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New Felhi, Datctl: X l , I 2' . 2 O L S . J't

Geegral ffianagerb, AII Indian RaitrwaYs-

'. '': General fi[anagers / CAOs/ DG, Al!. Production Units including RPSO. Sub:. - g:s4sideration cf appeal of non-Gazetted. iandidatcs sclected. for Railway ernlrloyltrent * Cases of cand.id.ates d.eclared unfit upon nrbd.ical. -1"*--*' texami:ration. , ****** ,,

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Detarled provisionsl, {or .".orriideration

oJts[

of adverse repor@Sorkeaicat

exarnination of candidates selected for employment in various rori-,

vr.ucs and a.ilLi proc6dure procequre Sgrvices for firarflng r
laid the

Said

to wh9 who would act as the appeilate authority and%dr provisions as tg proyisions and%dt *r;it;-flr; o{ dpl,c4ry appealq,deat.are tlrttl,€Lre permlI[ect.resurutlg rnaximum rlqur'?ur rrlztxrrrr-urrr permitted..resulting tffig 4urrber L,r' ir&t rr$mber.of n€tmbef of aoneals for appea-ls for reconsid.erationof.the case$ even though they have b&n &.rod o"nt durins initiat

medicalexamination'some of the ca3$a1teshavfuilfup&d' & g w

ilstagces*l-":. t*froffiate

initial TlT,.^lT:^*::j-:: me{+9at ex.arniner due to the- canddd*t@:ry

ilil.;

"ppto*htdappeals. trt.#i*rier

l3oard tbi leconsideration of decision of the T.onalR;&K&

wasrlccrared unfit bytrre

h.Srycrten.sit ef aiao.tic or visual

su.ch keatmenl and th;n, i"ilt *"*Jr..candidateskL&tryn submittecl in such cases,it % "ffiflSi:r""orrsideration. becomes realJy difficult for,the a ity to come to a conclusion with reeard to the sandidatekoriginat conditiofu@u'ffis piev"ntingat the ri-" bf i*ttffi#;, acuity lt:blT]"t;'lome fTt..fqrr", stipulated

exam'rnation-The appellate*4uthontft[[6e

rn no positiJn t" Aisprove t,:at the person

has been administeredmedioit*fuffi undergoiresurgical tr.atm.ril;;#;#; c*tsfu.Wne"man93i error etc. This rgmedf rrv rayhe clown ;;".r1" "1T:*:, considerationoitn.ir " tr."v gro3edfcS:..i:]|1",T.gcan@ates, in case "ppJ"r "r"

1:"t*,*, ^5''^:ffi Sdical Inview of:l"r*"tl appeals byYiT": ggh:i aYlgffi& this, a detailed.policy gr-,id"ti.r. was issued ro ,r'hnrr-.r" the Zonesvide this 6#1ffi&b-ter of even No. d.ated d.ated05.06.2014 05.06.t014,-fConv'encloseri) (copy:enclosed). ,lhough @rer gj.even

the Clarificatron gi

the cases,sornei

this office has helped the Tnne to a great exte:rt extent in deciding denidinc u1*g to the subject ne-ed further elaboiation.

'l'he sRt&r has becn considered at lcngth in Boarcl's Office and in. superses.sion ,r t;vcrr even rru. no- trarecr dated to Board'gffi uD.uo,zuJ.4 05.06.20;4 the loilowrng ffre following guideli guideli:rcs are laid down 9f inatior.r of candidates lor for nledical"%arninatior.r for non-Gazetted posts, posts. disposal of their , appeai s 41d other representations' submitted to higkrer auth oritj es:* ' t. Medical Exarnination -' Medical examination of candrdates will be done bv a ' Medical oflicer with.adequate expei'ience in doing medical .ruoJrrijo;";;o"i;fi

be sl-gcialir nominated ,by 4r..qQn4o/cMslrftolac[as--irr: for t]ris "rr.tg" purpose'

II.

lf a candidate has been found to be unfi$ vision/"defective colour vision/hlpertension/diabJtes

on

grounds 'ott"er of acuity of o."-u^y cond,ition/

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{"itsc:rsc, tirs'mc.iicai trxa.rriinci' will noi issuo anlr ccrti1i...ta a:rcl will rru.t u'ni:}l ^ :.- r;g.* lindings' :,to, the ,..QMO/MD/Clls/l\Chi$ in charqc his/ircr' of thc-' Ureit I Divis ion / Sub -division / Pro du ction Un it.

