Complete Medical Reqiremets for Engineering Services Candidates

Some of you have asked me about medical criteria for ESE physical examination.
In this post i am going to list complete medical requirements for candidates. After reading this post you will not have any doubt left in your mind about medical fitness criteria.

Note:- This is going to be a very long post because it contains complete medical requirements.You don’t need to read the whole post just skip to portion relevant to your query.Please read about your concerned part of the post very carefully. This is written in technical language. If you are not able to grasp it completely then you should take advice of a doctor. Medical criteria is subjected to change. I am posting the latest version.


1 .These regulations are published for the convenience of candidates and in order to enable them to ascertain the probability  of  their  coming  up  to  the  required  physical standard,  the  regulations  are  also  intended  to  provide guidelines to the medical examiners and a candidate who does not satisfy the minimum requirements prescribed in the  regulations  cannot  be  declared  Fit  by  the  medical examiners. However, while holding that a candidate is not fit according to the norms laid down in these regulations, it would be permissible for a Medical Board to recommend to the Government of India for reasons specifically recorded in  writing  that  he  may  be  admitted  to  service  without disadvantage to Government.

Note  :   The  Medical  Board  while  conducting  medical examination of the candidates who have applied against  the  posts  reserved  for  physically
handicapped category will keep in view the relevant provisions of the Persons with Disabilities (Equal Opportunity,  Protection  of  Right  and  Full
Participation) Act,  1995  wherein  the  extent  of permissible disability has been defined.

2. (a) The Government of India reserve to themselves absolute discretion to reject or accept any candidate after considering the report of the Medical Board.
(b) 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 on his/her appointment.

3. (a) In the matter of the correlation of age, height and chest girth of candidates of Indian (including Anglo-Indian) race, it is left to the Medical Board to use whether correlation figures are considered most suitable as a guide in  the  examination  of  the  candidates,  if  there  be  any disproportion with regard to height, weight and chest girth, the candidates should be Hospitalised for investigation and X-ray of the chest taken before the candidate is declared fit or not by the Board.

(b) However,  for  certain  Services  the  Minimum standards  for  height  and  chest  girth,  without  which candidate cannot be accepted are as follows :—

medicalThe minimum height prescribed is relaxable in case of candidate belonging to Scheduled Tribes and to races such as Gorkhas, Garhwalis, Assamese, Nagaland Tribes, etc. whose average height is distinctly lower.

(c) For the Military Engineering Service and Indian Ordnance Factories Service Group A, minimum expansion of 5 centimetres will be required in the matter of measurement of the chest.

4.  The  candidate’s  height  will  be  measured  as
He will remove his shoes and be placed against the standard with his feet together and the weight thrown on the heels and not on the toes or other sides of the feet, he will stand erect without rigidly and with the heels, caves, buttocks  and  shoulders  touching  the  standard,  the  chin will be repressed to bring the vertex of the head level under the  horizontal  bar  and  the  height  will  be  recorded  in centimetres and parts of a centimetres to halves.

5.  The  candidate’s  chest  will  be  measured  as
follows :—
He will be made to stand erect with his feet together and to raise his arms over his head. The tape will be so adjusted round the chest that its upper edge touches the
interior angles of the shoulders blades behind and lies in the same horizontal plane when the tape is taken round the chest. The arms will then be lowered to hang loosly by the side and care will be taken that the shoulders are not thrown
upwards  or  backwards  so  as  to  displace  the  tape.  The candidate will then be directed to take a deep inspiration several times and the maximum expansion of the chest will be carefully noted and the minimum and maximum will then
be recorded in centimetres, 83—89, 86—93.5 etc. In recording the measurements fraction of less than half a centimetre should not be noted.

N.B.—The height and chest of the candidate should be measured twice before coming to a final decision.

6.    The candidate will also be weighted and his weight recorded in kilograms—fraction of a Kilogram should not be noted.

7.   The  candidate’s  eye-sight  will  be  tested  in
accordance with the following rules. The result of each test
will be recorded :—

(i)General.—The candidate’s eyes will be subjected to a general examination directed to the detection of any disease or abnormality. The candidate will be rejected if  he  suffers  from  any  morbid  conditions  of  eye,eyelids or contiguous structure of such a sort as to render or are likely at future date to render him unfit for service.
(ii)Visual Acuity.—The examination for determining the acuteness  of  vision  includes  two  tests—one  for distant the other for near vision. Each eye will be
examined separately. There shall be no limit for maximum naked eye vision
but the naked eye vision of the candidates shall however, be recorded by the Medical Board or other medical authority in every case as it will furnish the basic information in regard to the conditions of the eye.

