For the examination a well-lighted room affording privacy is essential. While it is desirable for the surgeon periodically to see the processes and conditions under which work is carried on, systematic examinations of workers should not be made elsewhere than in a private room. The custom of marshalling workers in a queue, although perhaps unavoidable in many cases, is liable to detract from the seriousness of the proceedings, a sense of which it should be one of the aims of the examination to arouse. In discussing the method of interrogation and usual examination, Dr. King Alcock[2], Certifying Factory Surgeon of Burslem, says: “Note the general manner assumed in answering questions and any indications of carelessness in dress and toilet. Inquire into the state of digestion, existence of colicky pains, regularity of bowels, menses, history of pregnancies and miscarriages, whether before, in the intervals of, or during lead employment; existence of headache, diplopia, or amaurosis. Note the type, facies, state of teeth and nails, complexion, speech, tongue, strength of grasp (if possible, with dynamometer), any tremor in outstretched hand, resistance to forcible flexion of wrist.... If strabismus is present, note whether of old standing or recent; and if ocular troubles seem imminent, examine for optic neuritis, either at once or at home (this is very important, as cases of acute and serious optic neuritis still baffle examination by their intermensual development).” He recommends the surgeon, apart from entry in the health register, which must necessarily be very brief, to keep a private notebook, and to enter in it as a matter of routine such details as name, process, age, duration of employment, condition (married or single), pregnancies, state of bowels and menses, dental toilet, and any special point worthy of note in individual workers. A card index, if in use, might conveniently serve for such entries. In the actual routine examination it may be useful to describe the procedure where a large number of workers pass before the surgeon in a white-lead works every week. The points noted are: 1. The general appearance of the man as he walks forward, especially the face with regard to anæmia, which in the majority of cases of early lead absorption is not a true anæmia, but is due to vaso-motor spasm of the arterioles of the face and eyes. Frequently, on speaking to a lead-worker, the face, apparently anæmic, flushes directly. 2. The brightness of the eyes, state of the pupils, and condition of the conjunctiva and of the ocular muscles. 3. The mouth should next be examined, and search made for any evidence of blue line around the gum. 4. The gait should be watched both on advancing to, and retiring from, the surgeon. If necessary, the man should be made to walk a few steps. Although the peroneal type of palsy is extremely rare, the possibility of its occurrence should never be absent from the mind of the surgeon.