Our Services /Confined Space Medicals

Confined Space Medicals

Medicals for people working in confined spaces

Working in confined spaces is subject to The Safety, Health and Welfare at Work (Confined Spaces) Regulations 2001 which covers all work in relation to confined spaces.

A person shall not carry out work in Confined Spaces if it is reasonably practical that it could be avoided.


If the work must be carried out, Hazard Identification and Risk Assessment must be carried out prior to the work commencing.

A person shall not enter a confined space unless there is a system of work in place that has been planned, organised, performed and maintained so as to render that work safe and without risk to health

Anyone entering a confined space must be provided with appropriate information, training and instruction appropriate to the particular characteristics of the proposed work activities

It is not a legal requirement to have confined space medicals, but it is considered good practice to have a medical assessment prior to letting anyone work in a confined space.

Medical Assessment of fitness for work in confined spaces

Workers suffering from specific medical conditions should be excluded from work in confined space as these medical conditions would exacerbate the risks. Such medical conditions are as follows:

Acute Medical Problems

  • Severe Upper & lower respiratory tract infections E.g. Pneumonia, Pharyngitis
  • Conditions that limit mobility
  • Gross Obesity, BMI 30 or greater
  • Upper & lower limbs abnormalities
  • Spondylitis, Scoliosis, chronic backache, back surgery
  • Conditions affecting sense organs & effective communications
  • Monocular vision & blindness, severe visual impairment (for those needing to use SCBA)
  • Persons with spectacles/contact lenses will have difficulty/problems in using SCBA
  • Moderate to severe hearing Impairment
  • Loss of sense of smell E.g. Chronic Rhinitis
  • Phobias of enclosed space height phobias & darkness, panic attack

Chronic Medical Problems

  • Fits & Fainting attacks
  • Epilepsy
  • Dizzy spells
  • Meniere’s diseases
  • History of cardiac diseases
  • Angina, heart attack, heart failure
  • Chronic obstructive lung disease
  • Uncontrolled Hypertension
  • Uncontrolled diabetes
  • Chronic rhinitis with loss sense of smell