vision - Visual Acuity both Right & left eyes
- Vision - Colour Vision
- Blood Pressure (mm Hg)
- Complete Blood Count: (Hb, TLC, DLC, Platelets)
- Fasting Blood Sugar
- Post Prandial Blood Sugar
- SpO2
- Blood Urea
- S. Creatinine
- S. Bilirubin (Total + direct)
- SGOT
- SGPT
- Lipid profile (S. Cholesterol / Triglyceride / S.HDL)
- S. TSH
- X-ray Chest (PA view)
- ECG
- Others if any
- Final Diagnosis/ Opinion / Treatment if any, advise by qualified medical practitioner
- Does the person have seizure(s) related disorders or difficulty in working at height? If yes, specify the works to be avoided (Yes/No/NA)
- Date
- Signature of the qualified medical practitioner
- SEAL
OSH Code Form VIII is the 8th form of the Seventh Schedule, so it is also written OSH Code Form 8. Both refer to this same form: Health Examination (except mine employees).
Part of the Seventh Schedule to the OSH & Working Conditions (Central) Rules 2026. View the official form layout in the gazette, or open Form VIII in MedFactory.
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