Compulsory Medical Tests for Restaurant, Canteen, and Cafeteria Staff in India

Ensuring the safety and hygiene of food is paramount in the food industry, particularly in restaurants, canteens, and cafeterias. The Food Safety and Standards Authority of India (FSSAI) has laid down stringent guidelines for food handlers to ensure food safety and personal hygiene. This article will delve into the compulsory medical tests for restaurant, canteen, and cafeteria staff in India, highlighting their importance, features, benefits, and unique selling propositions (USPs). It will also provide an in-depth look at the FSSAI guidelines and the types of businesses and personnel that require these medical tests.

Introduction to FSSAI Compliance for Food Handlers

The FSSAI mandates comprehensive medical testing for food handlers to prevent foodborne illnesses and ensure the health and safety of consumers. These regulations apply to various food businesses, including restaurants, hotels, cafeterias, online food delivery platforms, office canteens, food courts, food processors, food manufacturers, airlines catering, railways catering, guest houses, cloud kitchens, and resorts.

Types of Food Businesses Requiring Food Handler Testing


Hotels must ensure that all their food handling staff undergo regular medical testing to comply with FSSAI regulations. This includes kitchen staff, waiters, and cleaning personnel.


Restaurants are at the forefront of the food industry and must maintain strict hygiene standards. Regular medical tests for all food handlers, including chefs, cooks, and dishwashers, are essential.


Cafeterias in schools, colleges, and corporate offices must adhere to FSSAI guidelines by conducting periodic medical tests for their staff to prevent the spread of diseases.

Online Food Delivery Platforms

Delivery executives and kitchen staff working for online food delivery platforms must undergo regular medical testing to ensure they do not carry infectious diseases.

Office Canteens

Office canteens serve a large number of employees, making it crucial to ensure that all food handlers are medically fit and free from communicable diseases.

Food Courts

Food courts in malls and other public places must ensure that all food handlers, including those working at individual stalls, comply with FSSAI medical testing requirements.

Food Processors and Manufacturers

Employees involved in food processing and manufacturing must undergo regular medical tests to ensure the safety and hygiene of the food products they handle.

Airlines and Railways Catering

Catering staff working in airlines and railways must adhere to strict medical testing protocols to ensure the safety of the food served to passengers.

Guest Houses and Resorts

Guest houses and resorts must ensure that their kitchen and service staff undergo regular medical tests to comply with FSSAI guidelines and ensure guest safety.

Cloud Kitchens

Cloud kitchens, which operate solely for online food delivery, must ensure that all food handlers are medically tested regularly to prevent any potential food contamination.

Personnel Requiring Medical Tests in the Food Industry


Cooks and chefs, being at the heart of food preparation, must undergo regular medical tests to ensure they do not pose any health risks.


Dishwashers play a crucial role in maintaining hygiene standards and must be medically fit to prevent any cross-contamination.


Waiters, who interact directly with customers and food, must undergo medical tests to ensure they do not transmit any infections.

Food Equipment Operators

Operators of food equipment must be medically tested to ensure they do not pose any risk to food safety.

Surface Cleaners

Cleaners must undergo medical tests to ensure they do not carry any infections that could contaminate food surfaces.

Food Delivery Executives

Delivery executives must be medically tested regularly to ensure they do not transmit any diseases through the food they deliver.

Food Packaging Staff

Packaging staff must undergo medical tests to ensure they do not contaminate the food during the packaging process.

FSSAI Guidelines for Hotels and Chain Restaurants

The FSSAI Act 2006 outlines specific guidelines for food business operators to maintain food safety and personal hygiene. It is essential for businesses to obtain an FSSAI license and adhere to these guidelines to prevent the suspension or cancellation of their license.

Key Guidelines

  1. Personal Hygiene: Food handlers must maintain high standards of personal hygiene, including regular hand washing and wearing clean uniforms.
  2. Medical Testing: Regular medical tests must be conducted for all food handlers to ensure they are free from communicable diseases.
  3. Training: Food handlers must undergo regular training on food safety practices.
  4. Record Keeping: Businesses must maintain records of all medical tests and training sessions.

