E-certificates from occupational medicine from 18 October. How a subcontractor admits a crew to a construction site
From Friday, occupational medicine doctors will issue fitness-for-work certificates exclusively in electronic form. For construction companies and subcontractors, this means a new way of documenting workers' fitness to work on a construction site.
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End of Paper Certificates
As of October 18, 2026, occupational medicine doctors will transition to an exclusively electronic circulation of certificates of fitness for work, according to information from the Prawo.pl portal (E-orzeczenie z medycyny pracy na budowie. Co od 18 października zmienia się przy wejściu ekipy podwykonawcy). Documentation will be stored in the Medical Information System and on the patient's online account (E-orzeczenie z medycyny pracy na budowie. Co od 18 października zmienia się przy wejściu ekipy podwykonawcy). This change affects all industries, but construction companies will feel it particularly, as documentation checks upon entering the investment site are a daily occurrence.
What a Subcontractor's Employee Must Do
After the visit to the doctor, the employee logs into their Internet Patient Account and downloads the electronic certificate, as reported by Prawo.pl (E-orzeczenie z medycyny pracy na budowie. Co od 18 października zmienia się przy wejściu ekipy podwykonawcy). The portal informs that the system allows for printing the document, which can then be submitted to the company (E-orzeczenie z medycyny pracy na budowie. Co od 18 października zmienia się przy wejściu ekipy podwykonawcy). It is this printout from the IKP that becomes the basis for confirming the ability to work at heights, operate machinery, or other positions requiring examinations.
Practical Consequences on Construction Sites
For construction managers and safety coordinators, this means the necessity of accepting printouts from the system instead of the previous medical certificates. Subcontractors must ensure that their employees have access to the Internet Patient Account and can download and print the certificate. The absence of such a document will prevent a person from being allowed to work on the construction site.
What to Watch Out for with the New System
Companies should instruct employees on how to use the IKP before sending them for examinations. It is also worth establishing a procedure: whether the printout should be kept in personal files or if it is sufficient to present it during inspections. The electronic system does not change the validity periods of certificates or the scope of examinations – only the form of the document and the way it is transmitted between the doctor, employee, and employer are changing.
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