Fit for work
the worker can carry out their duties without restrictions.
Occupational medicine
MediSport Center provides complete, integrated occupational medicine services for companies and public bodies. We deal with the prevention, diagnosis and treatment of work-related conditions, with the aim of protecting workers' health and ensuring safety in the workplace. We act as a single point of contact for all the obligations set out by the current Italian legislation on occupational health and safety (Legislative Decree D.Lgs. 81/2008).
Occupational medicine
Company obligations?
Competent doctor and fitness, explained
Who must appoint a competent or authorised physician, how visits work and what the fitness judgement means.
Who is the Authorised Physician and how does it differ from the Competent Physician?
The Authorised Physician (Medico Autorizzato) has ultra-specialist training and experience, has passed a State examination and is entered in the register held at the Italian Ministry of Labour. While the Competent Physician (Medico Competente) handles health surveillance for general occupational risks (display screens, manual handling of loads), the Authorised Physician is the only figure entitled by law to oversee the health of workers exposed to ionising radiation, classified in Category A and B under Legislative Decree D.Lgs. 101/2020.
Which facilities are required to appoint an Authorised Physician?
The obligation applies wherever X-ray equipment or radioactive substances are present: dental practices (panoramic, Cone Beam, intraoral X-rays), radiology and diagnostic imaging clinics, veterinary clinics with an X-ray department and industrial laboratories using X-rays. In these cases, to issue the specific fitness-for-work certificates, the employer must appoint an Authorised Physician and cannot rely on the Competent Physician alone.
What additional examinations does the Authorised Physician carry out for radiation-exposed workers?
In addition to the medical examination focused on the organs targeted by radiation (skin, eye lens, haematopoietic system), the protocol includes targeted tests such as a complete blood count with differential and any eye examinations to prevent radiation cataracts. Thanks to the in-house Nursing Clinic, the exposed worker can carry out these tests in a single session.
Occupational medicine services we provide
At MediSport Center, employers can rely on a team of specialists for health surveillance and compliance with current regulations:
Appointment of the company Competent Physician (Medico Competente)
Appointment of the Authorised Physician (Medico Autorizzato) for radiation-exposed workers
Drafting and updating of the Health Surveillance Protocol
Computerised management of occupational health records
Workplace inspections
Pre-employment and periodic medical examinations, examinations at the worker's request or in specific cases (maternity, change of duties, return after injury)
Issue of fitness-for-work certificates
Preparation of the annual health report
Participation in the annual meeting with the employer, the Prevention and Protection Service Manager (RSPP) and the Workers' Safety Representative (RLS)
Instrumental and laboratory tests: audiometry, ECG, spirometry, vision tests, spine assessment
Workplace first aid training
Specific assessments: drug dependence, alcohol dependence, medico-legal consultancy
Why choose occupational medicine at MediSport Center
With a team of physicians specialised in occupational medicine, we provide a personalised, efficient service in line with current regulations, supporting employee wellbeing and company compliance. Our dedicated health surveillance software allows companies to monitor deadlines, employee fitness certificates and documentation in a simple, effective way.
Fitness-for-work assessment
The occupational physician assesses employees’ health in relation to their duties and issues a fitness-for-work judgement, classified as:
Partially fit
temporary or permanent limitations with specific prescriptions.
Temporarily unfit
the worker cannot carry out their duties for a defined period.
Permanently unfit
the worker is unable to carry out the assigned duties.
Medical examinations for health surveillance
Medical examinations are essential to protect workers’ health. They can be:
Pre-employment
before hiring or in the event of a change of duties.
Periodic
to monitor workers' health over time.
Extraordinary
at the request of the worker or the employer in the event of changes in the worker's health.
Authorised Physician
The Authorised Physician (Medico Autorizzato) is a healthcare professional accredited by the Italian Ministry of Labour and Social Policies to carry out health surveillance of workers exposed to ionising radiation, in accordance with Legislative Decree D.Lgs. 101/2020 (the Italian regulation on radiation protection). An authorised physician is mandatory for all companies whose workers are exposed to ionising radiation.
Preventive Medicine, Company Check-ups and Corporate Health Welfare at MediSport Center
Preventive medicine services designed to support workers' health and wellbeing, both in the workplace and in their personal lives, with full assistance in interpreting and managing clinical results.
