Firefighter Medical

Firefighters often work in extremely hazardous environments and we’re here to help nationally.

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Welcome to Employees Health Surveillance on-site nationwide for Individuals and Workplaces.

Fire fighters are often required to work in dynamic and hazardous environments involving a high level of uncertainty. All staff involved in firefighting are required to undertake a medical assessment before being asked to undergo a physical fitness test. The physical fitness tests have been designed after reviewing similar programs both overseas and in other states where scientists have studied firefighting.

“It is certainly very challenging, but our firefighters have approached the assessment in a positive manner as they see it as a way of further ensuring their personal safety.”

We work in accordance with state legislation

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Health Requirements

PHYSICAL

  • A high level of mobility, flexibility, strength and endurance. Any significant pre-existing musculo-skeletal, cardiac or respiratory condition would need careful evaluation and possibly a report from the treating specialist. Any hernia should be surgically repaired, and the person should be cleared by the surgeon before returning to operational duties.
  • No history or sign of chronic airways limitation or current asthma. If present, a report from the treating specialist would be needed that outlines the person’s ability to perform heavy physical work in a smoky environment.
  • An ability to tolerate long shifts, irregular meals and heat. Any history of diabetes mellitus requiring tablets or insulin requires careful evaluation and a report from the treating endocrinologist. A history of any metabolic disorder or organ failure (eg diabetes insipidus or chronic renal impairment) similarly would require a report from the treating specialist. All cases should be considered on an individual basis.
  • An ability to work in an isolated area safely. Any history of epilepsy, diabetes mellitus, syncope, narcolepsy or sleep apnoea should be carefully considered with a report from the treating specialist.

SENSORY

  • Visual fields full to confrontation.
  • No history or sign of chronic airways limitation or current asthma. If present, a report from the treating specialist would be needed that outlines the person’s ability to perform heavy physical work in a smoky environment.
  • No history of night blindness.
  • Pass conversation test (hearing aid may be used).


PSYCHOSOCIAL

  • The ability to work long and unpredictable shifts.

Frequently Asked Questions

What medical requirements apply to firefighters in Australia?

Each fire service and employer sets its own medical and fitness standards, so requirements can differ between states and between career, volunteer and industrial brigades. Assessments generally consider cardiovascular and respiratory health, musculoskeletal fitness, vision, hearing and the ability to work long shifts in heat and smoke. Employees Health can provide periodic firefighter medicals onsite for brigades and site fire teams nationally.

How physically fit must firefighters be?

Firefighting needs a high level of mobility, flexibility, strength and endurance, as well as the ability to tolerate heat, irregular meals and long shifts. A medical assessment is usually completed before a physical fitness test so that any heart, lung or musculoskeletal issues can be identified first.

Can firefighters with asthma or diabetes keep working operationally?

These conditions are assessed case by case. A doctor may ask for a report from the treating specialist that addresses the person’s ability to do heavy physical work in a smoky or isolated environment. Many people can continue in operational roles where their condition is well controlled.

Why do firefighters need regular health monitoring?

Firefighters can be exposed to smoke, combustion products and other hazardous substances, as well as heat stress and noise. Regular assessment helps pick up changes in lung function, hearing and cardiovascular health over time. It also supports decisions about fitness for duties such as breathing apparatus use.

What does a firefighter medical include?

A firefighter medical may include a medical and occupational history, cardiovascular and respiratory examination, lung function testing, vision and hearing checks, and a musculoskeletal assessment. The doctor may arrange further tests where indicated by history or findings.

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