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Occupational Medicine

Health and safety at work.
Company doctor and safety specialist in Berlin Brandenburg

Occupational Medicine

Occupational medical examinations

What occupational medical examinations do we offer

Activities involving hazardous substances
  • Acrylonitrile,
  • Alkyl mercury compounds,
  • Alveolar dust (A-dust),
  • Aromatic nitro and amino compounds,
  • Arsenic and arsenic compounds,
  • Asbestos,
  • Benzene,
  • Beryllium,
  • Tetraethyl lead and tetramethyl lead,
  • Cadmium and cadmium compounds,
  • Chromium-VI compounds,
  • Dimethylformamide,
  • Inhalable dust (E-dust),
  • Fluorine and inorganic fluorine compounds,
  • Nitroglycerin and nitroglycol (Nitroglycerin/Nitroglycol),
  • Hardwood dust,
  • Carbon disulfide,
  • Carbon monoxide,
  • Methanol,
  • Nickel and nickel compounds,
  • Polycyclic aromatic hydrocarbons,
  • White phosphorus (Tetraphosphorus),
  • Platinum compounds,
  • Mercury and inorganic mercury compounds,
  • Hydrogen sulfide, Silica dust, Styrene,
  • Tetrachloroethylene,
  • Toluene,
  • Trichloroethylene,
  • Vinyl chloride,
  • Xylene (all isomers)
Activities involving biological agents

Activities involving biological agents of risk group 2, 3, and 4 or with:

  • Bacillus anthracis
  • Bartonella bacilliformis
  • in research facilities or laboratories
  • in tuberculosis departments and other pulmonology facilities
  • in facilities for medical examination, treatment, and care of people
  • in facilities for medical examination, treatment, and care of children
  • in facilities exclusively for the care of people
  • in preschool childcare facilities
  • in emergency and rescue services
  • in pathology
  • in sewage treatment plants or in the sewerage system
  • in facilities for the breeding and keeping of birds or for poultry slaughtering
  • in a rabies-endemic area
  • in or near bat roosts
Other activities - welding, wet work, dusts, isocyanates, epoxy resins, flour dust
  • Wet work
  • Welding and cutting of metals / welding fumes
  • Activities with exposure to grain and animal feed dusts
  • Activities with exposure to isocyanates
  • Activities with laboratory animal dust in animal housing areas and facilities
  • Activities involving the use of natural rubber latex gloves
  • Activities with dermal hazard or inhalation exposure with health hazards caused by components of uncured epoxy resins, especially by spraying epoxy resins
  • Activities with exposure to lead and inorganic lead compounds
  • Activities with high-temperature wools
  • Activities with exposure to flour dust
  • Pest control
  • Activities with the following substances or mixtures: n-hexane, n-heptane, … methanol, ethanol, 2-, … dichloromethane, 1,1,1-trichloroethane, tetrachloroethylene
  • Carcinogenic or germ cell mutagenic substances
Activities involving physical impacts
  • Activities involving extreme heat exposure
  • Activities involving extreme cold exposure (– 25° Celsius and colder)
  • Activities involving noise exposure (mandatory and optional)
  • Activities involving exposure to vibrations
  • Activities underwater, where the employee is supplied with breathing gas via a diving apparatus (diving work)
  • Activities involving exposure to incoherent artificial optical radiation
  • Activities involving significantly increased physical strain associated with health hazards for the musculoskeletal system

  • Outdoor activities with intense exposure to natural UV radiation

Wearing respiratory protective equipment of all classes

Wearing respiratory protective equipment of groups 1, 2, and 3

Activities in tropics, subtropics, and other foreign stays

Activities in tropics, subtropics, and other foreign stays with special climatic stress and risk of infection.

In deviation from § 3 (2) sentence 1 in connection with § 7, doctors who are authorized to hold the additional qualification in tropical medicine may also be commissioned.

Activities at display screen equipment

The preventive offer includes the provision of appropriate eye and vision examinations.

In the necessary scope, employees are to be provided with special visual aids for their work at display screen equipment if the result of the preventive offer is that special visual aids are necessary and normal visual aids are not suitable.

