Medical certificate for mast work and work at height
Medical examination for mast work and work at height
Stockholm, S:t Göransgatan 126
Price
Medical examination
Medical examination, resting ECG, necessary tests and certificate.
Before your appointment
What is a fitness-for-work certificate for mast work?
A fitness-for-work certificate (tjänstbarhetsintyg) shows that you have completed the medical check required for work that involves climbing with a large height difference, and that a doctor has assessed your fitness for that work.
In everyday language, people often use terms such as:
- medical certificate for mast work
- climbing with a large height difference
- mast certificate
- work at height certificate
- mast and pole work
- medical certificate for work at height
The formal term in the Swedish Work Environment Authority’s regulations is fitness-for-work certificate for climbing with a large height difference.
When is a medical certificate required for work at height?
The requirement applies to work that involves climbing with a height difference of more than 13 metres, for example on:
- masts
- poles
- ladders
- trees
- or similar work environments
There must also be a risk that the worker could fall freely or uncontrollably, or end up in a situation where rescue is difficult.
This means that not all work at height automatically requires a fitness-for-work certificate. The type of climbing, the height difference and the risks involved decide whether it applies.
Who needs a fitness-for-work certificate for mast work?
The medical check may be relevant for people who work with:
- telecommunications masts
- radio and mobile masts
- power line poles
- electrical and energy installations
- wind power installations
- work on tall poles
- tree work and advanced tree climbing
- other work that involves climbing with a large height difference
The employer is responsible for identifying which employees the requirement applies to and for making sure the medical check is carried out.
How the medical check works
The purpose of the examination is to find out whether you have any medical condition that could increase the risk during physically demanding work and climbing at height.
Health declaration and medical review
The doctor goes through, among other things:
- previous and current working conditions
- previous and current illnesses
- medicines
- tobacco use
- alcohol and drug habits
The doctor pays particular attention to conditions that could cause, for example, sudden loss of consciousness, a drop in blood pressure or other sudden weakness.
Heart and lung examination
The doctor examines your heart and lungs, among other things.
Work on masts and at height is often physically demanding. That is why it matters to identify medical conditions that could increase the risk while you work.
Blood pressure and orthostatic test
The doctor checks your blood pressure and assesses whether you are prone to orthostatic reactions.
This means checking whether your blood pressure changes in a way that could make you dizzy or faint when you change position.
ECG and blood lipids
The first medical check, before you start the work, includes a resting ECG and a blood lipid test.
At later checks, resting ECG and blood lipids are tested:
- at least every five years if you are under 40
- at least every two years from the age of 40
Cardiovascular risk assessment
The examination also includes an age-adjusted assessment of your risk of cardiovascular disease.
If you are 40 or older, the assessment must include an established risk assessment tool.
If the examination shows an increased cardiovascular risk, you may need further tests before the doctor can decide on your fitness for work.
The fitness-for-work certificate is issued
When the examination is complete, the doctor makes an overall medical assessment.
If your health is compatible with the work, the doctor can issue a fitness-for-work certificate.
The certificate shows that the medical check has been carried out and the latest date for your next check.
How long is the fitness-for-work certificate valid?
The medical check must be carried out:
- before you start the work in question
- and then at least every 12 months
This means your fitness for work normally needs to be assessed every year.
The doctor can decide that your next medical check must take place sooner than 12 months.
