Working at heights medicals

Fitness for height, recorded before they climb.

Construction Regulations 2014 treat work at height as a named fitness duty, not a nice-to-have. Care Net assesses the worker against your fall protection plan and issues the certificate of fitness.

Book this medical
Fall-risk work
Working at Heights MedicalsExisting Care Net photograph, reused.
A Care Net practitioner completes a workplace medical for a worker who climbs
Why heights is its own category

The fall protection plan asks for proof

Work at height stopped

If the inspector cannot find fitness records for the people named in your fall protection plan, the work at height can be stopped on the spot.

Certificate does not mention height

A general certificate that never assessed fitness for height is not the record regulation 10 asks for. We test and record the heights category.

Plan and file do not match

Your fall protection plan, risk assessment and Annexure 3 forms must tell the same story. We help you complete the employer section so they do.

Book heights medicals for the crew

Send the job titles on the fall protection plan. We confirm the category and the date.

Book this medical
The law in plain language

Construction Regulations 2014, on the scaffold

Work at height is named in more than one regulation. Here is what each one asks, and what it looks like when the crew is on your site or on a mast.

Regulation 7(8)

Certificate of fitness, Annexure 3

A contractor must ensure that every employee has a valid medical certificate of fitness, specific to the construction work to be performed, issued by an occupational health practitioner in the form of Annexure 3.

On your site

No valid heights certificate, no climb. Keep copies in the health and safety file and check expiry before the shift, not after.

Read regulation 7 in the gazette
Regulation 10(2)(b)

Fall protection plan

Your fall protection plan must include the process for evaluating the medical fitness of every employee who works in a fall risk position, and the records of that process.

On your site

Heights medicals are a listed element of the plan. The inspector can ask to see the records next to the names.

Read regulation 10 in the gazette
Regulation 17(12)(a)

Suspended platform crews

Workers on suspended platforms must be physically and psychologically fit to work safely at height, confirmed by a medical certificate of fitness.

On your site

Facade, painting and rope-supported crews need this category before they clip in.

Read regulation 17 in the gazette
OHS Act 85 of 1993

The file that holds the proof

Regulation 7 also requires the contractor to keep a health and safety file on site. Heights certificates and fall protection fitness records live in it. A serious gap can lead to a prohibition notice and stopped work.

On your site

Digital copies in My Clinic Online sit alongside the paper file, so a lost folder is not your only copy.

Who we see in this category

Scaffolders, steel erectors, roof workers, painters on suspended platforms, and telecommunications riggers on masts, towers, rooftops and poles. Mining and plant roles that your own fall-risk assessment places at height use the same fitness standard.

Complete the employer section of the Annexure 3 before the medical. New starters who will climb should book a pre-employment medical in this category, not a general one.

Quick answers

Frequently asked questions

Who needs a working at heights medical?
Anyone who works in a fall-risk position. On construction sites that includes movable scaffolding and suspended platforms at 1.5 metres and higher. It also covers mast, tower, rooftop and pole work treated as construction work, and other roles your fall protection plan names.
What law requires it?
The Construction Regulations 2014, made under the OHS Act 85 of 1993. Regulation 7(8) requires a medical certificate of fitness in the form of Annexure 3. Regulation 10(2)(b) requires your fall protection plan to include the process for evaluating medical fitness and the records of that process. Regulation 17(12)(a) adds a specific duty for suspended platform crews.
What extra checks sit in a heights medical?
Everything in the general medical, plus a working at heights questionnaire and a fitness-for-height assessment recorded on the certificate. Hearing follows SANS 10083. Vision uses the Snellen test on this category. An occupational medical practitioner reviews risk-based heights medicals.
Does a general medical cover a rigger or scaffolder?
No. A general medical does not record fitness for height. If the worker climbs, the certificate must say so. An inspector reading your fall protection plan will look for that record.
Can you test a heights crew on site?
Yes. A mobile clinic can test a crew on your site or camp in a planned window, including Saturdays. Single contractors can walk into Midrand, Elandsfontein, Brackenfell or Gqeberha.

Navigate

Home About Company Overview Team Careers Affiliations Occupational Health Medicals

My Clinic Online

My Clinic Online Login Verify Certificate

Clinics

Fixed Clinics Mobile Clinics Additional Services

Education

Blog Health Awareness Pack Occupational Health Guides Podcasts Newsletter

Other

Privacy Policy Terms and Conditions

Industries

Construction Food Handling Agriculture and Abattoir Manufacturing and Engineering Transport, Logistics & Warehousing Cleaning, Hygiene, Recycling and Waste Management Telecommunications Safety and Security Mining

Contact Care Net Consultants

Call Us: +27 60 070 2723
Call Us: +27 60 070 2723
Email: salesdesk@carenetconsultants.co.za
Care Net Consultants (Pty) Ltd