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REGD. No. D. L.-33004/99
The Gazette of India
CG-JH-E-11072026-274403
EXTRAORDINARY
PART II-Section 3-Sub-section (i)
PUBLISHED BY AUTHORITY
No. 547]
NEW DELHI, THURSDAY, JULY 9, 2026/ASHADHA 18, 1948
MINISTRY OF LABOUR AND EMPLOYMENT
(Directorate General Of Mines Safety)
NOTIFICATION
Dhanbad, the 7th July, 2026
G.S.R. 605(E). — In exercise of the powers conferred on me under sub-Rule 1 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
initial medical examination shall be given by an employer to the person to be examined.
5165 GI/2026
(1)
2
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART II-SEC. 3(i)]
MINISTRY OF LABOUR AND EMPLOYMENT
(Directorate General Of Mines Safety)
NOTIFICATION
Dhanbad, the 7th July, 2026
G.S.R. 605(E). — In exercise of the powers conferred on me under sub-Rule 1 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
initial medical examination shall be given by an employer to the person to be examined.
Scope: | This form specify the notice of initial medical examination to be given by an employer to the person
| to be examined as per sub-rule 1 of the Rule 111 of the Occupational Safety, Health and Working
| Conditions (Central) Rules, 2026.
Applicability: | This form of the notice shall be issued by an employer to the person to examined and such notice
| issued shall be sent to examination authority by an employer as per sub-rule 1 of the Rule 111 of the
| Occupational Safety, Health and Working Conditions (Central) Rules, 2026 and applicable to the all
| mines.
Notice of Initial Medical Examination
No..............
Date.
Sri/Srimati/Miss..
Nature of employment. | son/daughter or/wife of...
...is hereby notified that he/she should present himself/herself for an Initial Medical Examination,
under sub-rule (1) of the 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).
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 employment to the mine from..................(date)
Signature & Name of Owner/Agent/ Manager date & Seal
Name of Mine/ Company
[F. No. DGMS/02-1/2026/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. BHABAJIT
DEKA
Digitally signed by BHABAJIT
Date: 2026.07.11 16:32:58+05/30/
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