Medical assessments are carried out to ensure an individual is fit to work in a specific environment. 
Anyone whose duties require them to work in confined spaces is required to pass a medical fitness assessment. Plus, people who work at height such as industrial abseilers, riggers, telecommunications engineers and more, may require a medical to check their fitness for their specific work. 
A medical assessment should be undertaken prior to an individual embarking on working in confined spaces or at height and every two years thereafter (unless medically indicated) or whenever a significant change in health or working practice occurs that has the potential to compromise an employee’s ability to carry out tasks safely.
Medical assessments
Medical assessments are carried out by a competent Nurse under the supervision of an Occupational Health Physician, either at a conveniently located medical centre or at clients’ premises. We offer a standardised medical across the UK.
In addition to a medical questionnaire and consultation with an occupational nurse, the following is included in a work at height and confined space medical assessment:
Work at Height Medical Confined Space Medical
General health (height, weight, BMI, blood pressure & pulse) General health (height, weight, BMI, blood pressure & pulse)
Vision (distance, peripheral & colour) Vision (distance, peripheral & colour)
Urinalysis Urinalysis
Peak flow Peak flow or full spirometry
Full audiometry Full audiometry
General mobility General mobility
Alertness and general wellbeing Alertness and general wellbeing
Step test  
The examiner will also pay attention to the following:
Psychological problems
Skin problems
All details of an individual’s medical assessment and the information given within individual questionnaires will be treated in confidence and is fully compliant with the Data Protection Act.
On completion of the medical, a fitness certificate is issued advising of the results. Meeting the medical fitness levels required, indicates that at the time of the medical the individual is medically fit to perform the relevant job role e.g. working at height or in confined spaces.
Where an individual does not meet all the medical fitness levels required, a fail certificate or certificate indicating the fitness level they can achieve will be issued by the medical provider.
It is the responsibility of the employer to ensure that all employees working in confined spaces or at height are suitable for the work they are undertaking.
For more information please contact us on 0330 390 0822 or email

Download our brochure for more information on the occupational health services we can offer