Pre Employment & Exit Medicals

Health screening is essential for any person about to be employed. This not only provides information to the prospective employer on their suitability for the job, but also provides valuable baseline data for future comparison.

We can tailor the screening to your organization’s requirements, and to the nature of the particular job involved.

The screening is done by our Registered Nurses, and any identified health problems will be referred to the appropriate health professional. Consent forms are completed prior. The whole process takes approximately 60-90 minutes.

The following tests are included but are not limited to:

  • Medical History / Current Health Status questionnaire
  • Accident/Injury history questionnaire
  • Use of Personal Protective Equipment
  • Height, Weight, BMI
  • Blood Pressure, Pulse
  • Audiometry (Hearing)
  • Spirometry (Lung Function)
  • Vision
  • Physical mobility
  • Drug and Alcohol screening
  • MedPro also provides ongoing Health Monitoring.

    Asbestos & Silica Exposure Medicals
    Why do Asbestos Medicals?

    Asbestos is a major health threat to thousands of New Zealanders and millions of people around the world. It is the single biggest cause of work-related disease deaths.

    The serious risk to health is the breathing in of airborne asbestos fibres. Once the fibres are breathed in, they lodge in the lungs and may cause diseases like asbestosis, lung cancer and mesothelioma.

    ‘Asbestos’ is a term describing naturally occurring fibrous silicate minerals (rock-forming minerals). Until the mid-1980s, asbestos was often used as a fire retardant and insulation. Its versatility made it the most common type of asbestos in building and household products.

    Asbestos health monitoring is required when a worker undertakes licensed asbestos removal work, and should be started within 4 weeks of starting employment.


    WorkSafe New Zealand Approved Code of Practice “Management and Removal of Asbestos”

    Why do Silica Exposure Medicals?

    Breathing in silica dust can cause Silicosis, Lung Cancer and Chronic Obstructive Pulmonary Disease.

    Silica is a natural substance found in concrete, bricks, rocks, stone (including artificial or engineered stone found in composite kitchen benchtops), sand and clay. The dust is created when materials containing silica are cut, ground, drilled, sanded, polished or otherwise disturbed. The particles are extremely small; they can’t always be seen with the naked eye.

    There is a serious risk of developing accelerated silicosis (as early as one year) for those working with engineered stone. Engineered stone has approximately 90% silica compared with natural stone like marble and limestone which have around 2% silica.

    Silica exposure health monitoring is required for all workers working with silica dust.


    WorkSafe New Zealand “Silica dust in the workplace”

    Lung Function (Spirometry) Screening
    Lung Function screening is important in workplaces where the employees may be exposed to hazards such as fumes, dust, solvents and other dangerous airborne particles.

    We can perform lung function testing for your workers in your workplace. We use the latest equipment and all our testing meets the ATS/ERS standards.

    Our Registered Nurses have special training to be able to perform the testing and interpret the results.

    Hearing (Audiometry)

    Employees who are regularly exposed to noise in the workplace that is above the exposure limits of 85dBA over an 8 hour period, are required to be provided with hearing screening by their employer (Heath and Safety At Work Act 2015). A baseline screening can be introduced at any time the need is identified. For new employees it should be done before they begin working and also done after their first 3 months of employment. Screening should then be continued annually.

    Pure tone audiometry is where hearing is measured by listening to tones through headphones. The softest sounds that can be heard are marked on an audiogram. This will be able to tell you the type and degree of hearing loss you may have.

    How is this done? The test takes 20 minute per person and requires a quiet room. Each session with our Registered Nurses includes a discussion of past hearing history (including noisy hobbies) and a physical ear exam using an otoscope to view the condition of the ear.

    As the hearing tests are carried out in the workplace, there is minimal disruption to your day. The testing complies with AS/NZS 1269:1989 and results are immediately available and referrals are made where necessary.


    Vision Screening

    This examination can indicate the presence of a vision problem or potential vision problem. Each session involves the employee wearing their normal correction lenses (if any), and reading near and distant charts. Colour vision testing is also available.

    Referrals are made where necessary. The test takes 10 minutes per person.

    Drug Testing
    Why do drug testing in the workplace?

    The Health and Safety At Work Act 2015 places a duty on an employer to provide a safe workplace. A person under the influence of drugs in the workplace is a hazard, and could compromise the safety of themselves and others.

    The Department of Labour states, “The use of drugs and alcohol, even if consumed outside the workplace, can lead to employee impairment while at work. Poor concentration, carelessness, risk-taking behaviour and errors in judgment can occur. Drug and alcohol abuse not only affects work performance, but also results in higher rates of injuries, fatalities and absenteeism as well as reduced productivity”.

    Who does the testing?

    Our Registered Nurses perform on site drug screening. They are NZQA certified (US 25458 & 25511) to undertake drug screening using AS/NZS 4308: 2008 compliant testing equipment.

    What drugs are tested for?
    • Amphetamines
    • Methamphetamines
    • Benzodiazepines
    • Cannabis
    • Cocaine
    • Opiates
    When are the drug tests done?

    We can test for the following categories:

    • Random
    • Pre-employment
    • Post Accident/incident
    • Reasonable Cause
    Can any workplace drug test their staff?

    Drug Testing is only lawful if the company has robust and up to date Drug and Alcohol policies and procedures in place.

    What legislation is involved?

    Drug testing must comply with the following legislation:

    • Health & Safety at Work Act 2015
    • Privacy Act
    • Human Rights Act
    • Bill of Rights Act
    • Employment Relations
    • Common Law

    Need assistance with writing a Drug and Alcohol policy and procedure, workshops for your managers or seminars for your staff? Call Medpro now!

    Medpro has a close working relationship with Sue Nolan (MScHons, Biochemistry, Post Grad Dip Business) from DrugFree Sites. Since 1992 Sue has advised over 1000 companies on Drug Free Workplace Programmes, has presented papers at New Zealand & overseas conferences, and has co-authored books. Few people have her depth of knowledge and understanding of drug use in the workplace.

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