Health services
Workplace Physician Services in Bursa
We assign a workplace physician for the time your hazard class and headcount require and run pre-employment and periodic examinations, fitness-for-work reports and health surveillance in line with the legislation.
- Legal basis
- Law No. 6331, Art. 6 and 15
- Who needs it
- Every workplace with employees
- Minimum time
- 5 / 10 / 15 min per employee per month (less hazardous / hazardous / very hazardous)
- Key documents
- EK-2 examination form, fitness-for-work report
What is a workplace physician and who must have one?
Assigning a workplace physician in Bursa is a legal requirement for every employer with employees. Article 6 of Law No. 6331 on Occupational Health and Safety requires the employer to assign a workplace physician alongside an OHS specialist. A workplace physician is a doctor holding the workplace physician certificate issued by the Ministry; an assignment made with a doctor who does not hold this certificate does not meet the obligation.
A long-standing uncertainty for small businesses has also been settled. With the Constitutional Court decision published in the Official Gazette on 09.12.2025, the postponement for less hazardous workplaces with fewer than 50 employees was annulled. Today every workplace, from an accounting office to a garment workshop, is covered, and the 2026 base administrative fine for failing to assign a physician is TRY 111,263 per person.
The minimum time the physician must spend at the workplace is calculated per employee per month: 5 minutes in less hazardous, 10 in hazardous and 15 in very hazardous workplaces. The hazard class is determined by the NACE code of the main activity carried out at the workplace; we use the list renewed on 13.03.2025 according to NACE Rev.2.1. Apprentices and interns are not counted. The time is written into the contract and becomes valid once both parties approve it through ISG-KATİP, the Ministry’s online OHS registration system.
Workplace medicine is not just examinations. The regulation lists the physician’s duties under guidance, risk assessment, health surveillance, training, information and record-keeping, and cooperation with the relevant units. The physician feeds exposures into the risk assessment, closely monitors groups requiring special policies such as pregnant and breastfeeding employees, workers under 18 and those with chronic conditions, inspects workplace hygiene from the canteen to the changing rooms, and works with the OHS specialist to investigate the causes of accidents.
From its head office in Nilüfer, Bursa Sistemer OSGB assigns workplace physicians across the districts of Bursa and to Yalova, Kocaeli, Sakarya, Bilecik, Kütahya and Balıkesir. Our physician works from a single annual plan with the OHS specialist serving the same workplace and, where needed, the workplace nurse. For examination frequencies and the choice of tests, see our health surveillance and periodic examination page.
What our workplace physician does
We turn the duties listed in the regulation into work with tangible outputs for your business.
Pre-employment and periodic examinations
We carry out examinations using the EK-2 Pre-employment/Periodic Examination Form and repeat them at least every 5 years in less hazardous, every 3 years in hazardous and every year in very hazardous workplaces.
Fitness-for-work report
In hazardous and very hazardous work we issue the report before the employee starts; we reassess fitness when the job changes and, on request, on return to work.
Exposure-based test plan
We determine the tests needed for noise, dust, chemical and ergonomic exposures and schedule them with authorised laboratories and healthcare providers.
Groups requiring special policies
For pregnant and breastfeeding employees, young workers, people with chronic conditions and those with repeated accidents, we prepare suitable job placement reports and follow them closely.
Accident and occupational disease investigation
We investigate causes together with the specialist and prepare a preventive action plan. Employees with a suspected occupational disease are referred to a healthcare provider authorised by the Social Security Institution (SGK).
Hygiene and health promotion
We monitor conditions in the canteen, changing rooms, showers, toilets and drinking water, and advise on the control of communicable diseases and immunisation.
Approved logbook and annual documents
We record findings and recommendations in the approved logbook and, together with the specialist, prepare the annual work plan and the annual evaluation report in line with the EK-3 template.
