Every employer provides the prescribed annual health examination or test free of costs to the employees the rules name.
Source: OSH Code, 2020, s.6(1)(c)Free Annual Health Examination Template for Indian Employers
The OSH Code makes the annual health examination free, then leaves who gets one to rules. Find out if you must, and run it properly if you do.
- Who must have one, by sphere and work
- The Form VIII tests and the ESIC route
- Register, referral and employee notice
What is inside the pack
Six formats. Pair it with your safety committee.
Does it apply to us?
Central or State sphere, the kind of work, and who has completed forty.
Health examination register
One row an employee: date of birth, when they turn forty, last examined, next due and whether they got their copy.
Referral to the practitioner
The Form VIII tests listed, a certificate for each employee, and every charge billed to you, whether a practitioner or the ESIC examines.
Notice and acknowledgement
Free, confidential, a copy for the employee, and Aadhaar only with consent, as on the appointment letter.
Policy clause and worked example
A policy clause, a worked example of who is due by date of birth, and what is still open.
Know who turns forty
Attendo (formerly Petpooja Payroll) keeps every employee's record, date of birth included, across branches in one account.
Why the health examination is misunderstood
Because the Code and the rule say different things. Section 6(1)(c) of the OSH Code makes an annual examination free, and leaves who gets one to the government's rules.
The Central rule is narrow: dock work and building or other construction work, for employees who have completed forty, in the Central sphere. Mines examine everyone, before employment and every year.
Everyone else reads their State's rules. A hospital, an office or a factory in the State sphere follows what its State prescribes, and the move to the Codes did not change that.
Where it applies, it is free, tests included, by a qualified practitioner or the ESIC, and certified in Form VIII with a copy for the employee. Charging for it, or deducting it from wages, is the mistake to avoid.
And it is health data. Keep the certificates with HR, take Aadhaar only with consent, file them with your other statutory records, and treat a finding under your equal opportunity policy, which every establishment of any size needs, not as a reason to remove someone: a private employer may act on disability only where it is proportionate, under section 3(3) of the RPwD Act.
Three things the pack settles
Each one is where a health examination programme usually slips.
- Whether you must. Sphere and work decide it, and the Central rule names only two kinds of work, plus mines.
- Who is due. 'Completed forty' starts on the fortieth birthday, worked through by date of birth.
- Who pays. Free of costs, tests included, with the certificate copied to the employee.
| Who | Must examine | From | How often | Rule | Format |
|---|---|---|---|---|---|
| Dock work, Central | Employees | Completed 40 | Yearly, our reading | rule 5 | 01, 02 |
| Construction, Central | Employees | Completed 40 | Yearly, our reading | rule 5 | 01, 02 |
| Mines | Everyone | Before joining | Yearly | rules 60, 109 | 01 |
| Other Central sphere | Not prescribed | s.6(1)(c) | 01 | ||
| State sphere | State rules | s.6(1)(c) | 01 |
Three numbers behind the examination
Dock work and building or other construction work examine every employee who has completed forty. Central rule; States set their own.
Source: OSH (Central) Rules, 2026, rule 5(1)A qualified medical practitioner certifies in Form VIII, one copy to the employer and one to the employee.
Source: OSH (Central) Rules, 2026, rule 5(2)6 Health Examination Mistakes Indian Employers Make
Charging for it or deducting it
The Code says free of costs, tests included. No charge, and no deduction in the salary sheet.
Keeping the certificate from the employee
The certificate goes to both the employer and the employee.
Assuming the Central rule covers you
It names only dock work and construction, in the Central sphere. A factory follows its State's rules.
Counting from the wrong birthday
Completed forty starts on the fortieth birthday, not in the year someone turns forty.
Collecting Aadhaar without consent
Form VIII asks for Aadhaar only after obtaining consent.
Sharing results around the office
A health certificate is health data. Keep it with HR, not the line manager.
A health camp once a year against this pack
A health camp
Whoever turns up
- No idea who must attend
- Tests vary by vendor
- Results kept by the vendor
- Aadhaar collected by default
- No certificate for staff
This pack
Six formats and a guide
- Who is due, by date of birth
- The Form VIII tests
- Copies to both sides
- Aadhaar with consent
- Free, tests included
Check, list, then refer
Fill Format 01, list who is due on Format 02, then send Format 03. Attendo keeps every date of birth in one place.
Common questions
Is this health examination pack really free? +
Is an annual health checkup mandatory for employees? +
Can we deduct the cost of the health checkup from salary? +
Can we use ESIC for the annual health examination? +
What tests does the annual health examination include? +
About Attendo
Attendo (formerly Petpooja Payroll) is payroll and attendance software used by 40,000+ businesses across manufacturing, corporate offices, retail, hospitals and education. General guidance, not legal advice. This pack is one of our free OSH formats, each built from the law rather than from other templates.
Get the health examination pack
An applicability check, a register, a referral letter, an employee notice, an acknowledgement and a policy clause, in Word. Free.

