SCHEDULE- VII PERIODICITYOF MEDICAL EXAMINATION OF BUILDING WORKERS (See rule 81(iv) and 223(a)(iii) 1. The employer shall arrange a medical examination of all the building workers employed as drivers, operators of lifting appliances and transport equipment before employing, after illness or injury, if it appears that the illness or injury might have affected his fitness and, thereafter, once in every two years upto the age of forty and once in a year, thereafter. 2. Complete and confidential records of medical examination shall be maintained by the employer or the physician authorised by the employer. 3. The medical examination shall include- (a) full medical and occupational history. (b) clinical examination with particular reference to - (i) General Physique: (ii) Vision.- Total visual performance using standard orthorator like Titmus Vision Tester should be estimated and suitability for placement ascertained in accordance with the prescribed job standards. (iii) Hearing.- Persons with normal hearing must be able to hear a forced whisper at twenty four feet. Person using hearing aids must be able to hear a warning shout under noisy working conditions. (iv) Breathing.- Peak flow rate using standard peak flow meter and the average peak flow rate determined out of these readings of the test performed. The results recorded at pre-placement medical examination could be used as a standard for the same individual at the same altitude for reference during subsequent examination. (v) Upper limbs.- Adequate arm function and grip (both arms). (vi) Lower Limbs.- Adequate leg and foot function. (vii) Spine.- Adequately flexible for the job concerned. (viii) General.- Mental alertness and stability with good eye, hand and foot co-ordination. (e) Any other tests which the examining doctor considers necessary. | 
