Employment and social security

Occupational health examinations and fitness certificates

An alleged missed initial, periodic or occasional medical must be assessed against dates, duties and circumstances. A contract with an external provider does not establish that an examination took place.

What to check in your case

We check the start date, any change of duties or return from absence, and steps taken to arrange the examination. The relevant fitness information is sufficient for initial review. Diagnoses and clinical records should remain private.

Documents for your defence

Full notice or decision, front and back, and evidence of the date of service.

  • Relevant fitness certificate with unnecessary medical data removed
  • Appointments, attendance and rescheduling records

Legislation and official sources

Information checked on 7 November 2026.