Understanding Pre-Employment Medical Exams
Pre-employment medical exams, known in Brazil as exames admissionais, are mandatory health evaluations that companies must perform before a new employee starts any work activity. These exams assess both physical and mental aptitude, ensuring that the worker is fit for the specific job demands. The primary goal is to protect the employee’s health and prevent workplace injuries while also safeguarding the employer from potential liability. These exams are not optional; they are a legal requirement under Brazilian labor law, specifically Article 168 of the Consolidation of Labor Laws (CLT) and Norma Regulamentadora 7 (NR-7). The employer must cover all costs associated with the exam, and the exam must be conducted before the worker begins their duties.

The timing of the exam is critical. It must occur before the employee starts performing any tasks, even if it is just a trial period. This ensures that the company has a baseline record of the worker’s health status. If an employee is hired without passing the admission exam, the company may face legal penalties and could be held responsible for any pre-existing conditions that the worker might develop or aggravate while on the job. In addition, the exam provides essential data that helps the company comply with occupational health and safety regulations. For more detailed information on the legal framework, please visit the official guidelines on exames admissionais at this link.

Legal Framework and Employer Obligations
The legal basis for pre-employment medical exams in Brazil is robust. Article 168 of the CLT explicitly mandates that employers must conduct admission medical examinations. This is reinforced by NR-7, which establishes the Program of Medical Control of Occupational Health (PCMSO). Under these regulations, the employer is responsible for scheduling, paying for, and ensuring the exam is performed by a qualified occupational physician. The examination must be performed before the employee starts work, and the results must be documented in a medical certificate, with one copy given to the employee and another kept in the company’s records for at least 20 years after the employee leaves the company.

Failure to comply with these requirements can result in fines and legal action. The Ministry of Labor and Anvisa (Brazilian Health Regulatory Agency) are the primary regulatory authorities overseeing these exams. It is important for companies to partner with accredited occupational health services to ensure that the exams are conducted correctly and that all medical records are properly maintained. The exam also serves as a tool for the company to identify any potential risks that may need to be addressed, such as ergonomic






