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Medical check-ups in working life

Managers can find information here about when medical check-ups may be appropriate.

A work environment-related medical check-up is a medical assessment of an employee. It addresses the potential health implications of specific factors in the work environment. The medical check-up is intended to support preventive work environment management. Medical check-ups can include physical examinations, sample collection, interviews and questionnaires. 

The purpose of medical check-ups is to reduce the risk of occupational ill-health by:

  • determining whether the employee’s state of health permits certain types of work 
  • providing early identification of individuals who show signs of ill health caused by exposure in the workplace
  • providing the basis for measures in the workplace. 

Certain work duties require a medical check-up and a fitness for work certificate. Certificates must be registered. Penalty fees will be applied if a valid fitness for work certificate has not been provided.

Medical check-ups are required for several tasks 

These tasks are outlined in regulations issued by the Swedish Work Environment Authority, particularly AFS 2019:3.

  • work involving exposure to vibrations
  • activities demanding hand-intensive tasks
  • night work
  • work involving allergenic chemical products
  • fibrosis-inducing dust containing, for example asbestos and quartz
  • lead
  • cadmium
  • mercury
  • tasks involving strenuous physical activity: climbing jobs entailing considerable ascent and descent, emergency response work using protective equipment against smoke and chemicals, and diving work.

In addition to the above tasks, medical check-ups are required for the following:

  • work involving laboratory animals (AFS 1990:11)
  • work that may cause noise-induced hearing problems (AFS 2015:16)
  • work entailing risk of infection (AFS 2018:4)
  • work involving artificial optical radiation (AFS 2009:7)
  • work involving ionising radiation (SSMFS 2018:1)

The employer must also offer statutory medical check-ups if a risk assessment shows it to be justified, for example due to exposure to harmful conditions/substances.

Read the instructions before you fill in the form and order the medical check-up from the Occupational Health Service.

Instructions for managers concerning medical check-ups (PDF 209 kB, new tab)

Read the instructions before you fill in the form and order the statutory medical check-up from the Occupational Health Service.

Eliminate/minimise risks - in five steps

  1. Remove or replace chemical product/method.
  2. Encapsulate, screen off and automate. 
  3. Use process ventilation. 
  4. Work at another time/place.
  5. Use personal protective equipment.

In order to eliminate/minimise risks, the employer must follow the prioritised steps. If the measures contained in the prioritised steps do not eliminate/minimise risks, regular assessments of employee health may be necessary. As a manager with responsibility for staff, it is your task to conduct a risk assessment and inform students and employees of the need for medical check-ups if required by the Swedish Work Environment Authority. 

The Occupational Health Service conducts medical check-ups at Lund University.

Order form for medical check-ups (PDF 224 kB, new tab)