The Complete Occupational Health Checklist

Diverse group of smiling professionals including doctors, nurses, engineers, and office workers raising their hands in celebration, symbolising workplace health and wellbeing.

When it comes to keeping your team healthy, safe, and performing at their best, occupational health plays a vital role. But for many employers and employees, the process can seem confusing — full of forms, medical terms, and tick boxes.

In this guide, we’ll walk through what occupational health really means, what to expect from an occupational health assessment, and share a comprehensive occupational health checklist to help you stay compliant and proactive.

What Is Occupational Health?

Occupational health is all about the connection between work and wellbeing. It focuses on preventing illness and injury in the workplace, supporting recovery, and making sure employees are fit to perform their roles safely.

At Private Medical Clinic, our occupational health services are designed to protect both employers and employees. Whether you need a one-off medical, a management referral, or ongoing workplace health surveillance, our team can help you stay compliant with UK legislation.

Why Occupational Health Matters

A strong occupational health system benefits everyone:

  • Employers meet legal and health & safety obligations.
  • Employees feel supported, understood, and protected.
  • Businesses reduce absence, improve productivity, and enhance reputation.

It’s not just about preventing problems — it’s about creating a culture where wellbeing is part of everyday work life.

The Complete Occupational Health Checklist

Here’s a practical checklist you can use to make sure your organisation is covering all the key areas.

1. Pre-Employment Health Screening

Before starting work, check that new employees are medically fit for the role. This might include:

  • Medical history questionnaires
  • Vision or hearing checks
  • Immunisation records
  • Fitness assessments (for safety-critical roles)

Tip: These screenings help identify any adjustments or support a new starter might need — keeping everyone safe from day one.

2. Ongoing Health Surveillance

Regular monitoring helps detect any work-related health issues early. Depending on your industry, this could include:

  • Lung function testing (for exposure to dust or fumes)
  • Audiometry (hearing tests for noisy environments)
  • Skin checks (for chemical exposure)
  • Hand-arm vibration assessments

If you’re in construction, manufacturing, or healthcare, regular health surveillance isn’t just best practice — it’s a legal requirement.

3. Sickness Absence and Return-to-Work Support

When an employee is off sick, a management referral to occupational health can provide clear guidance on:

  • Whether the employee is fit to return
  • Any reasonable adjustments needed
  • How to prevent recurrence

This step helps balance the employee’s health rights with the employer’s duty of care, ensuring a fair, medically informed return to work.

4. Workplace Risk Assessments

Every workplace should regularly review potential risks to staff health. Make sure you’ve assessed:

  • Manual handling and ergonomics
  • Noise and vibration exposure
  • Hazardous substances (COSHH compliance)
  • Stress and mental wellbeing risks

At Private Medical Clinic, we also help organisations implement corporate wellness programmes, promoting proactive health rather than reactive care.

5. Vaccinations and Preventive Health

Certain roles — particularly in healthcare, travel, or laboratories — may require vaccinations such as:

Keeping vaccination records up to date protects both staff and patients, and demonstrates good governance in your occupational health assessment documentation.

6. Mental Health and Wellbeing Support

A complete occupational health approach goes beyond physical checks. It’s essential to address:

If you notice employees struggling, early intervention through an occupational health assessment can make a huge difference.

7. Record-Keeping and Compliance

Maintain clear, confidential records of all occupational health activity. These records should show:

This documentation is crucial if your business is inspected by the HSE (Health and Safety Executive).

Understanding Occupational Health Employee Rights

Employees have clear rights under UK law when it comes to occupational health. These include:

  • The right to confidentiality – medical information can’t be shared without consent.
  • The right to reasonable workplace adjustments if health affects their ability to work.
  • The right to fair treatment – occupational health advice should never be used to discriminate.

At Private Medical Clinic, our clinicians work independently and confidentially, ensuring both the employee and employer are supported appropriately.

FAQs About Occupational Health

What is an occupational health assessment?

It’s a medical review carried out by a qualified clinician to understand how someone’s health affects their work — or how their work may affect their health. The aim is to support safe working, not to exclude people from employment.

Who pays for occupational health assessments?

Usually, the employer covers the cost, especially when it’s related to workplace health, fitness to work, or compliance.

Can I refuse an occupational health assessment?

You can decline, but it may affect decisions about your role or adjustments at work. It’s generally best to cooperate — the assessment is there to protect your wellbeing.

What does occupational health check for?

It depends on your role. It may include blood pressure checks, hearing tests, lung function testing, mental health screening, or vaccination reviews.

How often should occupational health checks be done?

This varies by industry. High-risk roles (like construction, healthcare, or transport) often require annual or biannual checks.

Takeaway: Make Occupational Health Part of Your Culture

An effective occupational health system isn’t just a legal requirement — it’s an investment in your people and your business.

By following this occupational health checklist, you’ll build a safer, more productive workplace where everyone can thrive.

If you’re an employer looking for support with occupational health services, pre-employment medicals, or management referrals, contact Private Medical Clinic today. Our experienced team can tailor a plan to suit your business needs and keep your workforce healthy and compliant.

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Dr Ibrahim Mutlib

Dr. Ibrahim Mutlib (BMBS, BMedSci) is an experienced GP with specialist interests in mental health, gastrointestinal health, and respiratory medicine. A clinical leader and published author, he is passionate about innovative, patient-centred care that supports both physical and emotional wellbeing.

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