Onsite Occupational Health Centres (OHC)

Medical manpower deployed

Every OHC is staffed to the worker headcount, shift pattern and hazard class of the site.

• Factory Medical Officer (MBBS) — full time, part time or visiting, with fitness certification authority
• AFIH certified physician — Associate Fellow of Industrial Health, mandatory for hazardous processes and certifying-surgeon liaison
• Staff Nurses (GNM / B.Sc Nursing) — registered with the State Nursing Council, deployed shift-wise
• Paramedics / EMTs — trained in BLS, trauma first response and stretcher handling
• Pharmacist (D.Pharm / B.Pharm) — for scheduled drug custody and dispensing records
• Physiotherapist and counsellor on a visiting schedule for ergonomic and mental health support
• OHC Health Manager — single owner of rosters, statutory registers, stock, audits and client reporting

Health examinations & surveillance

• Pre-employment medical examination with baseline documentation
• Periodic medical examination as per State Factories Rules schedules
• Exit / post-exposure examination and fitness records
• Audiometry for noise-exposed workers above 85 dB(A)
• Spirometry for dust, fume and chemical exposed workers
• Vision, colour vision and Ishihara testing for drivers and crane operators
• ECG, X-ray tie-up, blood profile, LFT, KFT and biological monitoring
• Food handler medicals, vaccination drives and annual health check camps

Ambulance cover attached to the OHC

OHC contracts can include a stationed ambulance or an on-call arrangement.

• BLS ambulance — oxygen, suction, AED, spine board, cervical collars, splints, first-aid kit, trained EMT and driver. Suited to stabilise-and-transport cases within a mapped city.
• ALS ambulance — multipara monitor, defibrillator, transport ventilator, infusion pumps, emergency drug tray, doctor or critical-care paramedic on board. Used for high-risk plants, confined-space and height-heavy sites.
• Patient transport ambulance (PTA) — non-emergency shifting, medical camps and routine hospital referrals
• Motorbike first responder for large linear sites and congested industrial belts
• Mobile medical unit / clinic-on-wheels for multi-location and remote projects
• Vehicles configured to AIS-125, GPS tracked, with logged response times and monthly drill reports

Equipment for the onsite clinic

Supplied, installed, calibrated and maintained under the same contract.

• Examination couch, screen, dressing trolley, instrument tray, wheelchair, stretcher and spine board
• Vitals: BP apparatus, pulse oximeter, glucometer, thermometer, weighing scale with stadiometer
• Diagnostics: ECG machine, audiometer with sound-treated booth, spirometer, vision drum / vision tester
• Emergency: AED / defibrillator, oxygen cylinder with flowmeter, Ambu bag, suction apparatus, nebuliser, laryngoscope set
• Sterilisation and safety: autoclave, sharps containers, biomedical waste bins in statutory colour codes
• Eyewash station, emergency shower, burn care kit and stretcher points across the shop floor
• Statutory first-aid boxes stocked as per Factories Rules — one per 150 workers, audited monthly
• Computer, printer and OHC software for digital health records and MIS dashboards

Approved medicines & scheduled drug compliance

The OHC pharmacy is stocked only against a formulary approved by the Factory Medical Officer (MBBS) and the AFIH physician.

• Formulary drawn up and signed by the MBBS FMO and AFIH physician, reviewed every quarter
• Schedule H and H1 drugs dispensed only on a registered medical practitioner's prescription, with a bound H1 register naming patient, drug, quantity and prescriber
• Schedule X and narcotic-class items kept out of routine OHC stock unless licensed; where permitted, double-lock custody with named key holders
• Emergency tray as per protocol: adrenaline, atropine, hydrocortisone, antihistamine, salbutamol, GTN, dextrose, IV fluids, tetanus prophylaxis
• General stock: analgesics, antipyretics, ORS, antacids, antiseptics, ophthalmic and topical preparations, dressings and burn care
• Drugs and Cosmetics Act 1940 and Rules 1945 compliance — retail/dispensing licence where applicable, pharmacist custody, no over-the-counter sale of prescription drugs
• Batch and expiry tracking, FEFO rotation, cold chain for thermolabile items, quarantine and documented expiry disposal
• Monthly stock audit, consumption analytics and auto-replenishment triggers

Hospital tie-ups & referral pathway

• Mapping of the nearest multi-speciality, trauma, burns and eye hospitals by real travel time, not distance
• Written MoUs with tie-up hospitals for priority casualty admission and cashless / credit billing
• Referral protocol displayed at the OHC with hospital names, numbers and ambulance route
• Blood bank, dialysis and burns unit identification for high-risk processes
• ESIC hospital and dispensary mapping for covered workers
• Quarterly validation drills to confirm the pathway still works in live traffic

OHC management, records & reporting

• Health Manager owning rosters, leave-relief, competency checks and escalation
• Statutory registers: Form 32 / 33 style health registers, first-aid register, injury register as per State Factories Rules
• Digital health records with worker-wise longitudinal history and exposure linkage
• Monthly MIS: OPD load, injury rate, first-aid cases, referrals, PME completion, absenteeism trends
• Annual occupational health report and management review with corrective actions
• Support during factory inspector visits, statutory audits and client HSE audits