What is a Pre-Employment Health Report ?

A Pre-Employment Health Report is a document that certifies an employee's health suitability for a specific job. It is a legal requirement in risky occupations and is issued by the occupational physician or authorized health institutions.

Where to Get a Health Report for Employment ?

If there is an occupational physician at the workplace, the appointment will be taken directly from him. If not, the appointment will be taken from: Family physician, State hospitals, Authorized private hospitals and polyclinics.

What are the tests performed in the Pre-Employment Health Report?

The tests to be performed may vary depending on the risk of the job , the employee's age , gender , and past medical history . The "job description" provided by the employer is decisive in this regard.

 Lung X-ray

• It is mandatory in dusty environments and in sectors such as construction, mining and factories.
• Conditions such as tuberculosis, pneumonia, and lung diseases are investigated.

Blood Tests

Different tests may be requested depending on the job and line of business:

• Hemogram (complete blood count)
• Liver and kidney function tests (ALT, AST, Urea, Creatinine)
• Blood sugar (Glucose)
• Cholesterol – Lipid panel (in some jobs)
• Hepatitis B, C tests (in areas such as healthcare and food industry)

 Audiometry (Hearing Test)

• It is necessary for those who will work in noisy environments.
• It is common in places such as construction, production lines, machine works, and factory environments.

 Eye Examination

• Visual acuity (far, near), color blindness, night vision
• It is necessary for those who drive vehicles, machine operators, and work with sensitive devices.

ECG (Electrocardiography)

• Employees over the age of 40,
• In those with suspected heart disease
• It may be required in jobs that require extreme physical effort.

Carrier Screening (For the Food Industry)

It may be mandatory for people working in the food, health and cleaning sectors:

• Bosphorus culture
• Nose culture
• Stool analysis
• Screening for infectious diseases such as typhoid and dysentery

Other Job-Specific Tests

• Pulmonary function test (PFT): In dusty or chemical environments
• Psychotechnical assessment: For drivers and operators
• Alcohol-substance screening: For security guard, driver, and operator positions

How Much Does the Employment Health Report Fee Cost? 2025

• It is free of charge if obtained from the workplace doctor.
• If it is obtained from a family doctor, it is free of charge; if the tests are performed outside, there may be a fee.
• Prices in private hospitals vary depending on the number of tests performed.

What are the Required Documents for the Employment Health Report?

• Identity card
• Job description/form provided by the employer
• Previous health documents, if necessary
• Photo (may be required in some places)

In which sectors is a health report required for employment?

According to Law No. 6331, reporting is mandatory in the following sectors:

• Construction and site works
• Mining
• Factory production and industry
• Food production and sales
• Health services
• Chemical and pharmaceutical industry
• Jobs that require working at heights
• Transportation and logistics
• Cleaning services

What are the Tests to be Performed in the Pre-Employment Health Report by Sector?

Construction / Construction Site / Pre-Employment Health Report Tests

• Physical examination
• Chest X-ray
• Hemogram and biochemistry (liver, kidney, blood sugar)
• Audiometry (if there is a noise risk)
• Eye examination
• ECG (for those over 40 years of age or carrying heavy loads)
• Respiratory function test (for dusty environment)

Industry / Factory / Production Line Pre-Employment Health Report Tests

• Physical examination
• Chest X-ray
• Hemogram, liver and kidney function tests
• Audiometry (if loud machines are present)
• Eye examination
• Respiratory function test
• ECG (if necessary)
• Allergy tests (if there is contact with chemicals)

Food Production / Sales / Service (Restaurants, Cafes, Markets, etc.) Employment Report Health Tests

• Physical examination
• Carrier screening (stool + nose and throat culture)
• Chest X-ray
• Eye examination
• Hemogram
• Hepatitis tests (optional)

Health Sector (Hospital, Clinic, Cleaning, etc.) Employment Report Health Tests

• Physical examination
• Carrier screening
• Chest X-ray
• Blood tests (Hemogram, HIV, Hepatitis BC)
• Eye examination
• Vaccination control (Priority Hepatitis B)

