Working at Height and Confined Space Medical
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These medical assessments are for individuals whose work involves operating at height, ladders, scaffolding, roofs or in confined spaces (e.g., tanks, silos, tunnels).
Employers often require these medicals to ensure employees are medically fit to perform their duties safely, in compliance with UK health and safety legislation such as the Working at Height Regulations 2005 and the Confined Spaces Regulations 1997.
The aim is to protect the health and safety of both the individual worker and their colleagues.
Helpful Information
FAQs
What should you bring to your medical?
Please bring the following to your appointment: – Photo identification (e.g., driving licence or passport). – A list of any current medications you are taking, including dosage. – Your glasses or contact lenses if you wear them for vision correction.
A full bladder as you are likely to need to provide a urine sample on arrival – Any relevant medical letters or reports from specialists concerning existing health conditions.
Who can perform this medical?
These specialised medicals are conducted by a qualified doctor or an occupational health technician under the supervision of a doctor.
At Occupational Health Bristol all our Qualified Doctors can carry out these medicals and are aware of the specific health risks and fitness requirements associated with working at height and in confined spaces.
How long do these medicals take?
A standard working at height or confined space medical assessment typically takes between 30 to 45 minutes to complete.
What to expect from a working at height or confined space medical?
The medical assessment will generally include: – A detailed review of your medical and occupational history through a questionnaire. – A physical examination, including: – Measurement of your height, weight, and Body Mass Index (BMI). – Blood pressure and pulse check. – Vision assessment (near, distance, and colour vision). – A hearing test (audiometry).
– A lung function test (spirometry). – A urine test to check for substances like protein and glucose. – Assessment of your mobility, balance, and coordination.
– You may be required to have an additional exercise test ( Chester Step Test/ Queens test ) if this is required by your employer or if deemed necessary during the assessment
How long does a working at height or confined space medical certificate last
A certificate of fitness is typically valid for one to three years, depending on the assessment findings, your age, and any underlying health conditions. In some cases, more frequent reviews may be recommended.
Can I work with medical conditions?
Having a medical condition does not automatically prevent you from working at height or in confined spaces. The purpose of the medical is to assess your fitness and identify any conditions that could increase the risk of an incident. Conditions such as epilepsy, diabetes, heart disease, or significant hearing/vision impairment will be carefully evaluated. The outcome will depend on how well the condition is managed and whether any adjustments can be made to ensure you can work safely.
Looking after your health at work starts here.
Book your appointment today and let's make wellbeing a priority.