OHS obligations calculator
The legal minimum requirements for your business
- Workplace physician
- 7 h 30 min / month10 min per employee · 1 full-time per 1,000 employees
- OHS specialist
- 15 h / monthAt least class B · 20 min per employee
- Other healthcare staff
- Not requiredRequired only in the very hazardous class
- Basic OHS training
- Basic: at least 12 hoursRefresher: every 2 years, at least 8 hours · at least 2 hours before starting work
- Periodic medical examination
- Every 3 yearsAt hiring and at least at this interval
- Risk assessment
- Renewed Every 4 yearsImmediately after changes, accidents or near misses
- Emergency plan
- Renewed Every 4 yearsDrill: at least once a year
- Emergency support staff
- 2 people / teamFor each of the firefighting, rescue and protection teams
- First aider
- 3 first aiders1 per 15 employees · certificate valid for 3 years
Figures are statutory minimums; shift patterns and site conditions affect planning.
Worked examples: physician time for 45, 120 and 300 employees
The calculator shows one scenario; this table sets typical business sizes and the full-time physician thresholds side by side. Values are minimum monthly times.
| Number of employees | Less hazardous (5 min) | Hazardous (10 min) | Very hazardous (15 min) |
|---|---|---|---|
| 45 employees | 225 min (3 h 45 min) | 450 min (7 h 30 min) | 675 min (11 h 15 min) |
| 120 employees | 600 min (10 h) | 1,200 min (20 h) | 1,800 min (30 h) |
| 300 employees | 1,500 min (25 h) | 3,000 min (50 h) | 4,500 min (75 h) |
| 800 employees | 4,000 min (66 h 40 min) | 8,000 min (133 h 20 min) | 1 full-time physician + 50 × 15 = 750 min |
| Full-time threshold | 1 physician per 2,000 employees | 1 physician per 1,000 employees | 1 physician per 750 employees |
Employees above the threshold require an additional assignment calculated in minutes per employee (Regulation on Workplace Physicians and Other Health Personnel, Art. 12). Apprentices and interns are not counted. In less hazardous workplaces with fewer than 50 employees, monthly times may be combined within the same contract year.
Physician assignment step by step
Hazard class and time
We check the NACE code in your SGK workplace registration against the 2025 list and, using your headcount excluding apprentices and interns and your shift pattern, calculate the minimum monthly physician time.
Contract and ISG-KATİP approval
We draw up the contract according to the ISG-KATİP template; both parties approve it in the system within 5 days at the latest. The physician cannot start before approval is complete. Together we plan how to obtain the employee representative’s opinion and inform employees.
Review of the current situation
On the first visit we check personal health files, pre-employment reports and periodic examination dates one by one, and list missing or overdue examinations in order of priority.
Health surveillance plan
Based on the risk assessment and workplace measurements, we draw up an examination and test plan for each group of employees and submit it for the employer’s approval.
Regular visits
Throughout the contracted time we carry out examinations, inspect hygiene and working conditions on site and record our findings in the approved logbook. In shift-based operations we spread visits to cover night shifts as well.
Year-end close-out
At year end we prepare the annual evaluation report with the specialist and submit the next year’s work plan for the employer’s approval.
Documents and records we deliver to you
- Workplace physician contract approved through ISG-KATİP
- Pre-employment/Periodic Examination Forms in line with the EK-2 template
- Fitness-for-work reports for hazardous and very hazardous work
- Personal health files kept under the confidentiality principle
- Examination and test plan by employee group
- Findings and recommendations recorded in the approved logbook
- Annual work plan prepared with the specialist
- Annual evaluation report in line with the EK-3 template
- Handover of all records and files to the employer at the end of the contract
Expert notes: reports, small businesses and the physician’s independence
Fitness-for-work report: who issues it and when is it needed?
Article 15 of Law No. 6331 requires a health examination in four situations: on hiring, on a change of job, on return to work at the employee’s request after repeated absences due to a work accident, occupational disease or ill health, and at regular intervals while the work continues. The result is recorded on the EK-2 form annexed to the regulation and kept at the workplace.
| Situation | Who issues the report? | Point to watch |
|---|---|---|
| New employee in hazardous or very hazardous work | Workplace physician | Cannot start work without the report |
| Less hazardous, 50 or more employees | Workplace physician | Pre-employment examination is still mandatory |
| Less hazardous, fewer than 50 employees | Workplace physician, ÇASMER, family physician or another public healthcare provider | The ÇASMER option was added by Law No. 7538 in 2025 |
| Objection to the report | Referee hospital designated by the Ministry of Health | The referee hospital’s decision is final |
The physician signing the report assesses the employee together with the job description and exposures. That is why telling the physician before hiring about features of the position such as noise, dust, chemicals, work at height or night shifts determines both the value and the speed of the report.
