NTPC Limited

Ax]{ ]b
(A Government Of India Enterprise)
(i BE BE =v)

NTPC Bhavan, Scope Complex, 7, Institutional Area, Lodi Road, New Delhi -110 003
Ax]{ x, BE{ BE{BD, 7, <]]x A, n b, x< n - 110 003

NORMS AND STANDARDS FOR MEDICAL FITNESS

li BE A xnb + xBE

1.0 Good mental and bodily health and a strong constitution.

+SU xBE + BE l + Vi *
2.0 Free from physical defect or abnormality-congenital or acquired, likely to interfere with the
efficient performance of duties.
BE j] +l +xi- VxVi +l +vOci BDi, V F BEkB x{nx
ciF{ BEx BE x c *
3.0 No evidence of maldevelopment-physical or mental
BEBE-BE +l xBE BE BE< F xc *
4.0 Joints and locomotor functions are within normal limits.
V + Sx +M BE BE x BE i c *
5.0 No deformity from old fractures or depressions of skull bones.
{x +lM +l BE{ +l BE +xx BE< {i xc *

6.0 HEIGHT AND WEIGHT / < + Vx:

6.1 Height: Measurement will be taken in centimeters with the individual standing
bare footed and straight weight thrown on both heels kept together. Tendency to
stand on toes or raise heels will be strictly avoided. The candidate will stand erect
with chin drawn in to bring the vertex of the head in level under the horizontal bar of
the stand and clavides, buttocks and shoulders touching the vertical portion of the
stand with body fully relaxed and spine straight but not strained.
< & BBDi BE xM { J cBE + nx A BE ABE l JBE ]] {
VAM * {V { J cx +l A BE =~x BE |k Ji S VAM *
=n ~f BE v Ji cA BE n BE ]b BE FiVBE U BE xS ic
i cA + xi il BEv BE ]b BE =vBE M { BEi cA + BE
f Ui cA + nb v {i V xc bBE J cM *
6.2 The table of standard weight for various groups is given below. Candidate not
meeting the standard as given in the table below may be declared temporarily unfit
for a maximum period of 21 days by CMO and shall be declared fit only in case the
candidate fulfills the criteria including the norms for Body Mass Index.

Page 1 of 10
 xx c BE A xBE Vx BE h xS n M< c * xS n M< h BE xBE
BE { x BEx =n BE J SBEi +vBE u +l i { +vBEi
21 nx BE A +M Pi BE V BEi c + =xc = li M Pi BE
VAM V =n b <bBD ci xnb { BE *

Height - Weight Table for Males

{ ci <-Vx h
Height (cm) Weight in Kg at different ages
xx + { BEO
< (]])
20-24 years / 25-29 years / 30-34 years /
152.5 48 49 50
155.0 49 50 51
157.5 50 51 52
160.0 51 52 53
162.5 52 53 54
165.0 53 54 56
167.0 54 56 58
170.0 56 58 60
172.5 58 60 62
175.0 60 62 64
177.0 62 64 66
180.0 64 66 68
183.0 66 68 70

6.3 Add 2 Kg in weight for every additional 3 cm in height

< |iBE +iBDi 3 ]] BE A Vx 2 BE.O. V *
6.4 For females, the general state of physical development will be taken into account
and body weight recorded in each case.
c+ BE A BE BE BE x +l BE vx J VAM + |iBE
BE Vx nV BE VAM*
6.5 The minimum height required for Drivers is 162 cm.
b< BE A xxi +BE < 162 ]] cM *

7.0 BODY MASS INDEX / b <bBD:

In case the weight of an individual is found more than prescribed as per the height - weight
table as indicated above then Body Mass Index (BMI) will be taken as deciding parameter
as per the norms given below:
n BE BBDi BE Vx ={BDi <-Vx h xvi Vx +vBE cM i xxJi
b <bBD |S BE +x xh VAM &
7.1 Age up to 35 years BMI should be maximum of 30 Kg / m2.
35 BE + iBE - A+< +vBEi 30 BE.O./ 2 cM *
7.2 Age above 35 years BMI should be maximum of 32 Kg / m2 .
35 >{ BE + iBE - A+< +vBEi 32 BE.O./ 2 cM *

