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IN FACTORIES -WHAT ARE THE EQUIPMENT CAN BE PLACED IN OCCUPATIONAL HEALTH CENTRE ? AND have no regulatory restrictions ..
From India, Bengaluru
I think that is a question you should ask the doctor who will be operating the facility
He will tell you what he needs in the OHC

It will also depend on what industry you are in, how many people are there and whether there are any major healthcare facilities in the vicinity

From India, Mumbai
Dear Colleague,

The List of equipment that are to be provided and maintained is as part of the respective State Factories Rules under the Factories Act 1948. If you are asking for Karnataka then kindly note the below :

There is a detailed discussion under Part VI -Medical requirements of Karnataka Factories Rules 1969.

Occupational health centre :

In all the factories carrying out processes covered in Appendix 'A' there shall be
provided and maintained in good order an occupational health centre with facilities as per scale
laid down hereunder—

(1) For factories employing up to 50 workers—
(a) the services of a qualified medical practitioner herein after known as Factory Medical Officer, available on a retainership basis, in his notified clinic near to the factory, for seeking medical help during emergency. He will also carry out the pre-employment and periodical medical examinations as stipulated in paragraph 4 of this part.

(b) A minimum of five persons trained in first aid procedures, amongst whom at least one shall always be available during the working period.

(c) A fully equipped first aid box.

(2) For factories employing 51 to 200 workers—
(a) The occupational health centre shall have a room having a minimum floor area of 15 Sq.mt. with floors and walls made of smooth, hard and impervious surface and shall be adequately illuminated, ventilated and equipped.

(b) A part-time Factory Medical Officer will be in over all charge of the Centre who shall visit
the factory minimum twice in a week and whose services shall be readily available during
emergencies.

(c) There shall be one qualified and trained dresser-cum-compounder on duty throughout the
working period.

(d) A fully equipped first aid box.

(3) For factories employing above 200 workers—

(a) There shall be one full-time Factory Medical Officer for factories employing 500 workers
and one more Medical Officer for every 1000 workers or part thereof.

(b) The occupational health centre in this case shall have a minimum of 2 rooms each having a
minimum floor area of 15 sq. mt. with floors and walls made of smooth, hard and impervious surface and shall be adequately illuminated, ventilated and equipped.

(c) There shall be one qualified and trained nurse, one dresser-cum-compounder and one sweeper-cum-ward boy throughout the working period.

(d) The Occupational Health Centre in this case shall be suitably equipped to manage medical
emergencies.

3. Ambulance van
(1) In every factory carrying out processes covered in Appendix 'A' there shall be provided and
maintained in good condition, a suitably constructed and fully equipped ambulance van as per
Appendix 'C manned by a full time driver-cum-mechanic and a helper, trained in first aid for the
purposes of transportation of serious cases of accidents or sickness unless arrangements for
procuring such facility at short notice during emergencies have been made with the nearby
hospital or other places. The ambulance van shall not be used for any purpose other than the
purpose stipulated herein and will always be available near the Occupational Health Centre.
(2) The relaxation to procure Ambulance Van from nearby places provided for in sub-para (1)
above will not be applicable to factories employing more than 500 workers.

Rule 88-M. Occupational Health Centres

(1) In respect of any factory carrying on "hazardous process", there shall be provided and
maintained in good order an Occupational Health Centre with the services and facilities as per
scale laid down hereunder:—

(a) For factories employing upto fifty workers:—

(i) the services of a Factory Medical Officer on retainer ship basis, in his clinic to be notified by the occupier. He will carry out the pre-employment and periodical medical examination as stipulated in Rule 88-L and render medical assistance during any emergency.

(ii) a minimum of five persons trained in first-aid procedures amongst whom at least one shall
always be available during the working period.

(iii) a fully equipped first-aid box.

(b) For factories employing 51 to 200 workers:—
(i) an Occupational Health Centre having a room with a minimum floor area of 15 sq. m., with floors and walls made of smooth and impervious surface and with adequate illumination and ventilation as well as equipment as per the schedule annexed to this rule.

(ii) a part-time Factory Medical Officer shall be in overall charge of the Centre who shall visit
the factory at least twice in a week and whose services shall be readily available during medical emergencies;

(iii) one qualified and trained dresser-cum-compounder on duty throughout the working
period;

(iv) a fully equipped first aid box in all the departments;

Explanation:- The room facilities include those required under sub-section (4) of Section 45 of
the Act read with Rule 92.

(c) For factories employing above 200 workers:—

(1) (i) One full time Factory Medical Officer for factories employing upto 500 workers and one more Medical Officer for every additional 1000 workers or part thereof;

(ii) An Occupational Health Centre having at least 2 rooms each with a minimum floor area of 15 sq. metres with floors and walls made of smooth and impervious surface and adequate illumination and ventilation as well as equipment as per the schedule annexed to this rule.