The  standards  for  distant  and  near  vision  with  or
without glasses shall be as follows :—


NOTE (1) : (a) In respect of the Technical Service mentioned at A above, the total amount of myopia (including the cylinder) shall not exceed—4,00 D. Total amount of
Hypermetropia  (including  the  cylinder)  shall  not exceed+400D : Provided that  in case a candidate in respect of the Services classified as “Technical” (other than the Services under the Ministry of Railways) is found unfit on grounds of  high  myopia  the  matter  shall  be  referred  to  a  special boards  of  three  Opthalmologists  to  declare  whether  this myopia is Pathological or not. In case it is not pathological the candidate shall be  declared fit  provided he fulfills the visual requirements otherwise.
(b) In every case of myopia funds examination should be carried out and the results recorded. In  the event of any pathological condition being present which is likely to be progressive and affect the efficiency of the  candidate, he
shall be declared unfit.
(c) Radial Keratotomy/Laser Correction etc. shall be considered as disqualification for appointment in Railway Technical  Services  (Civil,Mechanical,  Electrical  and Electronics).  Permitted  correction  for    conforming  to prescribed visual standards is spectacles only.
NOTE (2) : The  testing of colour vision shall be essential in respect of the Technical  Services mentioned at A above.
Colour perception should be graded into higher and
lower grade depending upon the  size of aperture in the
lantern as described in the  table below :—

m5For  the  Railway Engineering Services (Civil, Electrical, Signal and Mechanical) and  other service connected with the safety of the public, Higher grade of colour vision is essential but for others lower grade of colour vision should be considered sufficient.

The categories of Services/posts which require higher
or lower grade colour perception are as indicated below :—

Technical Services or posts requiring  higher grade
colour Perception :—
(i)  Railway Engineering Services.
(ii)  Indian Defence Service of Engineer (IDSE).
(iii)  Central Engineering Service (Roads).
(iv)  Central Power Engineering Service. (Gr. ‘A’ and
Gr. ‘B’)
(v)  Assistant Executive Engineer (Group ‘A’) in the
Corps of EME.
(vi)  BRES Group ‘A’ in Border Roads Organisation.

Technical Service or  posts requiring lower grade colour
perception :—
(i)   Central Engineering Service.
(ii)  Central Electrical and Mechanical Engineering
(iii)  Indian Naval Armament Service.
(iv)  Indian Naval Stores Service.
(v)  Indian Ordnance Factory Service.
(vi)  Central Water Engineering Service.
(vii)  Engineer Group ‘A’ in Wireless Planning and
Coordination Wing/Monitoring Organisation.

Satisfactory  colour  vision  constitutes,  recognition with case and without hesitation of Red, Green and Yellow colours. The  use of Ishihara’s plates, shown in good light and  a  suitable  lantern  like    Edrige  Green’s  shall  be
considered quite dependable for resting colour vision.   Both the  Ishihara’s plates and Edrige Green’s lantern shall be used for  testing colour vision of candidates for appointment to the technical services.

NOTE (3): Field of vision—The field of vision shall be  tested  in  respect  of  all services  by  the  confrontation method. Where  such test gives unsatisfactory or doubtful results  the    field  of  vision  should  be  determined  on  the perimeter.

NOTE (4) : For Night Blindness—Night  blindness need  not be tested  as a routine but only in special cases. No  standard test for the  testing of night blindness or dark adaption  is  prescribed.  The    Medical      Board  should  be given  the    discretion  to  improvise  such  rough  test  e.g. recording  of visual acuity with reduced illumination or  by making  the    candidate  recognise  various  objects  in  a darkened room after he has been therefor  20 to 30 minutes.

Candidates  own  statements  should  not  always  be  relied
upon but they should be given due consideration.

NOTE (5): For Central Engineering Services/CES (Roads)—Candidates may be required to pass the  colour vision  test  and  undergo  test  for  night  blindness  when considered necessary by the Medical Board for Survey of
Indian Group ‘A’ service  the candidate may be required to pass a  ‘steroscopic fusion’ test.

