EXTRACTS FROM MEDICAL EXAMINATION RULES FOR

APPOINTMENT AS ‘ST’ IN BHEL

1. Scope and Coverage
To be eligible for appointment in the service of the Company, every
candidate shall be required to undergo a medical examination as per
Company rules.
2. Medical Fitness
To be passed as fit for appointment, a candidate must be in good mental
and bodily health and free from any physical defect likely to interfere with
the efficient performance of the duties of his appointment.
3 Conduct of Medical Examination
Medical Examination as prescribed in the said rules will be conducted by
the Authorised Medical Officer of the Company nominated specifically for
the purpose by the Chief Medical Officer/ Head of Medical Department,
who will be the only authority competent to certify a candidate as
medically fit in respect of all appointments made in the unit or
establishment concerned.

Medical Norms and Standards for Appointments in the

Company
(Norms and Standards shall however be further relaxed for Physically
Challenged candidates as per the Rules.)

1. Good mental and bodily health and a strong constitution.

2. Free from physical defect or abnormality, congenital or acquired, likely to
interfere with the efficient performance of duties.
3. No evidence of mal-development-physical or mental.
4. Joints and loco-motor functions within normal limits.
5. No deformity from old fractures or depression of skull bones.
6. Eye
Standards and procedures of examination in respect of visual acuity and
colour perception are as follows :
The candidate's eyes will be tested and results of the test recorded in
accordance with the following rules :
6.1 The candidate's eyes will be submitted to a general examination directed
to the detection of any disease or abnormality. The candidate may be
rejected if he suffers from morbid condition of the eyes, eyelids or
contiguous structures of such nature as would render him/ her unfit for
service at the time of appointment or at a future date.
6.2 Visual Acuity
The examination for determining the acuity of vision includes two tests,
one for distant, and the other for near vision. Each eye will be examined
separately.
6.3 Standard of visual acuity with or without glasses will be as follows :
Age Distant Vision Near Vision
Better Eye Worse Eye Better Worse Eye
Eye
Below 35 yrs. 6/9 6/9 Sn.0.6 Sn.0.6
6/6 6/12
35 yrs. & above 6/12 6/12 Sn.0.8 Sn.0.8
6/9 6/18
6.4 Fundus Examination
In every case of Myopia, Fundus examination shall be carried out and the
results shall be recorded. In the event of a pathological condition being
present which is likely to be progressive and affect the efficiency of the
candidate, he/she shall be declared unfit.
The total amount of Myopia (including the cylinder) shall not exceed -4.00D. The total
amount of Hyper Metropia (including the cylinder) shall not exceed +4.00D in each eye.
6.5 Fundus and Media should be healthy and within normal limits.
6.6 No degenerative signs of vitreous or chorioretinitis to be present suggesting
progressive Myopia.
6.7 Should have good binocular vision, fusion faculty and full field of vision in
both the eyes.
6.8 There should be no organic disease likely to cause exacerbations or
deterioration.
6.9 In case a candidate is found unfit merely on grounds of high Myopia, the
matter shall be referred to Ophtholmologist to assess whether this myopia is
pathological or not. In case this is not pathological, the CMO may declare the
candidate fit, if he fulfills the visual requirement as per 6.3 above.
6.10 The testing of colour vision shall be essential for all candidates.
6.11 Colour blindness is a disqualification. However, General Managers at their
discretion may declare a candidate suffering from colour blindness, medically
fit keeping in view the nature of duties of the post/ posts to which he is likely
to be appointed provided, that he is otherwise declared medically fit in all
other aspects.
6.12 Night blindness shall be tested only in special cases.
6.13 Any organic disease or a progressive refractive error which is likely to result in
lowering of the visual acuity shall be considered as a disqualification.
6.14 Trachoma, unless complicated, shall not ordinarily be a cause for
disqualification.
6.15 For technical services/skilled jobs, where the presence of binocular vision is
essential, squint, even if the visual acuity is of the prescribed standards shall
be considered as a disqualification..
6.16 For regular service one eyed individual should be considered as unfit
6.17 Correction with contact lenses is no bar for employment provided the
prescribed standards are fulfilled.
7. Ear
The candidate should be free from any active disease of the ear. The
candidate should be able to hear whispering voice separately in both the ears
at a distance of 20 feet in a quiet room. A candidate who fails in this test will
be declared medically unfit.
8. Nose
A candidate should be free from any active disease of nose.
9. Throat
State of tonsils-Slight hypertrophy without evidence of repeated tonsilitis is not
a cause for rejection. Enlarged tonsils cause temporary unfitness until treated
with tonsillectomy. Throat, palate, gums, jaws temporo-mandibular joints and
dentition should be within normal limits.
10. Blood Pressure (BP)
10.1 The normal limits of blood pressure shall be assessed as follows :
Systolic : a) 15 to 25 yrs. of age Age plus 100
b) 26 yrs. & above 110 plus half the Age
Diastolic: For all age groups 90 mm or below.
For all candidates who show variations of systolic or diastolic BP beyond the
above norms, specialist examination shall be conducted before deciding upon
the medical fitness.
11 Glands
Thyroid should be normal with no evidence of hypo or hyper thyroidism or
generalised enlargement of lymph glands. Scars if any, of the previous
removal of tubercular glands should be normal and there must not have been
any active disease in the last five years.

12 Urine
Non orthostalic albunimuria will be a cause of rejection. If sugar is detected
during routine chemical tests, further laboratory tests such as standard blood
sugar tolerance test will be undertaken by a Medical Specialist before
determining the fitness. If a candidate is diagnosed to be suffering from
diabetes, he shall be declared unfit.
13 Radiological Examination
Skiagram chest of all fresh entrants will be taken. Mass miniature radiography
will be utilised, wherever available. Cases diagnosed as suffering from
pulmonary tuberculosis will be declared unfit. Such candidates are considered
to be unsuitable for employment in view of the industrial hazards.

14 Venereal Diseases
Candidates who have suffered or are suffering from venereal diseases will not
be declared fit unless detailed examination of urethral smear and serological
test proves negative.
15 Skin Diseases
Candidates suffering from leprosy or chronic or inveterate skin conditions will
be declared unfit. Vitiligo cases are acceptable.
16 Fits
Candidates suffering from epilepsy will be declared unfit.

17 Miscellaneous
Sign of incontinence of urine or enuresis at the time of pre-employment
medical examination will render a candidate unfit.
18 Pregnancy
If at the time of medical examination, a candidate is pregnant of 12 weeks or
more she shall be declared temporarily unfit until she has completed 6 weeks
after confinement. After confinement the candidate shall be required to
produce a medical certificate of fitness from a registered medical practitioner
before being called for a final medical examination.
19 Defects
Congenital or acquired physical defects if any noticed will be recorded on the
medical examination form with a clear opinion as to whether it is likely to
interfere with the efficient performance of the duties for which the candidate is
under consideration for employment.

Note: The above Rules are only extracts and therefore the serial numbering is not
identical to the numbering of Rule provisions in the “Medical Examination Rules” of
BHEL.