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REGD. No. D. L.-33004/99
The Gazette of India
CG-JH-E-11072026-274400
EXTRAORDINARY
PART II-Section 3-Sub-section (i)
PUBLISHED BY AUTHORITY
No. 545]
NEW DELHI, WEDNESDAY, JULY 8, 2026/ASHADHA 17, 1948
MINISTRY OF LABOUR AND EMPLOYMENT
(Directorate General Of Mines Safety)
NOTIFICATION
Dhanbad, the 7th July, 2026
G.S.R. 603(E). In exercise of the powers conferred on me under sub-Rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026, I, Ujjwal Tah, Chief Inspector-cum-Facilitator of Mines, also designated as the Director General of Mines Safety, hereby, specify the form of the notice of periodical medical examination shall be given by a manager to the person to be examined.
Scope:
This form specify the notice of periodical medical examination to be given by a manager to the person to be examined as per sub-rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026.
Applicability: This form of the notice of periodical medical examination shall be issued by a manager to the person to be examined and such notice issued shall be sent to examination authority as per sub-rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026 and applicable to the all mines.
5161 GI/2026
(1)
2
THE GAZETTE OF INDIA : EXTRAORDINARY
MINISTRY OF LABOUR AND EMPLOYMENT
(Directorate General Of Mines Safety)
NOTIFICATION
Dhanbad, the 7th July, 2026
G.S.R. 603(E). In exercise of the powers conferred on me under sub-Rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026, I, Ujjwal Tah, Chief Inspector-cum-Facilitator of Mines, also designated as the Director General of Mines Safety, hereby, specify the form of the notice of periodical medical examination shall be given by a manager to the person to be examined.
Scope:
This form specify the notice of periodical medical examination to be given by a manager to the person to be examined as per sub-rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026.
Applicability: This form of the notice of periodical medical examination shall be issued by a manager to the person to be examined and such notice issued shall be sent to examination authority as per sub-rule 2 of the Rule 111 of the Occupational Safety, Health and Working Conditions (Central) Rules, 2026 and applicable to the all mines.
Notice of Periodical Medical Examination
No. | Date.
Sri/Srimati/Miss. | Nature of employment. | serial number - of Form -----Register,
son/daughter or/wife of | is hereby notified that he/she should present himself/herself for a Periodical
Medical Examination, under sub-rule (2) of rule 111 of The Occupational Safety, Health and Working Conditions
(Central) Rules, 2026, before. | ...(give name of the examining authority) at ........(give exact description
of place) on | (give date) at ........ (give time).
3
Shri/Shrimati/Miss. | may note that if he/she fails, without reasonable cause, to submit himself/herself for
the medical examination aforesaid he/she shall not be eligible for continuance in employment to the mine
from. | ...(date)
Signature & Name of Manager with date & Seal
Name of Mine
[F. No. DGMS/02-2/2026/CMC(HQ)]
UJJWAL TAH, Chief Inspector-cum-Facilitator of Mines
Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064
and Published by the Controller of Publications, Delhi-110054.
KUMER | Digitally signed by
KUMER CHAND
CHAND | Date: 2026.07.11
MEENA | 11:52:16+05'30"
MEENA
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