(iii) There shall be one nurse, one dresser- cum-compounder and one sweeper-cumward boy throughout the working period;

(iv) The Occupational Health Centre shall be suitably equipped to manage medical
emergencies. Schedule Under Rule [88-M
Equipment for Occupational Health Centre in Factories
1. A glazed sink with hot and cold water also available
2. A Table with a smooth top atleast 180 cm x 105 cm.
3. Means for sterlising instruments
4. A couch
5. Two buckets or containers with close fitting lids
6. A kettle and spirit stove or other suitable means of boiling water
7. One bottle of spifitws ammoniac aromaticus (120 ml.)
8. Two kidney trays
9. Two medium size sponges
10. Four cakes of toilet, preferably antiseptic soap
11. Two glass tumblers and two wine glasses
12. Two clinical thermometers
13. Two teaspoons
14. Two graduated (120 ml.) measuring glasses
15. One wash bottle (1000 cc.) for washing eyes
16. One bottle (one litre) carbolic lotion 1 in 20
17. Three Chairs
18. One screen
19. One electric hand torch
20. An adequate supply of tetanus toxoid
21. Coramine liquid (60 ml.)
22. Tablets — antihistaminic, antispasmodic (25 each)
22. Syringes with needles - 2 cc, 5 cc. and 10 cc.
23. Two needle holders, big and small
24. Suturing needles and materials
25. One dissecting forceps
26. One dressing forceps
27. One scapel
28. One stethoscope
29. Rubber bandage—pressure bandage
30. Oxygen cylinder with necessary attachments
31. One blood pressure apparatus
32. One patellar hammer
33. One peak-flow metre for lung function measurement
34. One stomach wash set
35. Any other equipment recommended by the Factory Medical Officer according to specific
need relating to manufacturing process.
36. In addition—
(1) For factories employing 51 to 200 workers:
1. Four plain wooden splints 900 mm. x 100 mm. x 6 mm.
2. Four plain wooden splints 350 mm. x 75 mm. x 6 mm.
3. Two plain wooden splints 250 mm. x 50 mm. x 12 mm.
4. One pair artery forceps
5. Injections — morphia, pethidine, atropine, adrenaline, coramine, novocan (2 each)
6. One surgical scissor
(2) For factories employing above 200 workers:
1. Eight plain wooden splints 900 mm. x 100 mm. x 6 mm.
2. Eight plain wooden splints 350 mm. x 75 mm. x 6 mm.
3. Four plain wooden splints 250 mm. x 50 mm. x 12 mm.
4. Two pairs artery forceps
5. Injections - morphia, pethidine, atropine, adrenaline, coramine, novocan (4 each)
6. Two surgical scissors

[88-N. Ambulance Van
(1) In every factory carrying on 'hazardous process', there shall be provided and maintained
in good condition, a suitably constructed ambulance van equipped with items under sub-rule (2)
and manned by a full-time Driver cum Mechanic and a Helper, trained in first-aid, for the
purposes of transportation of serious cases of accidents or sickness. The ambulance van shall
not be used for any purpose other than the purpose stipulated herein and shall normally be
stationed at or near to the Occupational Health Centre:
Provided that a factory employing less than 200 workers, may make arrangements for a
procuring such facility at short notice from a nearby hospital or other places, to meet any
emergency.
(2) The Ambulance should have the following equipment:
(a) General
— A wheeled stretcher with folding and adjusting devices, with
the head of the stretcher capable of being tilted upward;
— Fixed suction unit with equipment;
— Fixed oxygen supply with equipment;
— Pillow with case, Sheets, Blankets and Towels;
— Emesis bag, Bed pan, Urinal and Glass.
(b) Safety Equipment
— Flares with life of 30 minutes;—Floodlights;
— Flashlights and Fire extinguisher dry powder type;
— Insulated gauntlets.
(c) Emergency Care Equipment
(i) Resuscitation
— Portable suction unit, Portable oxygen units;
— Bag-valve-mask, hand operated artificial ventilation unit;
— Airways, Mouth gags, Tracheostomy adaptors;
— Short spine board — I.V. Fluids with administration unit;
— B.P. Manometer, Cugo and Stethoscope.
(ii) Immobilization
— Long and short padded boards — Wire ladder splints;
— Triangular bandage — Long and short spine boards.
(iii) Dressings
— Gauze pads — 100 mm. x 100 mm. — Universal dressing
25 mm. x 900 mm.
— Roll of aluminium foils; — soft roller bandages 150 mm. 5
mts.;, Adhesive tape in 75 mm. roll, Safety pins;
— Bandage sheets, Burn jelly.
(iv) Poisoning
— Syrup of Ipecae and Activated Charcoal
— Pre-packeted in doses and Snake-bite Kit;
— Drinking water.
(v) Emergency Medicines
— As per requirement (under the advice of Medical Officer only)

[88-O. Decontamination facilities.—In every factory, carrying out 'hazardous process', the
following provisions shall be made to meet emergency:—

(a) fully equipped first aid box;
(b) readily accessible means of drenching with water for washing by workers as well
as for drenching the clothing of workers who have been contaminated with hazardous and corrosive substance;
(c) a sufficient number of eye wash bottles filled with distilled water or suitable liquid, kept in
boxes or cupboards conveniently situated and dearly indicated by a distinctive sign which shall
be visible at all times.

You may have a reading on the Karnataka Factories Rules 1969 further for more details.

From India, Chennai
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