© Master Builders KwaZulu-Natal 2017

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Relative to other industries in South Africa and construction industries worldwide, the construction process generates a disproportionate number of fatalities and injuries and it is associated with disease, the direct and indirect cost of which contributes to the cumulative cost of construction.

Health and Safety (H&S) needs to be resourced and budgeted for. However, anecdotal evidence and research indicates that adequate financial provision for H&S by contractors is marginalised by a number of factors such as contract documentation and the non-facilitation thereof during the tendering / bidding process.

The Association was tasked to draft a standard Bill of Quantities (BOQ) for Health and Safety that can be used by members for this purpose. The Association must stress that the client may draft their own BOQ to be used for tendering purposes, however in the absence of such, the Association would urge its members to request that the attached BOQ schedule be used for this purpose. By doing so, it will prevent contractors from under budgeting for health and safety.

Should you require assistance with the BOQ, you are welcome to contact the Association’s Health and Safety Manager, Neil Enslin or Building Services Manager, Ross Stembridge.

Click here to download a copy of the H&S Bill of Quantities.

Neil Enslin | Occupational Health and Safety Manager


Employers have a moral and legal responsibility to protect their workers, and any other person within the boundaries of the workplace, against health risks and hazards that might arise from their activities.

Legislation prescribes the legal duties and rights regarding monitoring the health of workers exposed to specific health risks and hazards associated with their occupations.

Medical surveillance is a planned program to monitor the health of workers and is permissible in terms of legislation and justifiable in terms of medical evidence, conditions of employment and the inherent requirements of the job.

Monitoring the health of workers protects and maintains the health and safety of the work force as well as that of co-workers.

Failure to comply with the prescribed medical surveillance of employees holds serious financial implications for the employer and employee as result of occupational injuries and/or disease.


  • To determine if the employee’s present state of health and determine if an employee is physically and mentally fit to perform the appointed duties associated with the job.
  • To identify underlying conditions that may be negatively influenced by the job or place of work.
  • To record and inform the employer of any area and/or job restrictions placed on an employee to ensure safe placement.
  • To record baseline health indicators against which subsequent changes in the employee’s health status can be evaluated, prompting corrective intervention.
  • To detect occupational disease at an early stage and proactively intervene to safeguard the employee and employer alike.
  • To recommend necessary actions to protect and maintain the health of workers and comply with legal requirements concerning the work.




Pre-Placement / Baseline Medical Examinations

Enables the correct placement of employees according to their physical and mental compatibility to a specific occupation. It also serves as a baseline to pro-actively monitor the state of health of employees and help prevent the risk of future claims/litigation.

Annual / Transfer Medical Examinations

Records the health status of the employee according to the risks exposed and compares the results with their baseline medical.

Exit Medical Examinations

Records the health status of employees on termination of service to help prevent the risk of future claims/litigation.


Voluntary Counselling and Testing, as well as education and training

First Aid Training

Level 1 First Aid Training (accredited by DoL)

The Mobile Clinic is new and has been equipped with latest technology. It has two audio booths and we can do the following screening tests:

Physical Examination

  • Blood Pressure
  • Weight
  • Height
  • Body Mass Index
  • Urine Analysis
  • Screening of Cardio Vascular system
  • Screening of Respiratory system
  • Complete report of physical examination conducted

Vision Accuracy Screening

  • Eye examination for computer users, drivers and other high risk employees
  • Snellen chart screening for employees that do not use their eyes under strain

Audio Screening

  • Audiometric questionnaire
  • Ear Examination
  • Audiometric baseline or screening according to legislation
  • Calibration certificates of equipment
  • Complete report of audiometric screening conducted

Lung Function Screening

  • Lung Function questionnaire
  • Physical examination and auscultation of the respiratory system
  • Lung Function screening
  • Complete report on lung function screening conducted

We are proud to have FEM as our marketing partner for the mobile clinic. FEM and Master Builders have had a close and mutually beneficial relationship for many years and we believe that FEM’s involvement with our mobile clinic will prove to be of benefit to our clients as well.

THE FEDERATED EMPLOYERS' MUTUAL ASSURANCE COMPANY LIMITED was established as a mutual insurer in 1936 and on the introduction of the Workmen's Compensation Act 1941 was granted a licence to continue to transact workmen's compensation insurance for the building industry.

Its business operations are essentially confined to the insurance of employers against their liabilities under the Compensation for Occupational Injuries and Diseases Act 1993.

Visit FEMA, Click here


The Mobile Clinic is an initiative of the KwaZulu-Natal Master Builders Association. The Association has a very active Safety Department, but Health has, on the whole, taken a back seat.

It has become clear over the last few years, that there was a clear need amongst our Members for a variety of Health related services. These include:

  • On-site Medical surveillance

  • Health Risk Assessments and Consulting

  • HIV voluntary counselling and testing

  • Health education & training

  • First Aid Training courses

A decision was therefore taken to purchase a Mobile Clinic and employ the services of a full-time Occupational Health Nurse Practitioner. Given the nature of the construction (and related) industries, it was imperative to bring the clinic to the workplace in order to facilitate the service and keep down-time to an absolute minimum.

The Association is committed to providing a professional service, which can be tailored to the specific requirements of clients and can be offered at competitive rates. Members of Master Builders KwaZulu-Natal are entitled to a generous discount on all services offered by the Mobile Clinic.

The Mobile Clinic is fitted out with the latest equipment and we are currently able to service most areas in KwaZulu-Natal, as well as areas bordering the province. We have already done work as far away as Butterworth.

We have a service level agreement with two Doctors who have specialized in the field of Occupational Health. They are sent the results of all screening tests and then issue a Certificate of Fitness for each employee tested, stating that the employee is fit for the position, or outlining any restrictions.