CHAPTER 1 - Border Roads Organisation

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Procedure for Categorisation
4. All GREF personnel will report to their Authorised Medical Attendant (AMA), i.e. the
unit medical Officer (UMO), GREF as and when they contract a disease/disability. Where UMO
is not available, the individual will be directed to report to the nearest unit where UMO is
available. Further, in case of stations covered under CGHS, it will be incumbent on the part of
GREF personnel to report to the nearest UMO, GREF for the said purpose.
5. If the AMA/MO feels that the extent of disease/disability requires down grading of
medical category, the individual will be referred to a service specialist (Civil specialist where
there is no service specialist available). Based on the specialist‟s opinion the AMA will
recommend appropriate medical category and arrange holding of the medical board.
6. Individuals requiring time for convalescence on discharge from hospital MSS may, on
their request be sent on any form of leave or on EOL, as authorised, on recommendation of
medical authorities.
Composition of Medical Board
7. Composition of medical boards and procedure for recording/disposal of medical board
proceedings is explained in Appendix „A‟.
Duration of Medical Category
8. An individual will be placed in low medical category (LMC) GREF II/III (Temp) on the
basis of opinion of civil/service specialist for a minimum period of six months, after which he
will be reviewed by the AMA. After six months, if the AMA finds that the individuals physical
condition has improved / deteriorated, he will be referred to a civil/service specialist, who may
recommend upgrading/downgrading. In case the AMA finds that the individual‟s physical
condition has remained static, the AMA may recommend continuance of the same medical
category II/III (Temp) for another six months or place him in permanent medical category. After
12 months, if the individual‟s physical condition is unchanged, he will be placed in LMC GREF
II/III (Permanent) by AMA. LMC GREF II/III (Perm) individuals will be reviewed by AMA
periodically and will be brought before a medical board after every two years. During the two
yearly review if the AMA finds that condition static, he will recommend continuance of same
medical category and hold the medical board on AFMSF-15A. In case the AMA finds
deterioration/improvement he will refer the case to civil/service specialist for their opinion for
treatment/re-categorisation. The AMA may decide appropriate medical category based on the
opinion of civil/services specialist. While the downgrading/upgrading of medical category will
always be based on opinion/recommendation of civil/service specialist during review, the
continuance of LMC pers will be recommended by AMA and a single Offr medical board held
by him.
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