Page 2 of 10
8.0 CHEST / x:
Acceptable chest measurement at full expiration will be 79 cm (relaxable by 5 cm)
minimum expansion 5 cm. The range of expansion upto 4 cm. i.e. a deviation of 20% will
be acceptable. This is not applicable to female candidates.
{ ic x& x BE BE { 79 ]] cM (5 ]] iBE U]) + xxi i 5
]] cM * 4 ]] iBE BE i BE +li 20 BE {lx BE cM * c
c =n BE A M xc c *
Measurement: The candidate will stand with feet together and arms raised over the head.
The tape will be taken round the chest horizontally with its upper edge touching interior
angles of the shoulder blades. The arms will then be lowered to hang relaxed by the side of
the body. The candidate will not be permitted to throw shoulders upwards or backwards so
as to displace the tape. The candidate will be directed to take deep breath several times
without causing contraction of chest muscles or wing out the shoulder blades. The
maximum and minimum expansion of the Chest will then be recorded in centimeters thus
70-75, 78-84 etc. Fraction of cm below 0.5 will be ignored and over 0.5 taken as one.
{x & =n { BE ABE l Ji cA + BE >{ c BE =~BE J cM * ]{
FiVBE { BEv BE i BEh BE { BEi cA =BE >{ ci x BE S +
VAM * c BE xS BE nx i{E +{BE xS ]BEx n VAM * =n BE
]{ BE <v-=v BEx BE A BEv BE +M-{U BEx BE +xi xc cM * =n BE x BE
{ BESx BEA +l {U {EA x BE< Mc x BE xn n VAM *
x BE +vBEi + xxi i BE i ]] +li 70-75, 78-84 +n nV BE
VAM * 0.5 BE ]] BE MhBE BE U n VAM + 0.5 +vBE BE ABE ]]
x VAM *
9.0 EYE / +J:
Standards and procedures of examination in respect of visual acuity and colour perception
are as follows.
oiBE iFhi + M +xvx BE v xBE + VS BE BEv xxx c &
9.1 The candidate's eyes will be tested and results of the test recorded in accordance
with the following rules.
=n BE +J BE {Fh BE VAM + {Fh BE {h BE xxJi x BE
+x nV BE VAM*
9.2 General: The candidate's eyes will be submitted to a general examination
directed to the detection of any disease or abnormality. The candidate may be
rejected if he suffers from morbid condition of eyes, eye-lids or contiguous
structures of such a nature as would render him/her unfit for service at the time of
appointment or at a future date.
x & =n BE +J BE BE M +l +xi BE A xni x VS
BE VAM * =n BE +BEi BE V BEi c +M c +J, {BE BE BEi
+l A |BEi BE { Sx {i c V = xBDi BE +l iJ
BE BE A +M ~cAM *
9.3 Visual Acuity / oiBE iFhi:
9.3.1 The examination for determining the acuity of vision includes two tests, one
for distant, the other for near vision. Each will be examined separately.
o] BE iFhi xvi BEx BE A VS n {Fh c, ABE n +
n { BE oi BE A * |iBE BE +M-+M VS BE VAM *

Page 3 of 10
 9.3.2 Standard of visual acuity for personnel of various categories, with or
without glasses will be as follows:
xx gh BE BEBE BE A oiBE iFhi S ci +l ci
xxx cM &
Categories of Age Distant Vision Near Vision
Employees + n BE o] xBE] BE o]
BEBE BE gh Better eye Worse eye Better eye Worse eye
ci +J J +J ci +J J +J
For Employees Below 35 yrs. of 6/9 6/9 Sn. 0.6 Sn. 0.6
in E1 and age
above grade 6/6 6/12 - -
35 BE
<1 + = +
>{ BE 35 yrs. of age 6/12 6/12 Sn. 0.8 Sn. 0.8
BES BE and above
A 35 + = 6/9 6/18 - -
+vBE +
Others (except Below 35 yrs. of 6/9 6/12 Sn. 0.8 Sn. 0.6
security & Fire age 6/6 6/18 - -
Services) 35 BE 6/18 6/18 - -
+x (F + +
+Mxx 35 yrs. of age 6/12 6/24 Sn. 0.8 Sn. 0.8
BE UBE) and above 6/12 6/18 - -
35 + = 6/24 6/24 - -
+vBE + 6/18 6/36 - -