NOTE  (6):  Ocular  conditions,  other  than  visual
acuity :—
(a)  Any organic disease or a progressive refractive error, which is likely to result in lowering the visual  acuity,  should  be  considered  as  a disqualification.
(b)    Squint  :  For  technical  services  presence  of binocular vision is essential. The  presence of Squint, even if the  vision acuity in each eye is of  the    prescribed  standard  should  be considered a  disqualification in the absence of
binocularity.  For    non-technical  service  the presence of Squint should not be considered as a disqualification if the  visual acuity is of the prescribed standards.

(c)  If a  person has one eye or if  he has one eye which has normal vision and the  other eye is ambylyopic or has subnormal vision, the usual effect  is  that  the  person  lacks  stereoscopic vision for perception of depth. Such vision is not  necessary  for  many  non-technical  posts. The  medical board may recommend as fit for non-technical service.  Such persons provided
the normal eye has—
(i)  6/6 distant vision and J/I near vision with or without glasses, provided the error in any meridian  is  not  more  than  4  dioptres  for distant vision.
(ii)  has full field of vision.
(iii)  normal colour vision  wherever required :
Provided  the  board  is  satisfied    that  the  candidate can  perform  all  the    functions  for  the    particular  job  in question.
The  above relaxed standard of visual acuity will not
apply  to  candidates  for    Posts/Services  classified  as
NOTE (7) :— Contact lenses—During the medical examination of a candidate, the  use of contact lenses is not to be allowed.
NOTE (8) :— It is necessary that when considering eye test the illumination of the  type  letters for  distant vision should have  an illumination of 15 foot  candles.
NOTE (9) :—It shall be  open to Government to relax anyone of the  condition in  favour of any candidate for special reasons.

8. Blood Pressure

The  Board will use its  discretion regarding Blood Pressure. A rough  method of calculating  normal, maximum, systolic pressure is as follows :—
(i) With  young  subjects  15—25  years  of  age  the average is about 100 plus age.
(ii) With subject over  25 years of age  general rule of 110 plus half the  age seems quite satisfactory.
N.B.—1. As a general rule any systolic prescription 140 mm and diastolic over 90 mm should be regarded as suspicious  and  the    candidate  should  be  hospitalised  by the Board before  giving their final opinion regarding the candidate’s  fitness or otherwise. The  hospitalisation report should indicate whether the rise in blood pressure is of a transient nature due  to excitement etc. or whether it is due to any organic disease. In all such cases X-ray and electro cardiographic  examinations  of  heart  and  blood  urea clearance  test  should  also  be  done  as  routine.  The  final decision as to the fitness or otherwise of a candidate will, however, rest with the Medical Board only.

 2. Method of taking Blood Pressure (II)

The mercury manometer type of instrument should be used as a rule. The measurement should not be taken within fifteen minutes of any exercise of excitement. Provided the patient and particularly his arm is relaxed, he may be
either lying or sitting. The arm is supported comfortably at the patient’s side in a more or less horizontal position. The arm should be free from clothes to the shoulder. The cuff completely deflated, should be applied with the middle of the rubber over the inner side of the arm and its lower edge an inch or two above the bend of the elbow.  The following turns of cloth bandage should spread evenly over the bag to avoid bulging during inflation. The brachial artery is located by palpitation at the bend of the elbow and the stethoscope is then applied lightly
and centrally over it below, but not in contact with the cuff. The cuff is inflated to above 200 mm. Hg. and then slowly deflated. The level at which the column stand when soft successive  sounds  are  heard  represents  the  Systolic Pressure. When more air is allowed to escape the sounds will be heard to increase in intensity.  The level at which the column well heard clear sounds change to soft muffled fading
sounds represents the diastolic pressure. The measurements should be taken in a fairly brief period of time as prolonged pressure of the cuff is irritating to the patient and will vitiate the readings. Re-checking if necessary, should be done only a  few  minutes  after  complete  deflation  or  the  cuff. (Sometimes as the cuff is deflated sounds are heard at a certain  level  they  may  disappear  as  pressure,    falls  and reappear at a still lower level. This “Silent Gap” may cause error in reading.)

