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While the Healthy China strategy is being implemented, the China Geological Survey has proposed and deployed a health geological survey project, starting a new journey of health geological survey and evaluation to support and serve the construction of Healthy China. However, there are still many urgent problems to be solved in this project, such as the survey vision, the framework of the evaluation indicators, the risk identification method, and the service scopes of the potential achievements. Therefore, in this paper, a framework for health geological survey and evaluation was proposed, which includes regional health geological survey zoning and local ecological risk identification. At regional scale, the framework of indicators, grading standard, score calculation, zoning method of health geological survey, identification of beneficial and harmful health geological factors, and application of achievements were proposed. These contents were presented based on the core evaluation indicators (e.g., the chemical composition, physicochemical properties, topography, and climate of the crustal surface environment caused by geological evolution processes) and the optional evaluation indicators (e.g., sanitary condition, economic level and geo-environment). At local scale, the selection of evaluation area, workflow, risk identification and the application of achievements were proposed to avoid the ecological risks of harmful trace elements and develop beneficial health geological resources. • Proposal of the framework of health geology survey and evaluation. • Presentation of regional health geological survey zoning evaluation indicator and method. • Establishment of the criterion for ecological risk evaluation at a local scale. [ABSTRACT FROM AUTHOR]