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III: ' .?lhe-,candidate,ivithout having to sr-rbmit any.appeal, will tlren betrnmediate]rr exarnined by a..three member standing medical l3oard. consisting qf l) ; specialist in the fieid; however if the specialist is not available i[ri*tiu Urs UnitlDivision/Productibn Unit, a senior doctor v,reruldbe nominatqd in place of " a specia{.ist ?) the medicai officer who h.as conduoted the first med.ical .examination'and 3) the third being a senior medical officer specially irofninated by the CMO/CMS/MD/ACMS in charge for this purpose.

ry.

This three member Board wiil examine the candid.ate at the ehrliest alter the' : 'first medical ex:amination report is,.put up to the cMo/MDl'cMS/ACMs in charge of the Unit/Division/Sub.division. If necessary, the caadidate would be kept under observation in bed, The'accornmodation charg.es etc. in this regard will be borne by tiee l?ailwa5r Administration except for such investigations consultation, which is not available in*house, for which the charges wr! ,ppdlor be bor{re b5athe canliaate goncerned, . . fV {A}.If the initial medical authority or the ThreerlVlember Board, are oi .the view that the medical deficiency of the candid.ate is treatablg, olcept for cause of unfitness, Iike Diabetes, Hypertension, defective cqlour perceptici'n,.Disturbaice in visua!. acqity the candi.date should b.e declared as "TSMPORARY II.NFIT'" and should be advised to get treated "wifhin a time frame not escbeding s',ix months,. with a,urritten advice. & The written advice. end.orsing a copy tb the merno issuing authority. rhould also incl.ude that the candidate should reBort erither initial rrredica!. authcrity or to th.e fJ:ree mernher Eoard specified. ( as the case rnay bo;|, after campletion of treatment within the specified time frame, &fter cerzpletion of treatment, re-exaniination reSiort shouid be pret up ' .I/C of Unit/Division/Sub"Division ts CMS/0MO/ACMS/Iffi) for final decision.

1r

In caie the candid.ate absconds or absent himself wiifully prior to/during examrnation by the three member medical Board, thi.s fact should be recorded arrd the decision of the Jirst medica]. examiner wouid prevail and no further apipeal shall lie with any Lrigher authority including I?ailway Board.

u.

afuie three "iaernber- Boar-d wili.r,r,rite their detailed findings and will either examination fi.ndings or. differ en'dorse the frrst and record. their qpeaking in the form of orders, baseC upgn which a fit/unfit recornmendations certificat'e will 6e issued by t}ie doctor who examined the ianaiOate at the first instance. This three member Boan:d's decisions, as accepted by the respected CMO/MD/CMSIACMS in charge of the Unit/Division/Sub division, wiu be finJ and no appeal wili be entertajned.

vu.

Once a: d.ecision has been taken at the level of the Divisional/Production Unit In cltarge an
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Cc:rcio:r:rat-ion bf specific cases :ai 'o;rce, ltre 0B, member Eoard has taken a, decision or;. iire grounds of ' ion..iiijons likc hypeitcnsion, sub-stanci*-J'"irion. a;r.d defectivel^;i";; perjception ' diailetes qnd tjre'same rras been acc-epted b1l' gr" respectiv6 CMC/MD/CMS/ACM!

\/JIF

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p -..13q",,p{.t-4gUnitlriivisj,on/Sub*division, any b'e d9a1tkith on t\e hasi.slr trr*. ,*"rds an6 lepl:s.gntation/appaal;shall,and findr4gs gf the commir.tee *i:*lea to re_ $e .anaid;te ;i11 ii"i u " 'uquJvvL\ exalnination.

b) Olriy in specific and exoeptional cAses in which there is al.o6jective record of an

X-ray firiding,ECG'recoid,g:r*, g, * p"r1rruo"*ria"i,i""rli"r**r*li

. : 1 " : a !' ra ,Pd

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there can be an.appealrn.regaid.to lhe interpietauon of such u ri*airrs such cases can be entertainJd upp."t;, ;;" crvlD. ",'a . cMD of the z,one "'f.aq order fgr re-medical ". "', examinatiorr:of .,r"f, carld.idates if he is ffiffi"; that ghere-ai'e"sqnuine grounds for'consideration ;iil; rr- ;o**, suctr evidence: should- be sr.rbmitted within one'' monilr. of thqri. d.ate of ." , .conamunication o{-ft_" decision,of the CMO/MD/CMS/ACMS

+?i:

