Community Medicine (PSM) · Occupational Health and Legislation (ESI, Factories Act)

Under the Factories Act 1948, a factory with hazardous processes must maintain which of the following specific worker health records?

  • A General medical examination records only
  • B Health records including biological monitoring for hazardous substance exposure
  • C Annual chest X-rays for all workers
  • D Psychological assessment records to detect occupational stress
Correct answer: B. Health records including biological monitoring for hazardous substance exposure

Explanation

Under Sections 41A-41H (inserted in 1987) of the Factories Act, hazardous process factories must maintain worker health records that include: pre-employment and periodic medical examinations, biological monitoring (blood/urine levels of specific toxins), environmental monitoring data, and records of any acute health episodes related to workplace exposure. These records must be preserved for 40 years. This is distinct from the general provision for medical examination in Schedule 2 factories (requiring X-rays for workers exposed to dust). Biological monitoring is the key addition for hazardous process workers.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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