12 March, 2026

Mandatory Annual Health Check-Up Under New Labour Code


✍️ CA RAMAKRISHNA SANJAY

  ๐Ÿ“ž +91 77602 52581

India’s labour law reforms aim to strengthen worker safety, health monitoring, and workplace welfare. One important compliance requirement relates to periodic medical examinations of workers.

This requirement arises from the Occupational Safety, Health and Working Conditions Code, 2020 (OSH Code).

This guide explains in a simple and practical manner:

✔ Who is covered
✔ Which establishments must comply
Employee thresholds
✔ Applicability date
✔ Possible exemptions


⚖️ What Does the New Labour Code Say?

The OSH Code, 2020 empowers the government to require free medical examinations for workers in certain situations.

๐Ÿ’ก Important:

The entire cost of the medical check-up must be borne by the employer.


๐Ÿ‘ท Who Are Covered Under This Provision?

The rule mainly applies to “Workers” under the labour code.

A worker generally includes persons employed in:

๐Ÿญ Factories
๐Ÿ— Construction establishments
⛏ Mines
⚓ Dock work
๐Ÿญ Manufacturing units
๐Ÿšฌ Beedi and cigar establishments

Managerial and administrative employees are generally not treated as workers under this code.


๐Ÿข Which Establishments Are Covered?

The OSH Code regulates establishments where industrial operations or labour-intensive activities exist.

Covered Establishments

✔ Factories
✔ Mines
✔ Building & construction establishments
✔ Dock work establishments
✔ Beedi and cigar manufacturing units
✔ Establishments employing contract labour
✔ Establishments employing inter-state migrant workers

These establishments must follow health, safety, and welfare provisions under the Code.


๐Ÿ“Š Threshold Limits for Applicability

The applicability depends on the number of workers employed.

๐Ÿญ Establishment๐Ÿ“Œ Threshold
Factory using power10 or more workers
Factory without power20 or more workers
Building & construction establishments10 or more workers
Contract labour establishments50 or more contract workers
Inter-state migrant workers10 or more workers
Mines & dock workNo specific threshold

Once these thresholds are crossed, health and safety provisions become applicable.


๐Ÿฉบ When Is Annual Health Check-up Required?

Medical examinations are mandatory in the following situations.

๐Ÿ‘ค Category of Worker๐Ÿฅ Requirement
Workers aged 45 years and aboveFree annual health check-up
Workers in hazardous occupationsPeriodic medical examination
Workers exposed to chemicals, dust, or industrial hazardsMandatory medical monitoring

๐Ÿ’ก Employer must bear the full cost of these medical examinations.


๐Ÿงพ Frequently Asked Questions (FAQs)

❓ Is annual health check-up mandatory under the new labour codes?

Yes. The OSH Code, 2020 empowers the government to mandate free medical examinations for certain categories of workers, particularly older workers and those working in hazardous environments.


❓ Who must bear the cost of the medical check-up?

๐Ÿ’ก The employer must bear the entire cost of the medical examination.

Workers should not be charged for these health check-ups.


❓ Are office employees or IT professionals covered?

Generally no.
The provision mainly applies to workers in industrial establishments such as factories, construction sites, mines, and manufacturing units.


❓ Is this rule already in force?

No.
Although the OSH Code was enacted in 2020, it will come into effect only after government notification of the rules.


❓ Are health check-ups required only for workers above 45 years?

Workers above 45 years typically require annual check-ups, but workers involved in hazardous processes may require periodic medical examinations regardless of age.


❓ What records should employers maintain?

Employers may need to maintain:

✔ Medical examination reports
✔ Worker health records
✔ Hazard exposure monitoring data

These records help demonstrate compliance with workplace safety laws.


✍️ CA RAMAKRISHNA SANJAY

  ๐Ÿ“ž +91 77602 52581


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Mandatory Annual Health Check-Up Under New Labour Code

✍️  CA RAMAKRISHNA SANJAY    ๐Ÿ“ž +91 77602 52581 India’s labour law reforms aim to strengthen worker safety, health monitoring, and workplac...

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