Transportation / Driving / Logistics Employment Report Health Tests

• Physical examination
• Eye examination (visual acuity + color blindness)
• Audiometry (for large vehicle users)
• ECG
• Blood tests (sugar, cholesterol, general health status)
• Chest X-ray
• Psychotechnical test (may be additionally required for freight drivers)

Cleaning Services / Chemical Substance Workers' Employment Report Health Tests

• Physical examination
• Chest X-ray
• Respiratory function test
• Blood tests
• Eye examination
• Allergy testing (chemical dependent)

Office / Desk / Low-Risk Jobs Employment Report Health Tests

Since these jobs are classified as “low risk,” the number of tests is low.

• Physical examination
• Eye examination
• Hemogram (basic blood test)
• ECG and basic biochemistry if necessary

How Long Is the Employment Health Report Required?

The validity period of the report varies depending on the risk group of the job. It must be re-issued if a health problem occurs or if the job changes.

• Less hazardous work: 5 years
• Hazardous work: 3 years
• Very dangerous work: 1 year

Is it possible to obtain a health report within 1 (one) day of starting work?

Yes, it can be taken.

• If the number of tests is small (for example, only eye, blood and lung X-ray)
• If there is no density in the institution issuing the report
• If the employment form and necessary documents are complete, the report is prepared and delivered on the same day .

How Many Days Does It Take to Get the Employment Report?

In a private hospital, the same-day employment report can be issued by quickly performing many tests .

The number and type of tests affect the timeframe. Some tests, such as chest X-ray, complete blood count, and audiometry, can be performed on the same day. Stool and throat cultures can take 1–3 days.

What Happens If You Do Not Get a Health Report Before Employment?

• Administrative fines are imposed on the employer.
• If an employee suffers a health problem or a work accident, the employer can be held fully liable.
• Even if your insurance entry is made, you cannot start work due to incomplete report.

Frequently Asked Questions

• Can I Start Another Job With the Same Report? No. The report is prepared specifically for each workplace and position.
• I'm a student. Is a medical report required for my internship? Yes, if you're doing an internship in the healthcare, food, or manufacturing sectors, a medical report may be required.
• Can Someone with a Psychological Illness Be Unemployed? It depends on the situation. If the psychological illness prevents them from working, no report will be issued.
• Is the Health Report Received from a Private Hospital Valid?

Yes, the report received from a private hospital is valid as long as it is official and approved (signed/stamped).

• What Happens If the Employment Report Says "Unfit for Work"?

In this case, the employee is deemed unsuitable for the job. The employer may consider the individual for a different role or re-apply with additional testing.

• Is There an Age Limit for a Health Report?

No, there is no age limit. Employees over 40 may be asked to take additional tests, such as an ECG, in some lines of work (in physically demanding jobs).

• Can Disabled Individuals Obtain an Employment Report?

Yes. Individuals with disabilities can also receive a disability report. Depending on their condition, they may be assessed as "fit for the job" or "able to work under certain conditions." Employers must assign appropriate duties based on this assessment.

• Should the Business Name Be Written on the Report?

Some organizations may request to see the name of the company or position the employee is applying for on the pre-employment medical report . This should be stated when collecting the report.

• Can I apply to more than one job with the same report?

No. The employment report is prepared specifically for a specific workplace and position . It is not valid for other workplaces.

• Is the report visible in e-Government?

No, pre-employment health reports cannot be viewed via e-Government. They must be submitted physically to the employer. Some private hospitals or occupational physicians may also provide digital copies.

How to get a Private Hospital Employment Health Report?

The following steps must be followed to obtain a medical report for employment from a private hospital .

• The nearest private hospital is applied.
• You can make an appointment or go directly.
• Necessary health checks are performed.
• After the physician makes an evaluation, a report is prepared.
• The report is delivered with a wet signature and stamp.

How Many Days Does It Take to Get a Health Report from a Private Hospital?

• Varies depending on the number of examinations.
• It can be taken on the same day or it may take 1-2 days depending on the type of test.

April 2025