9.4 Fundus Examination / {Eb BE VS:

9.4.1 In every case of Myopia, fundus examination should be carried out and the
results recorded. In the event of a pathological condition being present
which is likely to be progressive and affect efficiency of the candidate
he/she should be declared unfit.
xBE]o] BE |iBE {Eb BE VS BE Vx ScA + {h nV BE
Vx ScA * MiBE n Vn cx BE n , VBE |M cx + =n
BE Fi BE |i BEx BE x c, = +M Pi BE Vx ScA *
9.4.2 The total amount of myopia (including the cylinder) shall not exceed - 6.00
D. The total amount of hyper metropia (including the cylinder) shall not
exceed + 6.00D. in each eye
xBE]o] BE {h j (b ci) -6.00b +vBE xc cM * no] BE
BE j (b ci) |iBE +J 6.00b +vBE xc cM *
9.4.3 Fundus and media should be healthy and within normal limits.
{Eb + v l + x BE i cx ScA *
9.4.4 No degenerative signs of vitreous or chorioretinitis to be present,
suggesting progressive myopia.
|M xBE]o] cx +l BE]x<] BE +{] BEi Vn
xc c *
9.4.5 Should have good binocular vision, fusion faculty and full field of vision in
both the eyes.
+SU uxj o], Vx BDi + nx +J o] BE {h Fj cx ScA *

Page 4 of 10
 9.4.6 There should be no organic disease likely to cause exacerbations or
deterioration.
i { =Oi +l BEi BE BEh xx BE< +MBE M xc cx
ScA *
9.5 Colour vision / h o]:
The testing of colour vision shall be essential for all candidates. Colour vision shall
be tested with Ishihara's Isochromatic plates in good light.
h o] BE {Fh =n BE A +x c * h o] BE {Fh +SU x
<c +<E]BE {] BE VAM *
9.6 Field of vision / o] Fj:
The field of vision shall be tested by the confrontation method. Where such test
gives unsatisfactory or doubtful results, the field of vision should be determined on
the visual field screener/perimeter.
o] BE Fj BE {Fh BEx|E]x v BE VAM * Vc A {Fh +iVxBE
+l nc{n {h ni c, c o] Fj BE xvh oiBE Fj Ex/{] {
BE Vx ScA *
9.7 Ocular conditions other than visual acuity.
oiBE iFhi BE +iBDi xj nA *
9.8 Colour Blindness / hxvi:
9.8.1 Permissible : This will not be a disqualification for employment in
purchase, sales accounts, ministerial (clerical and Store Keepers), canteen
peons, sweepers, apprentices covered by Apprentices Act and any other
category wherein defective colour vision is not likely to interfere with his
work or create risk for others working with him.

+x & c E, E J, +xS ({BE + ] BE{), BE]x BE

S{, {E<, F +vx u F+ + +x BE
gh, V j]{h hvi BE =BE BE ciF{ BEx +l =BE l
BEi +x M BE A VJ Vi BEx i xc c, VM BE
+Mi xc cM *
9.8.2 Not permissible / +xx:
Colour blindness is a disqualification for the following:
hvi xxJi BE A +Mi c &
a. Industrial staff dealing with machines involving recognition of colored
signals.
BE. Mx BEi BE {cSxx cx x { BE BEx
+tMBE BES *
b. Technicians engaged in Laboratory work and chemists.
J. |M BE Mx iBExx + xY *
c. Crane operators and Pointsmen
M. Ex +{] + {<]x
d. Draughtsmen
P. b{D]x
Page 5 of 10
 e. Electricians
b. <BD]x
f. Scientific Assistants
S. YxBE cBE
g. Drivers of all categories
U. gh BE b<
h. Security Personnel
V. F BEBE
i. Doctors
Z. SBEiBE
j. Engineering Executive Trainees
\. <Vx BE{BE |Fhl
k. Engineering equipment erection and O&M.
]. <Vx ={BE =i{lx + |Sx il +xFh
l. Other occupations where perception of colour is considered essential
in view of the nature of duties of the offered post and future posts likely
to be occupied by the candidate either on appointment on promotion or
on job rotation / transfer.
~. +x B, Vc |ii {n + / {nxxi BE xBDi +l BE
+ih/lxih { =n u vi BEA Vx i {n BE
BEkB BE |BEi BE o]Mi h +vx +x x Vi c *
9.8.3 Whenever an employee suffering from colour blindness is posted or
transferred into a category wherein colour perception is required his eyes
will be re-examined for the same along with the examination for visual
acuity.
V hvi {i BES A gh {nl{i +l lxii BE
Vi c, Vc h +vx +{Fi c, i +J BE oiBE iFhi BE A VS
ci =BE A n VS BE VAM *
9.9 Night Blindness / iv:
The medical officer will have the discretion to improvise such test e.g. recording of
visual acuity with reduced illumination or by making the candidate recognise
various objects in a dark room after he/she has been there for 20 to 30 minutes.
Candidate's own statements should not always be relied upon, but they should be
given due consideration.
SBEi +vBE BE A {Fh BE iiBE BEx +li oiBE iFhi BE BE |BE
nV BEx +l +v BE =n BE 20 30 x] cx BE n xx i+ BE
{cSxx BE A {Fh BEx BE BEvBE cM * =n BE x { n
xc BEx ScA {i =x { vi vx nx ScA *
9.10 Any organic disease or a progressive refractive error which is likely to result in
lowering of the visual acuity shall be considered as disqualification.
oiBE iFhi BE BE BEx i BE +l +{iBE j] BE
+Mi x VAM *

