REGULATIONS RELATING TO THE PHYSICAL EXAMINATION OF CANDIDATES
(Vide Rule 18)
[These regulations are published for the convenience of candidates and to enable them to ascertain the probability of their being of the required physical standard. The regulations are also intended to provide guidelines to the medical examiners.
The medical examination shall be conducted in respect of the candidates who have been declared finally successful on the basis examination and shall consist of entire medical examination which the medical board may prescribe for a candidate, including Radiographic Examination of the chest (X-ray test). The Government of India reserve to themselves, absolute discretion to reject or accept any candidate after considering the report of the Medical Board.]
1. 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 of his/her appointment.
2. Walking test: The male candidate (both PH and non-PH) will be required to qualify in walking test of 25 kilometres to be completed in 4 hours and female candidates (both PH and non-PH) 14 kilometres to be completed in 4 hours. The arrangement for conducting this test will be made by the Director General of Forests, Government of India so as to synchronise with the sitting of the Medical Board. Provided in case a candidate either fails to complete the walking test within the rescribed time limit or fails to appear in the test, will be given another opportunity to appear in the walking test. In case he/she again fails to appear/pass the test, no further opportunity will be given to him/her to appear in the walking test.
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 whatever 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 candidate should be hospitalised for investigation and X-ray of the chest taken before the candidate is declared fit or not fit by the Board. However, the X-ray of the chest will be done in respect of only such candidates who are directed to appear before the Medical Board for Part II of the medical examination.
(b) The Minimum standard for height and chest girth without which candidates cannot be accepted are as follows :—
Height Chest (fully Expansion expanded)
163 cms. 84 cms. 5 cms. (for men)
150 cms. 79 cms. 5 cms. (for women)
The following minimum height standards may be allowed in the case of candidates belonging to Scheduled Tribes and in races such as Gorkhas, Nepalies, Assamese, Meghalaya, Tribal, Ladakhese, Sikkimese, Bhutanese, Garhwalees, Kumaonis, Nagas and Arunachal Pradesh candidates whose average height is distinctly lower :—
Men 152.5 cms.
Women 145.0 cms.
4. The candidate’s height will be measured as follows :—
He/She will remove his/her shoes and be placed against the standard with his/her feet together and the weight thrown on the heels and not on the toes or other sides of the feet. He/She will stand erect without rigidity and with the heels calves, buttocks and shoulders touching the standard. The chin will be depressed to bring the vertex of the head level under the horizontal bar and the height will be recorded in centimeters and parts of it in centimeter to halves.
5. The candidate’s chest will be measured as follows :—
He/She will be made to stand erect with his feet together and to raise his/her arms over his/her head. The tape will be so adjusted around the chest its upper edge touches the interior angles of the shoulder 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 loosely 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 centimeters 84—89, 86—93.5 etc. In recording the measurements fraction of less than half centimeter should not be noted.
N.B.—The height and chest of the candidates should be measured twice before coming to a final decision.
6. The candidate will also be weighed and his/her weight recorded in kilograms, fractions of half a kilogram should not be noted.
7. The candidate’s eye-sight will be tested in accordance with the following rules. The results of each test will be
recorded :—
(i) General—The candidate’s eyes will be submitted to a general examination directed to the detection of any disease or abnormality. The candidate will be rejected if he/she suffers from any squint or morbid conditions of eyes, eyelids, or continuous structures of such a sort as render, or are likely to render him unfit or service at a future date.
(ii) Visual Acuity—The examination for determining the acuteness of vision includes two tests, one for distant vision other for near vision. Each eye will be examined separately.
There shall be no limit for minimum naked eye vision but 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 he basic information with regard to the condition of the eye.
The Indian Forest Service is a technical service.
The standards for distant and near vision with or without glasses shall be as follows :—
Distant vision Near vision better eye Worse eye Better eye Worse eye (corrected vision) (corrected vision)
6/6 6/6 N.5 N.5
Type of correction permitted Best correction (unspecified) Radial Keratotomy.
NOTE :—
(1) Fundus Examination—In every case of Myopia Fundus Examination should be carried out and the result recorded. In the event of pathological condition being present which is likely to be progressive and effect efficiency of the candidate,
he/she should be declared unfit.
The total amount of Myopia (including the cylinder) shall not exceed—8.00D. Total amount of Hypermetropia (including the cylinder shall not exceed—4.00D).
Provided that in case a candidate is found unfit on ground of high myopia, the matter shall be referred to a special board 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 visuals requirements otherwise.
(2) Colour Vision—(i) The testing of colour vision shall be essential.
(ii) Colour perception should be graded into a higher and lower grade depending upon the size of the aperture in the lantern as described in the table below :—
Higher grade Lower grade colour perception colour perception
1. Distance between the 16 ft. 16 ft. lamp and candidate
2. Size of aperture 1.3 mm. 1.3 mm.
3. Time of reposure 5 seconds 5 seconds
(iii) Satisfactory colour vision constitutes recognition with ease and without hesitation of single red, single green and white colours. The use of Ishihara’s plates shown in good light and suitable lantern like Edrige Green’s shall be considered quite dependable for testing colour vision. While either of the two tests may ordinarily be considered sufficient, it is essential to carry out the lantern test. In doubtful cases where a candidate fails to qualify when tested by only one of the two tests, both the tests should be employed.
NOTE : For appointment to the Indian Forest Service, Lower Grade of colour vision will be considered sufficient.
(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.
(4) 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 of 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/she has been therefore 20 to 30 minutes. Candidates own statements should not always be relied upon but they should be given due consideration.
(5) Ocular condition other than visual acuity.—(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) Trachoma.—Trachoma unless complicated shall not ordinarily be a cause for disqualification.
