Proactively assist at-risk personnel

Proactively assist at-risk personnel

Pre-assignment screening and medical accommodation is recommended for those at-risk personnel assigned to high medical risk locations.

By effectively screening and medically accommodating personnel, adverse health outcomes can be reduced and business continuity maintained. This is particularly true for those on extended travel to high medical risk locations or performing hazardous work.

Recommended Action

  • Medical evaluation prior to deployment should be encouraged.

Polling Results

  • 42-percent of the companies surveyed have a formal medical assessment process that can be used by management to determine fitness for international assignments.
  • 45-percent of companies have a pre-assignment assessment program.
  • 62-percent consider the health risks of a location before sending an assignee or traveler abroad.

Additional Resources



Council Commentary

These results may reflect an industry bias, as many energy, mining and infrastructure companies have been performing such services for years, whereas other industries may have not yet identified the need. Screening at-risk international personnel show a 7:1 return on investment by identifying “critical” cases which, if not clinically mitigated, likely would have led to a failed assignment and/or medical evacuation, the costs of which in human and financial terms are great (see references).

In locations where medical services are inadequate, offering on-site medical services limits medical costs, improves productivity and increases staff retention rates.

The Council’s recommendation is that pre-assignment medical assessments should be performed, at a minimum, for all personnel assigned to high-risk locations, and these assessments require review and approval from a corporate medical director.