Page 6 of 10
 9.11 Trachoma / c:
Trachoma, unless complicated shall not ordinarily be a cause for disqualification.
V iBE V] xc c c BE vhi +Mi BE BEh x VAM *
9.12 Squint / M{x:
For technical services skilled jobs, where the presence of binocular vision is
essential, squint, even if the visual acuity is of the prescribed standards should be
considered as disqualification. For other services, the presence of squint should
not be considered as a disqualification if the visual acuity of each eye is of the
prescribed standard.
iBExBE +, BE BE BE A, Vc nn o] BE ={li +x c, M{x,
c iBE BE oiBE iFhi xvi xBE BE c, BE +Mi x Vx ScA * +x
+ BE A, M{x BE ={li BE +Mi xc x Vx ScA +M |iBE +J BE
oiBE iFhi xvi xBE BE c *
9.13 One eyed person / BEx BBDi:
For regular service one eyed individual shall be considered as unfit except for
ministerial and allied jobs where binocular vision is not considered essential. It will
be ensured that the prognosis or the functioning eye is good and its vision is not
likely to be endangered by the condition of the worse eye and the prescribed visual
acuity standards are fully satisfied.
xi BE A BEx BBDi BE +xS + r BE, Vc nn o] +x
xc x Vi, BE UBE +M x VAM * c xSi BE VAM BE {xx
BEx +l BEi +J +SU c + =BE o] J +J BE n u Ji {x BE
x xc c + xvi oiBE iFhi BE xBE { BEA Vi c*
9.14 Contact Lenses / BE]BD] :
Correction with contact lenses is no bar for employment provided the prescribed
standards are fulfilled.
BE]BD v VM BE< v xc c i BE xvi xBE { BEA Vi c *
10.0 EAR / BEx:
A candidate should be free from any active disease of the ear. The candidate should be
able to whispering voice separately in both the ears at a distance of 2 feet in a quiet room.
A candidate who fails in this test will be declared medically unfit.
=n BE BEx BE BE E BDi cx ScA * =n BE ABE i BE 2
{E] BE n { nx BEx +M-+M {E{Ex BE +V xx M cx ScA * =n,
V < {Fh {E ci c = +M Pi BE VAM *
Procedure for hearing test : The examining medical officer will test the hearing
standards of a candidate in a quiet room. The test will be carried out with the medical
officer and the candidate standing at a distance of 20ft, from each other. Both the ear will
be examined separately. The ear not being tested will be marked by a masking apparatus
or by rubbing a piece of paper against pinne by an attendant. The candidate will face at
right angles the examining medical officer with the ear under examination facing him. He
will use the whispering voice (whisper produced with the residual air i.e. after an ordinary
expiration). The hearing will be considered normal if the candidate can reproduce the
whisper. Those with perforated ear drum will not be accepted as cooks.
gh {Fh BE A BEv & VSBEi SBEi +vBE ABE i BE =n BE gh
xBE BE {Fh BEM * c {Fh SBEi +vBE + =n BE ABE-n 20 {E] BE
n { J cBE BE VAM * nx BEx BE +M-+M VS BE VAM * V BEx BE {Fh
xc BE V c c, = ABE BE Mx ={BEh u +l {SBE u BEMV BE ]BE BE
{x { MBE Sxi BE VAM * =n {Fh BEA Vx BEx BE SBEi +vBE BE