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the,unit/

Division / sub-division f production ri"if

tp the eand i*41

u":1 arr 'lppeat shaili be enterrained _only ir the "*,;i@;";{6sil"? certilicate from Govgrnment/Privatedoctor of the -n@rti"#r*** l ir., which the candidate has been found unfit. such a should.arso .cfuFifi@te contain a note that the Government/.Pri;e w""igt-t ffi${.;J^olL* 'b"en r."t that rhe candidate alread.y ;ffij' alt"@ffi* *"ai""r lT exarninationconducted by an 4ppropriate,r$exliWW*ttee apfioi.,t*OUy

.3:tx K :::-:tft#' :*Hhi {.r$:,,T:;hti"*;ffi

the railwavs, qnd rhat he is' awaie tgfuffi.andidate certified as. unfi t accordin g to ttre-.stax,&;W

rr"".ur[*:,iv been

s

'.,,'u*"* j"#1"ffi-;T,"%?3#%Y*n-:-""T*,l"r.y]:lplol 'inrLrrLiia"c arlc rowards Jffirrsffird, dfl candidate. will. hn requirirr-

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tr: paj, Rs-1o00/": tb.rough noffi4"-fuof prod.uctionrinits, such powers for of be^ vested in the cMD or the :"^T,:*:*1, .app$il.ry.4 neigirbouring/par-ent the producrion unit l"i""g;J? ffiefuie eartier or is currently sifuated@%, fl

where cMD is of th'{opigK

that there should be re-exa:rrinationof the caseof

appeaJ,he mqy rdm&tatF a senarate Three;M"*n.,

Medical Board

;il:i-:r$ oiSr'sn""iati@1s*..:^:o".:i1p;-;$!;;;(ofthe*""oideficiency pointed "Y9'&t Appellate the

X.

ivw'd1r-ruri1Lr.url. onsideration.

If CMD feels rr.\-rvuJ reels trrat that the itre decision decision p"iv.r. {.r-,given hrr by tl'e Boaid is justified, he will accept thc same. ion.at this stage charges frorrr un{it to fi.t, the DD submitted. to

will be crediteJ;t;R"ii*;; ;

",:,*T3,1:*-,:9:1-:3"''"thi* edd," where medicar examination'fee is PD being a"po"lt.al^'-

Advanc.e Cor:rection Slip to para S2Z (l) of IRMM, 2O0O is enclosed herewith. This has the approval of Board (MSl. No. IIl

@ l3

NATroNALmoanqrtoM 3, ChgtnsfordRoatt,NewDithi'

Copy to the General Secretaries of afJiliatetl Unions of.NFIR. C/: Media CentrdNFIR!.

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Dated: OA4OIiZOIO

Joint

'f-:7+

.>-t . (Dr M. Raghavaiah) General

''f * t .

(R.s. Shukta| Director /Iteatth Railway Board.

3t1rt4t

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Corrccfion Slip No;4/201.5. SubPara(i) of Para522 of IRMM, 2000 may be readas under:Medical,Examinatiop - Medical exarninalign of candidates wili be done bi a ,, , exa-rnination who wilf ,',Medical officgr witJr adequate experience.il 9:i:glq:t:1

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purpose' . .. ,

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vi"ion'/defective colouS vision/hypeltension/cliabetes or any other condition/ and will put 'uP , , . ,..', , disease, a1.* examiner will not i9119,ii{-9Tti.ficate T.dica-l 'his/her'" , of the' in charge to the CMO/MDICMS/ACMS Iindings . : : Unit/Division/Sub-division/Production Unit'

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ihe candidate, without:having to submit anlr aBpeal;t will then be immbdiately qf 1) q cxafnined b'y, a three *.mber standing meclical tsoard cctnsisLirrg '

Unit, a senicir,doctor would.be nominated in place of U*it7ni"igi9n{fr9$uction 1 a specialiot 21 tfte mefiqi- officer who has. conductcd thc first medical exarrupatiqn a;a 3) the third bging a. senior medical officcr spccially nominated ty-tf.t Cil'IO/CMS/MD/ACM"S ih charge for this putrPoser

ihi" tt t*e member Board will examine the candidate at the earliest aft:lthe in . first medical examination report is put up to the CMOIMD/CMS/ACMS o-e would charge of the Unit/Division/Sub-d.ivjsion. If neeessary,.th.e candidate ' ' ' il",pt1.*cler observation in b:ed. T.!e lccommodatiott ifturg** etc. in th,is regarcl , except for such investigations ' : . *iit be borne b5i the Railway Administration ' ' '' . . '" for which the chafges' will in:house, ,or..alo, corrSultaiion, which istnot available . '.]bebornebythecandidateconcerned. : -IV.