What Food Handlers Must Avoid

To ensure food safety, food handlers must avoid certain practices:

  • Smoking or chewing tobacco in food handling areas.
  • Chewing betel nut or gum while handling food.
  • Touching their mouth, nose, or eyes during food preparation.
  • Spitting, coughing, or sneezing in food service areas.
  • Handling food and money simultaneously.
  • Using contaminated equipment.
  • Cooking at improper temperatures.
  • Preparing or selling food in areas prone to pollution.

Compulsory Medical Checkups and Reports in India

General Medical Tests

  1. History & General Physical Examination: A thorough examination to check for any general health issues.
  2. Surgical Check-up: To ensure the absence of any surgical conditions that could affect food handling.
  3. Medical Check-up (BMI, BP): To monitor basic health parameters.
  4. Dermatological (Skin Check-up): To check for any skin conditions that could contaminate food.
  5. Vision (Eye) Check-up: To ensure food handlers have good vision.

Pathological Test Examination

  1. Complete Blood Cell Count: To check for any infections or blood disorders.
  2. Blood Group with Rh Factor: For identification purposes.
  3. Erythrocyte Sedimentation Rate: To check for inflammation.
  4. Random Blood Sugar: To monitor blood sugar levels.
  5. Urine Routine: To check for any urinary infections.
  6. Blood Test SGPT: For liver function tests to rule out jaundice.
  7. Blood Test Widal: To rule out typhoid.
  8. Serum Creatinine Test: To assess kidney functions.

Other Medical Tests

  1. C.G. (for Above 40 years): Comprehensive geriatric assessment.
  2. Height & Weight: To monitor basic health parameters.
  3. Pulmonary Function Test: To check lung function.
  4. Audiometry: To check hearing ability.

Vaccination Requirements

According to FSSAI rules, food handlers must receive vaccinations to cover infectious and communicable diseases:

  1. Typhoid: Once every year.
  2. TT: Once every six months.
  3. Hepatitis B: A set of three injections at intervals of 0, 1, and 6 months every three years.

Diseases to Check Prior to Employment and Periodically

  1. Chest and Respiratory Diseases: Such as TB, which could pose a hazard to coworkers.
  2. Blood-Borne Infections: Such as HIV and Hepatitis B.

Returning to Work After Illness

Food handlers must be excluded from work for a period after symptoms stop to ensure they do not transmit bacteria or viruses. A recommended exclusion period is 48 hours. Extra care must be taken over personal hygiene practices, especially hand washing.

Tests for Returning Food Handlers

  1. Stool Routine
  2. Stool Culture: Three consecutive stool samples taken 48 hours apart in case of cholera, typhoid, and dysentery should be tested negative.
  3. Widal Test
  4. HAV Test

Safety Precautionary Measures for Food Industry Staff

  1. Hand Hygiene: Wash, clean, and dry hands before handling food.
  2. Protective Gear: Wear gloves and aprons to avoid the risk of food contamination.
  3. Personal Hygiene: Maintain proper personal hygiene, including nails, teeth and gums, ears, and eyes.
  4. Hair and Sweat Management: Avoid loose hair and sweat from coming in contact with food.
  5. Health Reporting: Food handlers must report to their manager if they suffer from diarrhea, vomiting, nausea, jaundice, fever, sneezing, cough, or cold.


Ensuring the health and hygiene of food handlers is crucial for maintaining food safety and consumer trust. The FSSAI guidelines and mandatory medical tests for restaurant, canteen, and cafeteria staff play a vital role in preventing foodborne illnesses and ensuring the overall safety of food. By adhering to these regulations, food businesses can protect their customers, improve their reputation, and contribute to public health.

Compulsory Medical Tests for Restaurant, Canteen, and Cafeteria Staff in India
Compulsory Medical Tests for Restaurant, Canteen, and Cafeteria Staff in India

MealPe’s ultimate guide to ensuring FSSAI compliance for food handlers provides a comprehensive overview of the necessary medical tests, guidelines, and best practices. By following these guidelines, food businesses in India can ensure that their staff is healthy and that the food they serve is safe for consumption.

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