Fit to Work Medicals

What is meant by “fit to work”?

patient-doctor-relationship“Fit to work” or “fitness to work” is a medical assessment performed to assess whether an employee can safely carry out a specific job or task. The medical assessment determines if an employee is medically fit to perform the job or task that they are employed to do.
The Occupational Health Advisor assesses physical, mental capacities, sensory acuity and level of skill, etc.

The Occupational Health Advisor will typically report one of the three outcomes back to the employer:

  • Fit,
  • Unfit, or
  • Fit with restrictions

Drivers

It is good practice to assess drivers for medical fitness to drive. This may include any individual who undertakes regular driving as part of his/her normal duties i.e. vans, mobile plant, crane driver, tractors, excavators, tipper trucks, road rollers etc.

A medical assessment reassures an employer that their employee is fit to carry out their normal duties and as a consequence of undertaking these duties would not seriously endanger the lives of passengers or employees in the working environment.

Drivers medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment
  • Blood pressure & pulse
  • Urinalysis
  • Vision screening
  • Musculoskeletal assessment
  • Counselling
  • Report, restrictions and recommendations
  • Anonymous statistics

Working at Heights Medical

The Health and Safety at Work etc Act 1974 states that it shall be the duty of an employer to ensure (so far as is reasonably practicable) the health, safety and welfare at work of all their employees.

Under Regulation 3 of The Management of Health & Safety at Work Regulations 1999 the employer is required to assess the risks to workers and any others who may be affected by their undertaking and record the significant findings of that assessment.

It is advisable and good practice that employees who work at heights are medically assessed for fitness to work safely at heights. The purpose of a working at heights medical assessment is to ensure the employee does not have any medical condition which could result in injury to themselves or others while working at heights i.e. risk of falling etc.

Working at Heights medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment in relation to working at height
  • Blood pressure & pulse
  • Urinalysis
  • Musculoskeletal assessment
  • Counselling
  • Report, restrictions and recommendations
  • Anonymous statistics

Confined Space Medical

The Health and Safety at Work etc Act 1974 states that it shall be the duty of an employer to ensure (so far as is reasonably practicable) the health, safety and welfare at work of all their employees.

Under Regulation 3 of The Management of Health & Safety at Work Regulations 1999 the employer is required to assess the risks to workers and any others who may be affected by their undertaking and record the significant findings of that assessment.

It is advisable and good practice that employees who work in confined spaces are medically assessed for fitness to work in confined spaces. The purpose of a confined space medical assessment is to ensure the employee does not have any medical condition which could expose them to a higher degree of risk or result in injury to themselves or others while in confined spaces i.e. heart condition, epilepsy etc.

Confined Space medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment in relation to working in confined spaces
  • Blood pressure & pulse
  • Urinalysis
  • Musculoskeletal assessment
  • Counselling
  • Report, restrictions and recommendations
  • Anonymous statistics

Lead Workers Medical

The Control of Lead at Work Regulations 2002 stipulate a requirement for the protection of employees who may be exposed to lead at work and for other people who may come into contact with such work.

The regulations apply to any work:

  • Where lead is present in the form of lead dust, fume or vapour which is liable to be inhaled
  • In which lead is liable to be ingested, e.g. lead powder, dust, paint or paste
  • With lead compounds which are liable to be absorbed through the skin.

Lead work includes any type of activity including the handling, movement, storage, processing, disposal, repair and maintenance of lead.

Lead Workers medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment
  • Blood pressure & pulse
  • Urinalysis
  • Counselling
  • Report, restrictions and recommendations
  • Lead blood screen
  • Anonymous statistics

To find out more please visit our Lead Workers Medicals page >>

Forklift Truck Medical

Guidance contained in Appendix 2, of the HSE publication ‘Safety in Working with Lift Trucks’ ISBN 0 7176 1781 5, recommends that all Forklift Truck (FLT) operators, occasional and regular users are screened for fitness before and during employment. Acorn Occupational Health can assist with complying with this recommendation by medically assessing each operator for fitness.

Forklift truck medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment
  • Blood pressure & pulse
  • Urinalysis
  • Vision screening
  • Musculoskeletal assessment
  • Counselling
  • Report, restrictions and recommendations
  • Certificate of fitness
  • Anonymous statistics

Night Worker Medical

The Working Time Regulations 1998 stipulate that employees working night duty must be offered a medical assessment. The offer of an assessment must be made prior to the start of the employee working night duty and at regular intervals thereafter, usually biannually.

Night workers medical assessments take approximately 10 minutes and include:

  • A confidential questionnaire
  • Medical assessment in relation to night work
  • Blood pressure & pulse
  • Urinalysis
  • Counselling
  • Report, restrictions and recommendations
  • Anonymous statistics

Lone Worker Medical

The Health and Safety at Work etc Act 1974 states that it shall be the duty of an employer to ensure, so far as is reasonably practicable, the health, safety and welfare at work of all his employees.

Under Regulation 3 of The Management of Health & Safety at Work Regulations 1999 the employer is required to assess the risks to workers and any others who may be affected by their undertaking and record the significant findings of that assessment.

It is advisable and good practice that employees who work alone are medically assessed for fitness to work alone. The purpose of a lone worker medical assessment is to ensure the employee does not have any medical condition which could expose them to a higher degree of risk while working alone i.e. heart condition, epilepsy etc.

Lone Workers medical assessments take approximately 30 minutes and include:

  • A confidential questionnaire
  • Medical assessment in relation to working alone
  • Blood pressure & pulse
  • Urinalysis
  • Counselling
  • Report, restrictions and recommendations
  • Anonymous statistics

Young Persons Medical Risk Assessment

Most of the legal restrictions on employment of young persons have long since been revoked by the Employment Act 1989 or have been incorporated into Regulation 3(4) the Management of Health and Safety at Work Regulations 1999.

A Young Persons medical/risk assessment is concerned with the protection of a young person who is in an occupation which is viewed as potentially damaging to their health. This medical risk assessment is to ensure that all persons under the age of 18 are physically and mentally fit/mature to undertake their assigned duties and that restrictions or controls are put in place to protect their health and safety.

Young Persons medical/risk assessments take approximately 30 minutes and include:

  • Medical and risk assessment
  • Blood pressure & pulse
  • Urinalysis
  • Counselling
  • Report, restrictions and recommendations

New and Expectant Mother Medical/Risk Assessment

Under Regulation 16 of the Management of Health and Safety at Work Regulations 1999 employers are required to carry out a specific risk assessment where women of childbearing age or new expectant mothers may be at risk from a work process, working condition or physical, chemical or biological agent.

A New and Expectant Mothers medical/risk assessment is concerned with the protection of new and expectant mothers who are in an occupation which is viewed as potentially damaging to their health. This medical risk assessment is to ensure new and expectant mothers are physically and mentally fit to undertake their assigned duties and that restrictions or controls are put in place to protect their health and safety and that of the baby.

New and Expectant Mother medical/risk assessments take approximately 30 minutes and include:

  • Medical and risk assessment
  • Blood pressure & pulse
  • Urinalysis
  • Counselling