Fitness To Work


“Fit to Work” or “Fitness to Work” is a medical assessment undertaken when an employer wishes to be sure an employee can safely do a specific job or task. The purpose is to determine if medically, the employee can perform the job or task under the working conditions.

Fit to Work assessments are most often required to determine medical fitness after an illness or injury, but are sometimes completed after employment has been offered, as requested by the employer, or as a condition of a job transfer.

We have been undertaking “Fit to Work” assessments for over 20 years and have extensive experience in this field.  Our physicians will determine if the person is able to do that particular job as provided by the employer, they may consider physical or mental capacities, sensory acuity, level of skill, etc and only report one of three conditions back to the employer:

  • Fit,
  • Unfit, or
  • Fit subject to work modifications.
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Frequently Asked Questions

Why would this assessment be done?

A Fit to Work assessment may be required  for the following reasons (but are not limited to):

  • there has been a significant change in the working conditions,
  • the job at work has been modified and the returning worker is still going for physiotherapy, rehabilitation, or both,
  • there has been a change in an employee’s health (e.g., returning to work after recovery from a serious illness or injury),
  • a medical condition may limit, reduce or prevent the person from performing a new or current job effectively (e.g., musculoskeletal conditions that limit mobility),
  • a medical condition is likely to make it unsafe to do the job (e.g., a person may unpredictably become unconscious in a hazardous situation),
  • a medical condition is likely to make it unsafe both for him/her self, co-workers or the public (e.g., driving is essential to the job but the person is subject to unpredictable and sudden unconsciousness, or a food product inspection by an inspector with deficient colour vision), or
  • the medical condition may be made worse by the job (e.g., excessive physical exertion by an employee with a heart or lung disorder).

These assessments can be tailored to accommodate individual companies but can include:

  •  General Health Questionnaire and past Medical History
  • General Medical Assessment
  • Spirometry
  • Audiometry
  • Vision
  • Musculoskeletal Assessment
  • Drug and Alcohol testing (either Laboratory based or Onsite)