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In the last fifty years Indian industry has grown rapidly and more so in the last two decades. This has resulted in increased manufacturing activities, technological advancements and change in work practices. This change in business environment has profound effect on the health of working population. Thus the onus is on Occupational Health Physician to protect and promote health of working population. This can only be achieved by comprehensively implementing Occupational Health Legislations pertaining to work place.  The Occupational Health Legislation has been amended only twice in the last fifty years, one central act related to Building and other Construction workers of 1996 and The Biomedical waste (management and handling) rules of 2003 under Environment protection act of 1986 have seen the daylight, whereas in the field of Public health more than 36 different Health Legislations have come with changing time. It is only after the Bhopal disaster that legislations in the area of safety. Health and environment were forced to be reframed and notified. The concern is whether only change in legislation would result in improved Occupational health care at work place or benefits of legislation remain only on the paper is the issue. The expectation from Occupational Health Legislation would be:  Occupational health legislation   Prohibit conduct injurious to workers Health   Aims at protecting from disease and promoting positive health   Defines resourses for occupational Health care   Carry out medical screening, surveillance and rehabilitation   Concerning ethical issues in occupational health care    Current occupational health care service is because of   Governmental legislation for Industry, Mines, Docksand Ports and others   Demand from the Trade Union   Management concerns for compliance of legislation and Employee health care   Action groups NGO like Indian Association of Occupational Health, NSC and others.    Current factories acts – Occupational health care (Factories Act and Maharashtra factories rules as illustrative reference)   FA – 45- First aid appliances: Under this act and MFR- 76,77 and 78 describe First- aid facilities at work place, ambulance room. Trained First-Aiders and contents of the first-aid Box.   MFR – 43: Drinking water certification by Health Officer for Human consumption.   FA – 87 – MFR – 114: Medical examinations for persons employed in “25 Dangerous Operations”.   FA – 89: Notification of Occupational diseases(29 as per Third schedule)   MFR – 73L: Declaration of Health and safety Policy.   MFR – 73 V: Deals with fitness for employment in form No. 6, pre-placement and Periodic Medical examinations. Maintaining Health Register in form No. 7.   MFR – 73 W: Describes size, equipment, manpower, qualifications and facilities at Occupational health Centre   MFR – 73X: Deals with ambulance van, emergency medicines and equipments.   MFR – 73Z: Making available Health records to Workers.   MFR – 116: Notice of poisoning or disease (Form no.25)    A survey was conducted amongst randomly selected 26 Industries in and around Mumbai to assess the problems faced by Occupational health Physicians in implementing legislations pertaining to Occupational health. Findings of the survey are being shared here.

Implementation of occupational health legislation at work place, issues and concerns