Before starting a new job, most organizations require candidates to go through a pre-employment medical examination. This isn’t just a formality. It’s a crucial step that ensures both the employee and employer start off on safe, healthy terms. At Shifa Al Khobar, we conduct thorough pre-employment medical assessments designed to protect your wellbeing while helping employers build a fit and capable workforce.
Let’s take a closer look at what this process involves, why it matters, and the health issues that can sometimes cause someone to fail a pre-employment medical.
What is a Pre-Employment Medical?
A pre-employment medical is a detailed health assessment carried out before an employee officially joins a company. It’s designed to evaluate a person’s fitness for the role they’ve been offered. Every job has different demands, and this test helps determine whether the candidate can meet them safely.
At Shifa Al Khobar, our pre-employment medicals are conducted by qualified medical professionals who follow international occupational health standards. The goal isn’t to disqualify candidates, but to identify health risks early and help manage them before they become workplace problems.
Why Employers Require It

Employers have a responsibility to maintain a safe and healthy work environment. A pre-employment medical helps reduce the risk of accidents, absenteeism, and long-term health issues. For physically demanding or safety-sensitive jobs, like construction, transportation, or healthcare, these assessments are essential.
For the employee, it’s also a chance to gain awareness of their health status. Many people discover underlying conditions during this screening that they may not have noticed before. At Shifa Al Khobar, we take time to explain results clearly and offer guidance on next steps when health issues arise.
What Happens During a Pre-Employment Medical
The medical examination varies depending on the job type, but generally includes:
- A general physical examination
- Vital checks like blood pressure, pulse, and vision
- Urine and blood tests to assess organ function
- Hearing and lung function tests
- Drug and alcohol screening if required by the employer
Some roles may also need specific assessments such as ECGs, chest X-rays, or fitness evaluations.
Once complete, the results are reviewed by an occupational health physician who provides a fitness report. This report is then shared confidentially with the employer.
Common Reasons People Fail a Pre-Employment Medical

While most candidates pass without issues, there are times when a medical report shows a condition that prevents immediate clearance. Below are the most common health concerns that can cause a pre-employment medical failure.
Heart and Blood Pressure Problems
Uncontrolled high blood pressure or heart disease can be a concern, especially for jobs involving heavy physical work or long hours. These conditions raise the risk of sudden medical emergencies while on duty.
Respiratory Issues
Chronic breathing problems such as asthma or chronic obstructive pulmonary disease can make certain environments unsafe. For example, jobs with exposure to dust or chemicals might aggravate these conditions.
Uncontrolled Diabetes

Stable blood sugar levels are essential for safety in many workplaces. If diabetes isn’t well managed, it can cause fatigue, dizziness, or even fainting spells, which are dangerous in operational settings.
Vision or Hearing Concerns
Clear vision and good hearing are vital for jobs involving machinery, driving, or any environment where quick reactions are required. If these senses can’t be adequately corrected with glasses or hearing aids, it may affect fitness results.
Musculoskeletal Problems
Back injuries or joint limitations can make it hard to handle tasks involving lifting, climbing, or prolonged standing. These are among the most common reasons for temporary medical disqualification.
Mental Health Conditions
Pre-employment medicals may highlight mental health conditions such as severe anxiety, depression, or untreated psychiatric disorders. This doesn’t always mean permanent disqualification. With proper care and treatment, candidates can be reassessed and cleared later.
Substance Use

A positive result for drugs or alcohol during screening is typically an automatic fail. Many employers prioritize safety and reliability, especially in industries like logistics or construction.
Infectious or Contagious Diseases
Active infectious diseases such as tuberculosis or hepatitis can delay employment until treatment is completed. Once the individual is cleared by a doctor, they can usually resume the hiring process.
Neurological Disorders

Conditions like epilepsy can lead to temporary rejection for certain jobs that require driving or operating heavy equipment. Once controlled, many candidates can safely return for reassessment.
Obesity and Fitness Concerns
If a person’s physical fitness prevents them from safely performing essential job duties, the medical examiner may recommend further evaluation. This isn’t about body image, it’s about ensuring the candidate can work without risking injury.
What Happens if You Fail a Pre-Employment Medical
Failing a pre-employment medical isn’t the end of your career. It’s often a temporary situation. At Shifa Al Khobar, we believe in supporting individuals through this process rather than labelling them unfit.
If a medical issue is identified, our team provides guidance on treatment or lifestyle changes needed to improve your health. After recovery or stabilization, you can return for a reassessment. In many cases, candidates are later cleared for work once their condition is under control.
We also encourage patients to discuss the results openly with their doctor. A second opinion can help clarify any concerns and provide peace of mind.
The Importance of Choosing the Right Clinic

Accuracy and confidentiality are everything in occupational health. At Shifa Al Khobar, we use advanced diagnostic tools and follow strict medical ethics to ensure every result is reliable and handled with care. Our doctors focus on transparency, compassion, and patient support.
Whether you are an employer seeking a trustworthy partner or an employee preparing for your medical assessment, our clinic ensures a smooth, professional, and respectful experience.
Final Thoughts
A pre-employment medical isn’t something to worry about, it’s a step toward ensuring long-term safety and wellness at work. It protects both employees and employers by identifying potential health risks before they become serious problems.
At Shifa Al Khobar, our goal is to help you start your new job in the best possible health. With modern facilities, expert doctors, and a supportive approach, we make the process simple, comfortable, and informative.
If you need a reliable hospital for your next pre-employment medical, contact Shifa Al Khobar today and take the first step toward a healthier, more confident start to your career.
What should I do before my pre-employment medical?
Get enough rest, stay hydrated, and avoid alcohol, caffeine, or heavy meals before the test. Bring any prescription medications you’re currently taking.
Do I need to fast before my medical examination?
Only if your tests include blood sugar or cholesterol checks. You’ll be informed beforehand if fasting is required.
Will my employer see all my medical details?
No. The employer only receives a fitness report, your detailed medical results remain confidential.
Can I retake the medical if I don’t pass the first time?
Yes. Once your condition is treated or managed, you can return for a reassessment. Many candidates are later cleared once their health improves.
How can I improve my chances of passing the medical?
Maintain a balanced diet, exercise regularly, get enough sleep, and manage any ongoing health conditions under a doctor’s supervision.
How can I book my pre-employment medical at Shifa Al Khobar?
You can schedule your appointment easily. Contact us today to book your assessment or learn more about our pre-employment medical services.