Page 7 of 10
 x Ji cA =BE BEh { J cM * c {E{Ec] BE +V BE |M BEM
({E{Ec] +] +li x x& BE n =i{xx ci c) * gh BE x Z
VAM +M =n {x& {E{Ec] =i{xx BE BEi c * BEx BE Upi {n BE S BE
{ BE xc BE VAM *
11.0 NOSE / xBE :
A candidate should be free from any active disease of nose.
=n BE xBE BE BE E BDi cx ScA *
12.0 THROAT / M:
State of tonsils-Slight hypertrophy without evidence of repeated tonsillitis is not a cause for
rejection. Enlarged tonsils cause temporary unfitness until treated with tonsiliectomy.
Throat, palate, gums, jaws, temporo-mandibular joint and dentitions should be within
normal limits.
] BE n-{xk ]<] BE F BE x cBE +ir +BEi BE BEh xc c*
f c+ ] +l +li BE BEh c V iBE =BE ={S ]BD] xc BE
Vi * M, i, f, V, ]{-b V + niin x BE i cx ScA *
13.0 BLOOD-PRESSURE (BP) / BDi S{ ( { ):
The normal limits of blood pressure, without involvement of target organ, shall be assessed
as follows:
Fi +M BE BEA x BDi S{ BE x BE +BEx xxx BE VAM&
Age Group Systolic Diastolic
+ M |BESBE |BE
Upto 35 years of age Not exceeding 140 90 mm or below
35 BE + iBE 140 +vBE xc 90 .. BE
Beyond 35 years of age Not exceeding 150 100 mm or below
35 >{ + 150 +vBE xc 100 .. BE

14.0 ECG / <V:

If resting ECG is abnormal then the individual shall be submitted for exercise tolerance test
(TMT) and if TMT is positive the individual will be declared unfit.
n i ~ cx { <V +x c i BBDi BE cxBDi {Fh (]A]) BE VAM +
n ]A] {V] c i =n +M Pi BE n VA *
15.0 GENITO URINARY SYSTEM ETC / Vxx j |h +n:
15.1 Testicles: Individuals detected to be having undecended testicles on one or both
sides shall be declared temporarily unfit for maximum period of 21 days. Fitness
can only be granted if the candidate reports back with orchidectomy with negative
biopsy report for malignance, with 21 days of medical examination.
+b-Ol & Vx BBDi BE ABE nx +b-Ol >{ Sf c< c, =xc +vBE +vBE
21 nx BE +v BE A +M Pi BE n VAM * ={BDii = li |nx BE
VAM V =n SBEi VS BE 21 nx BE i ={BDii BE o] xBEiBE
{ ci +SbBD] |ii BE *
15.2 Candidates with Hydrocele, piles, varicocele and hernia shall be declared
temporarily unfit for a maximum period of 21 days during which period candidate
will have to undergo definitive treatment.
c<b, , BEBE + cx {i =n BE +l i { 21 nx
BE A +M Pi BE n VAM * < +v BE nx =n BE {BDBE <V
BEx cM *

