Pre-Employment Medicals
Medical assessments prior to employment or placement into a specific position to determine an employee’s medical suitability for the anticipated duties and workplace exposures.
Occupational Health
Occupational Health Services
Protecting Your Workforce. Supporting Safer Workplaces.
AMCA Medicare Occupational Health Department provides professional occupational health services to businesses, organisations and employees.
Our occupational health services are led by Dr. A.R. Dosani and focus on assessing employee fitness, identifying occupational health risks and supporting employers in maintaining a healthier and safer workforce.
South African occupational-health legislation provides for risk-based medical surveillance, which can include clinical examinations, biological monitoring and medical testing depending on workplace exposures.
Services
Our Occupational Health Services
Periodic Medical Surveillance
Ongoing health assessments for employees whose work or occupational exposure requires medical surveillance. Surveillance should be based on the workplace risk assessment and relevant occupational exposure.
Fitness-for-Work Assessments
Assessment of an employee’s health in relation to the physical, medical and occupational requirements of their specific position.
Return-to-Work Assessments
Medical evaluation following significant illness, injury or absence to determine whether an employee can safely return to their duties and whether temporary restrictions or accommodations may be required.
Exit Medicals
Occupational medical assessments when an employee leaves employment or exits a particular occupational exposure.
Occupational Medical Surveillance
Structured medical surveillance can be provided according to workplace hazards and risk assessments, including exposure to noise, respiratory hazards, chemicals, biological agents, ergonomic risks and other occupational hazards where applicable.
Assessments
Assessments May Include
Depending on the employee’s occupation and risk profile:
Medical and occupational history
Available at clinic
Physical examination
Available at clinic
Blood pressure, BMI and general health screening
Available at clinic
Vision and colour-vision screening
Available at clinic
Audiometry / hearing assessment
By arrangement
Spirometry / lung-function assessment
By arrangement
Urinalysis
Available at clinic
Blood glucose testing
Available at clinic
Musculoskeletal assessment
Available at clinic
Cardiovascular assessment
Available at clinic
ECG where indicated
By arrangement
Relevant laboratory investigations
By referral
Drug and alcohol screening where appropriately required
By arrangement
Additional occupation-specific investigations
By arrangement
Items marked as referral or by arrangement are coordinated through external providers where required.
The exact assessment is determined by the employee’s job requirements, occupational exposure and workplace risk assessment rather than using the same medical examination for every employee.
Certification
Fitness-for-Work Certification
Following an occupational medical assessment, an employee may be classified according to the findings of the assessment and requirements of the specific position.
Possible outcomes may include:
- Fit for work
- Fit with restrictions
- Temporarily unfit
- Further investigation required
- Further specialist assessment required
Certification is issued only after the appropriate medical assessment. Outcomes depend on clinical findings and the requirements of the specific role.
For companies
Occupational Health for Companies
AMCA Medicare can work directly with employers to provide:
- Pre-employment medicals
- Annual / periodic medicals
- Medical surveillance
- Fitness-for-work assessments
- Return-to-work assessments
- Exit medicals
- Group employee assessments
- Occupational medical certification
Individual employee medical information is handled confidentially in accordance with applicable requirements. South Africa’s Occupational Health and Safety Act specifically addresses confidentiality around individual medical-surveillance and biological-monitoring results.
Process
How It Works
- 1
Employer or employee contacts AMCA Medicare
Provide the employee’s job description and occupational requirements where applicable.
- 2
Appropriate assessment is selected
The occupational health examination is tailored to the employee’s role and identified workplace risks.
- 3
Medical assessment is completed
The employee undergoes the required clinical examination and screening investigations.
- 4
Occupational medical review
The occupational health practitioner reviews the clinical findings and investigations.
- 5
Fitness certification
Appropriate occupational medical documentation or fitness certification is issued where clinically appropriate.
Important information
Information Employers Should Provide
Employers sending employees for occupational medical assessments should ideally provide:
- Employee name and identification details
- Job title
- Job description
- Workplace risk assessment where available
- Occupational exposures
- Specific physical requirements of the position
- Previous occupational medical records where relevant
- Required medical surveillance standards or company medical forms
This allows the occupational health assessment to be specific to the employee’s actual workplace duties.
Practitioner
Occupational Health Practitioner
Dr. A.R. Dosani
Occupational Health Medical Practitioner
AMCA Medicare Occupational Health Department
171 Alpine Road
Springfield
Durban
Healthier Employees. Safer Workplaces.
Whether you require an individual occupational medical assessment or a structured programme for your workforce, contact AMCA Medicare Occupational Health Department to discuss your company’s requirements.