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.
REGULATIONS RELATING TO THE PHYSICAL
EXAMINATION OF CANDIDATES
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 :—
The 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
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 :—
For 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
(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
(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
(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 :—
12. 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.