Fees for examination or surveillance by a Medical Inspector

OM 2008/10


This OM details the revised charges for statutory medical examinations and describes which forms should be used. It replaces OM 2004/07 which should now be cancelled.


Revised charges

The Health and Safety and Nuclear (Fees) Regulations came into force on 6 April 2016.
Schedules 5 and 6 of the Regulations list the revised charges for statutory medical examinations carried out by Medical Inspectors [MEDIs] formerly known as EMAs and are reproduced at Appendix 1 for reference.


MEDIs are required to complete and forward an A/cs 4 [rev 08.08] Request for Invoice form to PEFD. This is available on the Intranet.

A/cs4 value added tax [VAT] entries

When completing the A/cs 4. Note that it contains a VAT analysis field which requires requesting officers to state the VAT rate charged for the service. In the case of medical tests performed as a result of statutory legislation, they are outside the scope of VAT and therefore code 06 must be quoted on the form. Further information on the completion of this form can be found in HSE Finance Code, Section H.

Appendix 1

Schedule 4 (Regulation 6): Fees for examination or surveillance by a medical inspector
1. Provision 2. Reference 3. Basic Fee
(a) The Ionising Radiations Regulations 1999 SI 1999/3232 £40 where surveillance is confined to examination of, and making entries in, records.
£74 in other cases.
(b) The Control of Asbestos at Work Regulations 2002 SI 2002/2675 £76.00
(c) The Control of Substances Hazardous to Health Regulations 2002 SI 2002/2677 £76.00
(d) The Work in Compressed Air Regulations 1996 SI 1996/1656 £76.00
Additional fees where appropriate
Fee for X-rays - £76 Fee for Laboratory Tests - £44
Schedule 6 (Regulation 7): Fees for medical surveillance by an employment medical adviser under the control of lead at work regulations 2002
1. Item 2. Fee
(a) On the first assessment of an employee [including any clinical medical examination and laboratory tests in connection with the assessment] £76
(b) On each subsequent assessment of an employee:
(i) for laboratory tests where these are carried out
(ii) for a clinical medical examination where this is carried out

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Updated 2021-01-14