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'c'andidate is treatable, ,the vteql that the medlcal deflcieney of the 'cause defeativg :elrccp! for of unfitness like Diab6tegl flyportension, be candidate the should acuity visual perception, in Disturbance colour : 'TTEMPORARY tr€ated get should be advised to and ITNFIT' d.eolared as. The written advi99, endorsing. a eopy to the rnerno issuing authsrity. etther lilttlal reFort aand{date should also include that th-p should ( as the ca$a Board specified member ffiedlca! arr.thorify or to the three may bel, aftof .cornpletion of treatntent within the spooified tiine ffarne,

'' . decision. '

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In case the candidate abscond.s or 1lcs91t himself yllfulbi p|-of to/during exarnination by,the three mefiibe( medical Board, this fact should be recorded

.,. V. _.r:.,a r,, .' . :.. : . appeal shatl lie with any higher'authoritll including Railway Board. '. ' y1. This three member Board will write their detailed findings and will either '']:'^."jJo'".thefir9texa:r:.ina.iiorr;{indings ,recor@endations in the form of speaking orders, based upon rvhj.clr a fit/unfit 1',l

I

instarrce. .This tkiree membe5 Bgard's .decisions, as accepted by the respective

f

C M O / l \ 4 D / C M S / A C M Si r - ic h a r - g eo f t l i c U n i t / l ) i v l s i o r r / S r r l rc i i v i s i o r rr,v i l l b c l i n r l . ' ' gnce a {ecision has'been taken at the level of the Divisi onalfproductign uJr&ir chalSe-dna the candidate has been declared fit/unfit by three membe, Board, ' no further appea-lsha-llnormally lie witir any higirer authtrity ' .

VII ,,i ,.:,i,

Co.rsid.ration of specific cases :-'' . al Once, tr'le 03 memberrBoar,d has taken a decision or-r the grouncls of

VII ' '

q::T9_qgt. diabetes and the saine has been acceptecl by,the respective CMa/MD/9MS/ACMS in charge of the Unit/Division/Slb-d.ivision, any shall be dealt with on the basis ani of records the l"pl."entation/appeal findrlSs the Committee and the candiciate will not be subjected to re9f exalnlnatron.

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u) O3ly in.specific.lnd elceptional cases in which there is an objective record of an X-ray finding, ECG record, Echo or'a permanent defect/deformity, there can be an-appeal in regard to the interpritation of such li;;;;;j such cases can be entertained. as an appeal 6y the CMD. CMt" of the' Zane may order for re-medical examination of such candidates if he is satisfied that there are genuine ground.s for consideration of such *t. Such ' evidence should be submitted \Mithin one month "pp".f date of ttre of

chargeor :."*gy"i:1ti.n" or the aelision.f th; CMo7MDi6il37ncrrasi"

the-Unit:/Division/Sub-division/Production Unit to the cdndiriate. However, 94' lnneal shall bc entprtaineil ully if the candidate proiluces a "n9L certificate from_a- Government/Private doctor of tlte specialty/specialties in wHicl the candidate has been fciund unfit. Such, a certificaie ifroula atso , contain a note that the GovernrnentlPrivate specialist -r;fi; was aware of the fact that the- candidate has atready been de;iar;; *"ai;J J"r*g examination conducted b51an appropriate medical committee apfointed by the Governtnent_in this regard. The governmerit/private sllriuli also certify that he is fu[y Lware of the]physical & vision "p""irfi*t set b5z *irod*d" the railways, and that he is aware thai the candidate has alreadv been certified as unfit according to tl-e standaids ' : ' . , . t,,, : ,IX' : ,'

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In all cases of appeal to CMD, charges will however be payable by ' '

tfoo Rs' 1o0o/;. througt{ DD. In casq of production units, consideration of appeal shatl be vested in the "rril-p*., of the cMD neighbouriflg/parent zone where the production unjt-b-elongea io earlier or is currerttly Situated.

Where.9MD is of the opinion that there should be re-examination of the caselof aPp-"u],-he mfY nominate a separate Three-l{smber Medical Board comprising td.fi"i.n"y including tlrg specialty conEerned (of the of .S1' Pp":iali,st pointed out), for reconsideration. If CMD feelb that the dccision "t;;; given by thl Arne1la13MedicaIBoardisjudtified,hewillac9ept;h";;;.--In case, the decision at this stage changes fro5n Unfit to fit, the DD submitted to Rly, will be returned. In all otiier casel this DD will be .".oitJJddl6 * s€iinehead, where medicar examinationifee is being J"p""it.a.

{Ati'thorit5zBoard's letter No.2aL4/H.lsls ( policy} d.ated 3L.Lz.2otsl

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