Page 8 of 10
16.0 GLANDS / Ol:
Thyroid should be normal with no evidence of hypo or hyperthyroidism or generalised
enlargement of lymphglands. Scars, if any, of the previous removal of tubercular glands
should be normal and there must not have been any active disease in the last five year.
l<b +i +l c<{lbV +l {EOl BE xBEi fk BE F ci x
cx ScA * {U ]BE Ol BE c]x BE xx +M BE< c, BE x cx ScA +
{U {S BE< E xc c< c*
17.0 URINE / j:
Non orthostalic albunimuria will be a cause for rejection.
M-+l]BE Ax +BEi BE BEh cM *
18.0 BLOOD SUGAR / b M:
18.1 All candidates with type-1 diabetes will be declared unfit irrespective of age.
]<{-* vc (b]V) {i =n +M Pi BE nA VAM, c
=xBE + BEU c *
18.2 Up to 35 years of age all the individuals detected to be having diabetes will be
declared unfit.
35 iBE BE + BE vc (b]V) {i {A MA BBDi +M Pi BE
nA VAM *
18.3 Individual above 35 years of age detected to be having type-II diabetes, without
organ involvement, shall be declared temporarily unfit for maximum period of 21
days during which their blood sugar has to be within normal limit otherwise they will
be declared unfit.
35 +vBE + BE +Mx <x] ci ]<{-** vc (b]V) {i {A
MA BBDi BE +l i { 21 nx BE A +M Pi BE n VAM* < +v BE
nx =xBE b M x + Vx ScA +xl =xc +M Pi BE n
VA *
18.4 All diabetics with any of target organ involvement shall be made unfit irrespective of
age.
BE ]M] +Mx <x] BDi vc (b]V) {i BBDi BE
+M x VAM, c =xBE + BEU c
19.0 RADIOLOGICAL EXAMINATION / BEh YxBE VS:
Skiagram chest of all fresh entrants will be taken. Mass miniature radiography will be
utilised in lieu, whenever available. Cases diagnosed as suffering from pulmonary
tuberculosis will be declared unfit. Such candidates are considered to be unsuitable for
employment in view of the industrial hazards.
xA |BEi+ BE F BEO BE VAM * Vc ={v c <BE n c PSj
bO{E BE ={M BE VAM * {E{{E F {i cx BE xnx BEA MA BE
+M Pi BE VAM * A =n BE +tMBE Ji BE o]Mi VM BE A +x{BDi
x VAM *
20.0 VENEREAL DISEASE / iV M:
Candidates who are suffering from venereal disease will not be declared fit unless detailed
examination of urethro smear and serological test proves negative.
=n, V iV M {i c, BE i iBE M Pi xc BE VAM V iBE |
+ VBE {Fh BE ii VS xBEiBE r xc ci *

Page 9 of 10
21.0 PREGNANCY / Ml:
If at the time of medical examination, a candidate is pregnant of 12 weeks or more, she
shall be declared temporarily unfit until she has completed six week after confinement.
n SBEi VS BE BE< =n 12 {ic = +vBE Mi c i c
|i BE Uc {ic ix iBE +l i { +M Pi cM *
22.0 SKIN DISEASE / S M:
Candidate suffering form leprosy or chronic and inveterate skin conditions will be declared
unfit. Vitiligo cases are acceptable.
BE~ +l {x SBEBE S n {i =n BE +M Pi BE VAM, ]M
BE cM *
23.0 FITS / SU BE n:
Candidates suffering from epilepsy will be declared unfit. Those suffering from epileptic
attacks are dangerous in certain occupations like Drivers, Crane Operators, Mechanists,
Fire brigade, Security duties and shop floor jobs where moving machinery may cause risk
to life if they suffer from a fit in the vicinity.
M {i =n BE +M Pi BE VAM * M BE n +x {i BBDi b<,
Ex, +{], x], +Mxx , F BE + { {D BE V BEi{ B
Ji {cSx BE + ci c, Vc Si c< x Vx BE VJ {cS BEi c +M SU
+x {i c *
24.0 MISCELLANEOUS / v:
Signs of mental retardation, incontinence of urine or enuresis, at the time of pre-
employment examination will declare candidate unfit for employment.
VM-{ VS BE xBE ni, j BE + +l +i j BE Sx VM BE
A =n BE +Mh Pi BEM *
25.0 DEFECTS / j] :
Congenital or acquired physical defects, if any noticed, will be recorded on the medical
examination form with a clear opinion as to whether it is likely to interfere with the efficient
performance of the duties for which the candidate is under consideration for employment.
The norms and standards shall however be further relaxed for Physically Challenged
candidates as per government guidelines.
VxVi +l +vOci BE j], +M BE< nJ M<, BE l {F |{j { {]
BE l nV BE VAM BE BD < =x BE, VBE A =n VM BE Svx c, BE
F x{nx ciF{ BEx BE x c xc * BE BE nxn BE +x BE {
BEM M BE xBE + i + U] n VAM *

Page 10 of 10