(c) Squint.—As the presence of binocular vision is essential squint even if the visual acuity is of the prescribed standard, should be considered as a disqualification.
(d) One eyed persons.—The employment of one eyed individuals is not recommended.
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. Of average is about 100 plus the age.
(ii) With subjects over 25 years of age the general rule of 110 plus half the age seems quite satisfactory.
N.B.—As a general rule any systolic pressure over 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 examination of heart and blood urea clearance test should also be done as a routine. The final decision as to the fitness or otherwise of a candidate will, however, rest with the Medical Board only.
Method of taking Blood Pressure
The mercury manometer type of instrument should be used as a rule. The measurement should not be taken with in 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 less horizontal position. The arm should be freed from the 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 one of the elbow. The following turns of cloth
bandage should spread evenly over the bag to avoid burging 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 about 200m 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 sound will be heard to increase in intensity. The level at which the well-heard clear sound change to soft muffled fading sounds represents the diastolic pressure. The measurement should be taken in a fairly brief period of times; 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 of the cuff. (Sometimes, as the cuff is deflated sound 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 where a Medical Board finds sugar present in a candidate's urine by the usual chemical test the Board will processed 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 candidate 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
examination clinical and laboratory test 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 base its final opinion "fit" or "unfit". The candidate 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 a candidate for several days in hospital under strict supervision.
10. A woman candidate who as a result of tests is found to be pregnant of 12 weeks standing or over, should be declared temporarily unfit until the confinement is over. She should be re-examined for fitness certificate six weeks after the date of confinement subject to the production of a medical certificate of fitness from registered medical practitioner.
11. The following additional points should be observed :
(a) That the candidates 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 a hearing is remediable by operation or by use of hearing aid. A candidate cannot be declared unfit on that account provided he/she has not progressive disease in the ear. The following are the guidelines for the medical examination authority in this regard:
(1) Marked or total deafness Fit for non-technical jobs if the in one ear other for deafness is upto 30 decibles in being normal. higher frequency.
(2) Perceptive deafness in Fit in respect of both technical and both ear in which some non-technical jobs if the deafness is improvement is possible upto 30 decibles in speech by a hearing aid. frequencies of 1000 to 4000 HZ.
(3) Perforation of tympanic (i) One ear normal other ear membrane of central or perforation of tympanic membrance Marginal type. present temporarily unfit. Under improved condition of ears surgery a candidate with marginal or other perforation in both ears should be given a chance by declaring him temporarily unfit and then he may be considered under 4 (ii) below.
(ii) Marginal drastic perforation in both ears—unfit.
(iii) Central perforation in both ears—
temporarily unfit.
(4) Ears with Mastoid (i) Either ear normal hearing other ear cavity sub normal Mastoid cavity Fit for both technical/hearing on one side/on non-both side technical jobs.
(ii) Mastoid cavity of both sides. Unfit for technical jobs
Fit for non-technical jobs if hearing improves to 30 Decibles in either ear with or without hearing aid.
(5) Persistently discharging Temporarily unfit for both technical ear operated/un-operated. and non-technical jobs.
(6) Chronic inflammatory/ (i) A decision will be taken as per allergic condition of nose circumstances individual cases. with or without bony (ii) If deviated nasal septum is present deformities of nasal with symptoms— Temporarily unfit. septum.
(7) Chronic Inflammatory (i) Chronic Inflammatory conditions conditions of tonsils and/ of tonsils and/or Larynx—Fit. or Larynx. (ii) Hoarseness of voice severe degree if present then—Temporarily unfit.
(8) Benign or locally (i) Benign Tumours—Temporarily unfit. malignant tumours of (ii) Malignant Tumours— unfit. ENT.
(9) Otosclerosis If the hearing is within 30 decibles after operation or with the help of hearing aid—Fit.
(10) Congenital defects of (i) If not interfering with function—Fit. ear, nose or throat. (ii) Stuttering of severe degree—Unfit.
(11) Nasal/Poly Temporarily unfit.
(b) that his/her speech is without impediment;
(c) that his/her teeth are in good order and that he/she is provided with dentures where necessary for
effective mastication (well filled teeth will be considered as sound);
(d) that the chest is well-formed and his/her chest expansion sufficient; and that his/her heart and lungs are sound;
(e) that there is no evidence of any abdominal disease;
(f) that he/she is not ruptured;
(g) that he/she does not suffer from hydrocele, a severe degree of varicose veins or piles;
(h) that his/her limbs, hand and feet are well formed and developed and that there is free and perfect
motion of all his joint;
(i) that he/she is not ruptured, disease;
(j) that there is no congenital malformation or defect;
(k) that he/she does not bear traces of active or chronic disease pointing to an impaired constitution;
(l) that he/she bears marks of efficient vaccination; and
(m) that he/she is free from communicable disease.
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 Indian Forest Service Examination.
The decision of 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.
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 in the efficient performance of the duties which will be required of the candidate.
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.
NOTE: Candidates are warned that there is no right of appeal from Medical Board special or standing appointed to determine their fitness for the above service. If, however, Government are satisfied on the evidence produced before them of the possibility of an error of judgement in the decision of the first Board, it is open to Government to allow an appeal to second Board. Such evidence should be submitted within one month of the date of the communication in which the decision of the first Medical Board is communicated to the candidate, otherwise no request for an appeal to a second Medical Board will be considered.
If any medical certificate, produced by a candidate as a piece of evidence about the possibility of an error of judgement, in the decision of the first Board, the certificate will not be taken into consideration unless it contains a note by the medical practitioner concerned to the effect that it has been given in full knowledge of the fact that the candidate has already been rejected as unfit for service by the Medical Board.
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