Corporate Health Welfare
Thanks to the network of professionals at MediSport Center, we can also provide prevention and healthcare services to employees' family members and to retired staff, extending the benefits of corporate health welfare to the whole household.
Vaccination Campaigns
We develop targeted vaccination campaigns and workplace wellbeing programmes, with the aim of raising workers' awareness and supporting their professional and personal quality of life.
Contact MediSport Center to find out how to set up a corporate preventive medicine programme or a personalised check-up for your employees in Perugia and Città della Pieve.
Occupational medicine:
specialties serving the workforce
Occupational medicine combines health surveillance with the centre’s specialist visits, working alongside the company physician according to the risks of each role.
Occupational cardiology
Visit with occupational history, resting and exercise ECG, echocardiogram and Holter monitoring: for physically demanding roles, long shifts or cardiovascular risk.
Occupational ENT
Audiometric and impedance testing for workers exposed to noise; assessments for snoring and sleep apnoea.
Occupational pulmonology
Simple or global spirometry and DLCO for workers exposed to dust, fumes and gases, or with suspected respiratory disorders.
Neurology and neuropsychology
Assessment of attention, readiness and reflexes for surveillance and driving roles; neurocognitive screening where indicated.
Optometry and visual assessment
Visual analysis and tests for eye strain, acuity and binocular coordination: especially for video terminal workers over 20 hours a week.
Occupational podiatry and orthopaedics
Postural and baropodometric examination for prolonged standing, manual handling and long-distance driving.
Occupational dermatology
Visits for contact dermatitis, eczema and hypersensitivity in workers exposed to irritant or allergenic substances.
Testing, toxicology and fitness to drive
The in-house blood collection point performs the tests required by health surveillance, in the same session as the visit.
Blood tests for occupational risk
Basic or risk-specific check-ups (e.g. lead, ferritin, blood count, glucose, liver and kidney markers).
Toxicology screening
Alcohol and drug testing for the roles covered by the Italian State-Regions Agreement of 30/10/2007 (drivers, crane operators, safety-critical roles).
Obstructive sleep apnoea screening (OSAS)
Apnoea-related sleepiness is a recognised risk factor for workplace accidents and driving safety: sleep screening and, where indicated, polysomnography for drivers and shift workers.
Work-related stress
and workplace wellbeing
Work-related stress assessment is a legal requirement under art. 28 of Italian Legislative Decree 81/08. The centre supports companies beyond mere compliance:
Work-related stress assessment
Support for the employer and safety officer in the assessment required by the company risk document.
Individual and group psychological sessions
Programmes for managing stress, anxiety and burnout with the centre’s psychologists.
Exercise at the workplace
Guided active breaks, walking groups and postural programmes for desk-based and static roles, supervised by sports physicians and physiotherapists.
Smoking prevention
Periodic spirometry, motivational counselling and cessation programmes with pulmonology and psychology support.
Training at your company or at our clinics
Training and refresher courses delivered at your premises or at the Perugia and Città della Pieve clinics:
Workplace first aid (Italian Ministerial Decree 388/2003)
First-aid officer training with certified instructors, in collaboration with the centre’s Training division.
Training on specific risks
Video terminals, manual handling, chemical agents: modules built on the company’s actual risks.
Ergonomics and postural exercise
Practical sessions to reduce musculoskeletal complaints in sedentary and repetitive roles.
Nutrition and healthy lifestyle
Seminars on diet and healthy habits for employees.
Privacy-first reporting
Every visit is recorded in a GDPR-compliant digital health record, with two levels of output: the individual report given to the worker, and an aggregated, anonymous report for the company, allowing HR and safety officers to monitor overall trends without accessing individual data.
Tax-deductible costs
The mandatory costs of occupational medicine are fully deductible as business expenses (art. 95 of the Italian tax code), while additional healthcare services offered to employees may fall under corporate welfare (art. 51). For specific tax matters, please consult your advisor.
Occupational Medicine in Perugia and Città della Pieve
Book an appointment with our specialists
Our specialist physicians provide in-depth consultations and targeted treatments for a range of conditions, supporting patients throughout occupational medical examinations.