Medical assessments

DIN EN 473 or DIN EN 4179 (annual vision test)

Driver's License Regulation (FeV)

see Traffic Medicine

Seafarer Medical Fitness Certificate (AIDA)

G41 / E41 - Working at Heights

The scope of the G 41 examination includes:

  • Medical history
  • Medical examination with regard to the activity (cardiovascular system, metabolism, neurological status)
  • Laboratory values (at least blood count, blood sugar, GGT, creatinine, urine)
  • Vision test (distance, stereopsis, visual field, color, near vision)
  • Hearing test
  • ECG
  • Ergometry (from age 40, in case of increased stress, in unclear cases)


45-90 minutes (with ergometry)

Examination interval:

  • Up to age 25: every 36 months
  • From age 25 to 49: every 24 months (our recommendation is every 2 years!)
  • From age 50: every 12 months (our recommendation: annually)
G25/E25 - Driving, Control, and Monitoring Activities (now E25)

Examination Procedure:

  • Medical History (focused on the activity)
  • Examination (focused on the activity, especially cardiovascular system, neurological status, metabolism)
  • Vision Test (distance, stereoscopic vision, visual field, color vision, near vision)
    Note: Perimetry (visual field) for each initial examination and at least every second examination after age 40
    If necessary, noctumetry (twilight vision)
  • Hearing Test
  • Urine Test (optional)
  • If necessary, additional EKG, ergometry, lab tests, etc.


45 minutes

Examination Interval:

36 months, possibly earlier at the physician's discretion

G26.3/E26.3 - Heavy Respiratory Protection (Fitness)

What is examined?

The most important part of the examination is the stress ECG. It has two purposes: first, to detect diseases of the heart/circulatory system early, and second, to determine the heart/circulatory-related performance capacity. Besides the stress ECG, the examination consists of:

  • Medical history (interview with the doctor)
  • Physical examination with otoscopy (inspection of the ear canals and assessment of the eardrums)
  • Vision test
  • Hearing test
  • Lung function test (spirometry)
  • Urinalysis
  • Blood test (liver, kidney values, etc.)


45-90 minutes (including ergometry)

Examination interval:

  • Up to 40 years of age: every 36 months
  • From 40 to 49 years of age: every 24 months (our recommendation: every 2 years)
  • From 50 years of age: every 12 months (our recommendation: annually)

Other Examinations

Night Work

Aeromedical Examinations

Pilots, Classes 1, 2, and LAPL
Cabin Crew Medical

see Aviation Medicine

Professional Divers

Work in Compressed Air

Offshore Fitness (AWMF Guideline)

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Cost absorption for a company without contract

Occupational Health Care

Employers are obligated to regularly design the activities of their employees in such a way that the risks to their lives or health are kept as low as possible. This duty of care also means that they must ensure, using reasonable means, that no work-related illnesses (e.g., skin diseases, wear and tear on the musculoskeletal system, occupational diseases, etc.) can arise among employees.

The new DGUV recommendations for occupational health consultations and examinations from 2022 have replaced the so-called G-principles (principles of the German Social Accident Insurance) such as G37, G42, G20, G24.

If you commission us to carry out the G-principles, we will conduct the corresponding occasions of the Occupational Health and Safety Act (ArbMedVV).

The only exceptions are E25, E26.2, E26.3, and E41 (old numbering: G25, G26.2, G26.3, G41). These suitability examinations will continue to be offered and are subject to VAT.

Mandatory, Optional, and Voluntary Health Care

The Occupational Health and Safety Act (ArbMedVV) includes three types of preventive care that are binding for employers. This obligates them to initiate appropriate occupational health care under certain circumstances.

The types of preventive care are divided into:

Mandatory Health Care

Optional Health Care

Voluntary Health Care

What must I offer my employees?

The Occupational Health and Safety Act (ArbMedVV) forms the binding legal basis for the employer. It regulates when the employer must initiate or offer occupational health care (mandatory or optional care). Voluntary care allows employees to receive preventive care upon request if they perform tasks where health risks cannot be excluded. This is determined by the risk assessment of each workplace.

The specific reasons for mandatory and optional care are described in the appendix of the ArbMedVV. For mandatory care, a reason might be activities involving hazardous substances (e.g., asbestos, chromium, benzene). For optional care, a reason could be activities involving screen work or activities requiring the use of respiratory masks from group 1 (e.g., the FFP2 mask in hospitals). Voluntary care must be enabled if activities are performed where health damage cannot be excluded.

How, for instance, screen workstations should be designed is outlined in the Workplace Ordinance (Appendix 6 according to § 3 paragraph 1).

Deteriorating eyesight is often not noticed by us, as our brain and eye muscles initially compensate a lot. This can lead to headaches, lack of concentration, and reduced work capability. Through occupational health care, vision impairment can be detected early. If the result of the screen work examination indicates that special visual aids are necessary (e.g., a reading glass alone is not sufficient), the employee must be provided with special visual aids for their screen work (i.e., a "computer screen glasses") to the required extent (ArbMedVV, Appendix Part 4, Section 2).