Saudi Arabia has introduced a comprehensive framework aimed at improving workforce health and workplace safety: the Occupational Fitness & Non-communicable Diseases Examinations Regulation. Announced by the Minister of Human Resources and Social Development, in his role as Chair of the National Council for Occupational Safety and Health (NCOSH), the regulation sets a standard for medical fitness and health monitoring across all sectors, including public institutions, private companies, non-profits, and covering all employees—remote workers, trainees, and persons with disabilities alike.

The regulation aligns with Saudi Arabia’s National Occupational Safety and Health (OSH) Policy, focusing on early detection of health risks, prevention of work-related injuries, and promoting both physical and mental well-being.

Key Highlights:

• Standardized Medical Examinations: Employers must conduct medical tests at key stages—pre-employment, periodic check-ups, return-to-work, role changes, and after incidents—with additional rules for high-risk jobs such as aviation, diving, commercial driving, and food handling.
• Risk-Based Approach: Assessments will match workplace exposures, including respiratory, hearing, and lung function tests.
• Integration with OSH Measures: Medical checks complement, not replace, existing safety controls.
• Data Protection: Employers will only access fitness outcomes (Fit, Fit with restrictions, Unfit) while safeguarding sensitive medical details, in line with the Personal Data Protection Law (PDPL).
• Governance & Guidance: NCOSH will provide further instructions, and employers must establish appeals processes, staff training, and correct application of “fit with restrictions” determinations.

Next Steps for Employers:
Audit current HR, HSE, and data governance processes; update recruitment and mobility workflows; partner with accredited medical providers; ensure PDPL compliance; train staff on responsibilities and confidentiality; and track implementation through dashboards. The new regulation represents a major step forward for occupational health and safety in Saudi Arabia, promoting safer, healthier workplaces while supporting the Kingdom’s long-term economic transformation.