Safety Critical Medicals

Our safety critical medicals determine whether an individual is fit to complete high-risk tasks. Each medical meets the needs of individual employers and is completed following Constructing Better Health guidelines.

Certain occupations – eg in the construction industry – can involve high-risk tasks that require an individual to be both physically and mentally fit.  Individuals who work in these professions are often known as safety-critical workers.  It is vital that businesses ensure that employees in these positions are fit for the tasks they are undertaking, which is determined through our safety critical medicals.

We can complete the medicals at our Bury St Edmunds clinic, or on customers’ own sites.

Why are they needed?

An individual may have a medical condition that could adversely affect their health, leading to a situation which could potentially endanger themselves or their colleagues whilst at work.

Possible medical conditions may include sudden loss of consciousness or incapacity, impairment of airways, loss of concentration, poor balance or co-ordination or significant limitation of mobility.

Our medicals make sure that site employees are fit and healthy, and that employers meet legislative and site requirements for health screening.

Who needs a Safety Critical Medical?

The types of roles that require these medicals include:

  • Individuals working at height
  • Fork lift truck drivers
  • Individuals working in confined spaces
  • Roadside (high-speed) workers
  • Plant operators
  • Drivers and mechanical operators
  • Construction workers
  • Waste industry operational staff and drivers

What is involved in a Safety Critical Medical?

The exact composition of the medical depends on the job being undertaken.   All safety critical workers will complete a health questionnaire followed by a series of tests, all of which are designed to assess whether they are currently fit for task.

The medicals can include:

  • blood pressure
  • hearing
  • lung function
  • skin checks
  • vision
  • mental health
  • urinalysis
  • musculoskeletal checks
  • hand arm vibration
  • chester step (fitness) test

Some employers also require a drug and alcohol test.

How long is the medical?

The medicals are generally 45-60 minutes in duration. This may differ slightly for some companies depending on the specific exposures.

What happens after the medical?

A certificate of statement of fitness will be issued.  Where applicable, adjustments will be advised, as will any further review dates.

What happens if I am classed as unfit for my role?

Any individual who is assessed as ‘not fit to work’ can be treated, referred to their GP and monitored over time. They can be retested when improvements have been made, with the hope of allowing them to return to their safety critical roles.

In rare instances an individual may be deemed unfit to return to work. Management will be notified immediately, and the individual referred for immediate onward support.

For more information contact us on 01284 247040 or email