9. The urine (passed in the presence of the examiner) should  be  examined  and  the  results  recorded.  When  a Medical Board finds sugar present in a candidate’s urine by the usual chemical tests the Board will proceed with the
examination with all its other aspects and will also specially note any signs or symptoms suggestive of diabetes. If except for the Glycosuria the Board finds the candidates conforms to the standards of medical fitness required  they may pass
the  candidate  fit  subject  to  the  Glycosuria  ‘being  non-diabetic’ and the Board will refer the case to a specified specialist  in  Medicine  who  has  hospital  and  laboratory facilities at his disposal. The Medical specialist will carry out  whatever  examinations,  clinical  and  laboratory  he considers  necessary  including  a  standard  blood  sugar tolerance test and will submit his opinion to the Medical Board  upon  which  the  Medical  Board  will  use  its  final opinion fit or unfit. The candidates will not be required to appear in person before the Board on the second occasion. To exclude the  effects of medication it may be necessary to retain candidate for  several days in hospital under strict supervision.

10. A women candidate who has a  result of test is found to be pregnant of  12 weeks standing or over should be declared temporary unfit until the confinement is over.She  should be re-examined for a fitness certificate six weeks after  the date of  confinement subject to the  production of a medical certificate of fitness from a registered medical practitioner.

11.  The  following  additional  points  should  be
(a)  that the candidate’s hearing in each ear is good and that there is no sign of disease of the ear. In case  it is defective the candidate should be got
examined by the  ear specialist  provided  that  if the defect in hearing is remediable by operation or by  use of  a  hearing  aid a  candidate  cannot
be declared  unfit on the  account provided he/she  has no  progressive disease in the ear. This provision  is  not    applicable  in  the  case  of Railway Services, other than Indian Railway Stores Services, the  Military Engineer Services, Central Engineering Service Group A, Central Engineering  Service (Roads), Central Electrical Engineering  Service  Group  ‘A’  and    Border Roads  Engineering  Service  Group  ‘A’.  The following  are  the  guidelines  for  the  medical examining authority in this regard :—

ear 1ear2era312.  Radiographic  examination  of  the  chest  for detecting any abnormality of the heart and lungs, which may not be apparent by ordinary physical examination will
be restricted to only such candidates who are declared finally successful at the concerned Engineering Services Examination. The decision or the Chairman of the Central Standing Medical Board (conducting the medical examination of the concerned  candidate)  about  the  fitness  of  the  candidate shall be final.

13. In case of doubt regarding health of a candidate the Chairman of the Medical Board may consult a suitable Hospital Specialist to decide the issue of fitness or unfitness of the candidate for Government Service e.g. if a candidate is  suspected  to  be  suffering  from  any  mental  defect  or aberration; the Chairman of the Board may consult a Hospital Psychiatrist/Psychologist  etc. When  any  defect  is  found  it  must  be  noted  in  the Certificate and the medical examiner should state his opinion whether or not, it is likely to interfere with the efficient performance of the duties which will be required of the candidate.

14. The Candidates who desire to file an appeal against the decision of the Medical Board are required to deposit an  appeal  fee  of  Rs.  100  in  such  a  manner  as  may  be prescribed by the Government of  India, Ministry of  Railways (Railway Board) in this behalf. This fee will be refundable only  to  those  candidates  who  are  declared  fit  by  the Appellate Medical Board whereas in the case of others it will be forfeited. Along with, appeal the candidates must, submit a medical certificate by a registered doctor specifically mentioning that he is aware of the  candidate having been declared  unfit  by  a  Medical  Board.  The  medical  fitness
certificate submitted by a candidate is only a prerequisite for appealing against the findings of the First Medical Board. Candidates must have a copy of this certificate when, they present themselves before the Medical Board. The appeals should  be  submitted  within  21  days  of  the  days  of communication in which the decision of the first Medical Board is conveyed to the candidate; otherwise request for medical examination by an appellate Medical Board will not be entertained. The medical examination by the Appellate Medical Board will be arranged only a candidate’s own cost. No travelling allowance or daily allowance will be admissible
for the journeys performed in connection with the medical examination of the Appellate Medical Board. Necessary action  to  arrange  medical  examination  by  the Appellate Medical Board will be taken by the Ministry of  Railways (Railway Board) on receipt of appeals accompanied by the prescribed fee within the stipulated time.

15. The decision of the Appellate Medical Board will be final and no appeal shall be against the same.

Thank you for your patience.I hope that after reading this no doubt will be left regarding medical requirements. In the end I am attaching medical board per-forma on which they evaluate your medical tests.

Medical Board Report Form