Getting a Pre-Employment Medical in Kenya?
OSHA Requirements, Process, and Costs

Required under OSHA Kenya 2007 for most hires, and mandatory for foreign nationals applying for a work permit. Here's what employers and job seekers need to know.

KENAS Accredited ISO 15189:2022 DOSHS-Aligned Screening
Medically reviewed by Dr. Paul Yonga, Medical Director & Infectious Disease Specialist · Last updated: 2026-07-24
Key Takeaways
  • Legally required under OSHA 2007, Section 103(7) — pre-employment, periodic, and post-employment exams.
  • Mandated for specific industries: mining, construction, food handling, aviation, healthcare, and chemical-exposure manufacturing.
  • Foreign nationals need a work permit medical via the eFNS Portal plus a Certificate of Good Health.
  • Mandatory HIV testing as a condition of employment is prohibited by Kenyan law; voluntary testing is available via VCT@WORK.

Who Needs Pre-Employment Medical Screening?

All employers are encouraged to conduct pre-employment medicals, but certain industries are legally required to do so.

  • Mining and quarrying (Class A work permits) — exposure to dust, chemicals, physically demanding conditions.
  • Construction — workers operating heavy machinery or working at heights.
  • Food handling — all employees require a food handler's medical certificate issued by county governments.
  • Aviation — pilots, cabin crew, and ground staff require aviation-specific medical clearance.
  • Healthcare — medical professionals and support staff in clinical environments.
  • Manufacturing with chemical exposure — workers handling hazardous substances, solvents, industrial chemicals.
Work Permit Medical Examinations for Foreign Nationals

Foreign nationals seeking employment in Kenya must undergo a medical examination as part of the work permit application. Reports are submitted through the eFNS Portal (fns.immigration.go.ke), and a Certificate of Good Health is required for all work permit classes, including Class A (mining) and Class D (general employment). The report must be completed by a registered medical practitioner in Kenya and typically includes a general physical exam, chest X-ray, and blood tests.

What Does a Pre-Employment Medical Exam Include?

Scope varies by industry and job requirements, but a standard screening typically covers three areas.

Basic Physical Examination

  • Height, weight, BMI, vital signs
  • Vision testing (acuity, colour vision)
  • Hearing assessment (audiometry for noise-exposed roles)
  • Cardiovascular & respiratory assessment
  • Musculoskeletal evaluation

Laboratory Investigations

  • CBC — anaemia, infections, blood disorders
  • Blood sugar — diabetes screening
  • Liver & kidney function tests
  • Urinalysis, chest X-ray (food handlers/dust exposure)
  • Drug screening — safety-critical roles

Additional Screening by Role

  • HIV testing — voluntary via VCT@WORK only
  • Hepatitis B/C — healthcare workers, blood exposure risk
  • Heavy metals testing — mining, manufacturing, chemicals
  • Spirometry — dust, fumes, respiratory hazards
Mandatory HIV testing as a condition of employment is prohibited under Kenyan law. HIV testing is available only on a voluntary basis through the VCT@WORK initiative.
Workplace Mental Health

In 2023, the Ministry of Health published the National Guidelines on Workplace Mental Wellness. Mental health assessments are not yet a mandatory part of pre-employment screening, but forward-thinking employers are incorporating psychological wellness evaluations into their occupational health programmes.

Insurance Coverage

Since October 1, 2024, Kenya's Social Health Authority (SHA) replaced NHIF. The Primary Healthcare Fund (PHF) under SHA covers basic diagnostic tests regardless of contribution status, though most employers still opt for private laboratory services for faster turnaround and comprehensive reporting.

Employer Wellness Programmes

Beyond regulatory compliance, many Kenyan employers invest in comprehensive workplace wellness programmes. The Federation of Kenya Employers (FKE) operates wellness networks in Nairobi, Mombasa, Eldoret, and Laikipia, reaching over 150,000 employees with health education, screening, and referral services. These programmes extend beyond basic pre-employment screening to include periodic health check-ups, workplace ergonomics assessments, and occupational disease surveillance.

How to Prepare for Your Pre-Employment Medical

  • Fast for 8-12 hours before the appointment if blood sugar or lipid testing is required.
  • Bring your national ID or passport and any previous medical records.
  • Disclose all current medications and supplements to the examining doctor.
  • Get adequate rest the night before for accurate blood pressure and heart rate readings.
  • Avoid alcohol for at least 24 hours before the examination.
  • Bring prescription glasses or contact lenses if you wear them for the vision test.
  • Work permit applicants: have your passport and eFNS Portal reference number ready.

Pre-Employment Medical Screening at CA Medlynks

CA Medlynks provides comprehensive pre-employment and occupational health screening services for employers and individual job seekers across Nairobi. Whether you need a standard pre-employment medical, a work permit Certificate of Good Health, food handler screening, or a complete corporate wellness programme, our team can tailor a package to your industry's requirements.

Why Patients Choose Us
  • KENAS-accredited laboratory, ISO 15189:2022 certified
  • Packages tailored to industry requirements and DOSHS guidelines
  • Fast, reliable turnaround times
  • Corporate wellness programmes available
Visit Us

Address: Daykio Plaza, Ground Floor, Off Ngong Lane, Nairobi

Phone: +254 741 669 175

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Frequently Asked Questions

Find answers to common questions about legal requirements, HIV testing, work permits, and preparation.

QIs pre-employment medical screening a legal requirement in Kenya?+
Yes. Under Kenya's Occupational Safety and Health Act (OSHA) 2007, Section 103(7), employers are legally obligated to require pre-employment, periodic, and post-employment medical examinations. Non-compliance can result in penalties and legal liability.
QCan an employer require HIV testing as a condition of employment?+
No. Mandatory HIV testing as a condition of employment is prohibited under Kenyan law. Voluntary workplace HIV testing is available through the VCT@WORK initiative.
QWhat do foreign nationals need for a work permit medical exam?+
Foreign nationals need their passport and eFNS Portal reference number. The medical report is submitted through the eFNS Portal (fns.immigration.go.ke) and must be completed by a registered medical practitioner in Kenya, typically including a general physical examination, chest X-ray, and blood tests.
QHow should I prepare for a pre-employment medical exam?+
Fast for 8-12 hours if blood sugar or lipid testing is required, bring your national ID or passport and any previous medical records, disclose all current medications, get adequate rest the night before, avoid alcohol for at least 24 hours, and bring prescription glasses or contact lenses if you wear them.

Medically Reviewed By

This guide has been medically reviewed and is based on current Kenyan OSHA and immigration medical requirements.

Dr. Paul Yonga

Dr. Paul Yonga

Medical Director & Infectious Disease Specialist
Qualifications
  • MBChB — Bachelor of Medicine & Surgery
  • MSPH — Master of Science in Public Health
  • FRCP (Edin) — Fellow of the Royal College of Physicians of Edinburgh
Areas of Expertise
  • Travel & Immigration Medicine (Panel Physician)
  • Internal Medicine, Infectious Diseases
Dr. Duncan Ajowi

Dr. Duncan Ajowi

Consultant Obstetrician & Gynaecologist
Qualifications
  • Master of Medicine (MMed), Obstetrics & Gynaecology – University of Nairobi
  • Diploma in Laparoscopic Surgery – Henrob Hospital, Uganda
Areas of Special Interest
  • Fertility Evaluation & Infection Management
  • High-Risk Pregnancy Care & Screening