TT24 TT24Occupational Health Guide
The risk of fines applies to small companies too

Occupational health in practice:
how does it actually work?

You know occupational health is a legal requirement. But you're not sure where to start, what exactly is needed, or what it costs. This page explains all 4 steps in plain language - exactly as the process works in a small company.

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Why not put it off?

The Labour Inspectorate (Tööinspektsioon) inspects companies with as few as 5-15 employees. When violations are found, the fines are real: for breaches of occupational health and safety requirements, a legal entity may be fined up to €32,000 (TTOS § 27-1 to § 27-5 subsection 2). Common violations include the absence of a risk assessment, failure to organise health surveillance, and the absence of an occupational health physician contract. Moreover, if an employee is involved in a workplace accident and your documentation is not in order, you are personally liable. This is not about box-ticking - it is your own protection.

The good news: getting everything in order takes 1-2 weeks and costs less than you might think for a small company. See the pricing →

4 steps, from first contact to full compliance

This is how it actually works. No bureaucratic jargon.

1

You request a quote - 5 minutes

Fill in a short form: number of employees, sector, contact details. Nothing complicated. You receive a personalised quote based on your company's needs.

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2

You sign the contract and receive the documents - 2-5 working days

Once you accept the quote, an occupational health service contract is signed. The service provider prepares the risk assessment basis and the health surveillance schedule for your employees. You sign the contract; everything else is coordinated by our physician.

3

The occupational health physician assesses your workplaces - first visit within 1-2 weeks

The physician visits your company (or assesses working conditions based on a written description for office-based work). First visit: assessment of workplace environment risks, risk assessment, health surveillance referrals for all employees whose role requires one, and recommendations for the employer.

Employees undergo health surveillance - documentation in order

Employees attend health surveillance within the period set by the physician (the law allows 4 months). You receive a summary for each employee stating whether they are medically fit for their role. All documents are completed and archived - you are fully compliant.

What does the employer need to prepare?

Just three things - we handle everything else.

Employee list

Names, job titles, and main duties. A spreadsheet or simple list is fine.

Description of working conditions

A brief overview of working conditions: whether there is physical load, noise, chemicals, display screen work, night shifts, etc. No need for a formal document - plain text is fine.

Contact details and signature

Company registration number, the name and contact details of the responsible person. A digital signature is sufficient to sign the contract.

Never done a risk assessment? That is not a problem. Preparing the risk assessment is included in the occupational health service - the physician will do it on the first visit. You will not be penalised for the past if you act now.

What happens, and when?

A realistic timeline for a company with 10-30 employees.

Day 1

You complete the quote request

5 minutes. You describe your company briefly. You then receive a personalised quote.

Days 2-5

Contract signed, foundation documents ready

Once you accept the quote, the contract is sent for digital signature. After signing, you immediately receive a certificate confirming the contract is in force - sufficient if an inspector asks.

Weeks 1-2

Physician's first visit to your company

The occupational health physician assesses working conditions, draws up the risk assessment and health surveillance referrals. You receive a clear list of who needs to attend health surveillance and when.

1-4 months

Employees attend health surveillance

The law allows 4 months from the employee's start date (for some roles, before the first working day). Appointments take place during working hours; the employer covers the costs in full.

Outcome

Full compliance - peace of mind

All documents are completed and archived. You have the completed risk assessment, health surveillance records, and annual report. The next mandatory review is in 1-3 years - we will remind you.

What happens after the first visit?

Occupational health is not a one-off event, but it need not be burdensome.

Periodic health surveillance

Every 1-3 years depending on the role. The physician draws up the schedule and notifies you in good time.

New employees

Adding a new employee is straightforward - just let us know, and the physician issues a referral. Health surveillance within 4 months of starting work.

Annual report

The occupational health physician prepares an annual working environment review - a mandatory document for the employer.

Labour Inspectorate inspection

If an inspector visits, all documents are ready: the contract copy, risk assessment, and health surveillance records.

Frequently asked questions

How long does the whole process take?

Typically 1-3 weeks from first contact to documentation in order. The contract is signed within 2-5 working days; the physician's first visit takes place within 1-2 weeks. Health surveillance takes place within 4 months of the employee starting work - the law does not require everything to happen on the same day.

What happens if an inspector visits before the documentation is complete?

If you have a contract in place and the process is under way, that is already a significant step. The Labour Inspectorate (Tööinspektsioon) takes into account that the process is in progress. That said, the safest course is to act immediately - the longer you wait, the greater the risk.

Do all employees have to undergo health surveillance?

Not all, but many. Health surveillance is mandatory for employees exposed to workplace risks: noise, vibration, chemicals, high physical load, display screen work for more than 4 hours per day, night shifts, etc. The occupational health physician determines on the first visit who is required to attend health surveillance.

Does an occupational health contract apply to a company with fewer than 10 employees?

Yes. The Occupational Health and Safety Act (TTOS) applies to all employers regardless of the number of employees. The scope of the obligation depends on the risks present in the working conditions, not on headcount. Even a company with 3 employees must have a risk assessment.

See all frequently asked questions →

Ready to get started?

You receive a personalised quote with no obligation. Our occupational health physician will answer all your questions before the contract is signed.

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Valvekliinik · Ülemiste linnak, Tallinn · info@tt24.ee · +372 5 911 0909