Options for less hazardous workplaces with fewer than 50 employees
- Obtaining the service from an OSGB or ÇASMER. ÇASMER is a public occupational health and safety centre. Monthly times may be combined within the same contract year by agreement with the employer. For example, the 60 minutes of physician time per month for a 12-person office can be used in longer visits every three months.
- The employer or their representative taking on the service. The training announced by the Ministry is completed and the commitment form in ISG-KATİP is approved within 5 days at the latest.
- Obtaining reports from a family physician or ÇASMER. When the employer takes on the service, examinations require working with these institutions or with a workplace physician.
The physician’s independence and duty to report
If measures the workplace physician has notified to the employer in writing are not implemented within a reasonable time, and these involve situations requiring immediate stoppage or posing a threat to life such as fire, explosion, collapse or chemical leakage, the physician must report the situation in writing to the provincial directorate of the Turkish Employment Agency. The physician is also entitled to apply to the employer for the work to be stopped in case of a serious and unavoidable threat to life. The same regulation requires the physician to keep the workplace’s trade secrets and the information in employees’ personal health files confidential.
What the employer must provide
- In workplaces with 50 or more employees: two rooms in total, each no smaller than 8 m², for the physician, DSP and specialist, and a suitable vehicle to take an employee to the nearest healthcare unit in an emergency.
- In workplaces with fewer than 50 employees: a suitable place to use during working time.
- In shift work: assignments matching the shifts. The calculated time cannot be split among more than one physician.
The most common gaps found during inspections
Obtaining the report after the employee starts
In hazardous and very hazardous work the fitness-for-work report must be obtained before the employee starts. Fines for missing health surveillance and reports are applied per employee; the 2026 base amount is TRY 22,194 per employee.
Tracking examination dates in bulk
Very hazardous work requires an examination every year, and children, young and pregnant employees need one at least every 6 months. If dates are not tracked per person, periodic examinations for those hired during the year are missed.
Visits that exist only on paper
The physician provides service at the workplace for the time stated in the contract. A physician service without regular findings in the approved logbook cannot prove that the time was actually used.
Overlooking subcontractor employees
The physician is responsible for checking the validity of fitness-for-work reports for subcontractor employees and temporarily assigned workers. A record of this check must be kept.
Keeping health files in personnel files
Personal health files are stored under the confidentiality principle and kept for at least 15 years after the employee leaves. Placing examination forms in human resources folders breaches confidentiality.
Calculating time with the old NACE list
Hazard classes were renewed on 13.03.2025. A calculation based on the old code may understate physician time; if the class has changed, the required steps must be completed within 90 days.
What determines the service fee?
- Minimum monthly physician time based on headcount and hazard class
- Number of shifts and inclusion of night shifts in the visit plan
- Number of locations and the workplace’s location
- Types and frequency of tests required by the exposure profile
- Number of missing examinations to be completed in the first year
- Whether DSP is required (very hazardous workplaces with 10 or more employees)
Legal basis
- Law No. 6331 on Occupational Health and Safety, Art. 6 and 15 Obligation to assign a physician, the employer option for small less hazardous workplaces, the fitness-for-work report and who may issue reports.
- Regulation on Workplace Physicians and Other Health Personnel, Art. 9, 11 and 12 Duties of the physician, the approved logbook and the duty to report to the provincial directorate, minimum monthly times and full-time assignment thresholds.
- Regulation on Occupational Health and Safety Services, Art. 5, 7, 11 and 14 Exclusion of apprentices and interns from the calculation, storage of health files, service premises, combining times and ISG-KATİP contract approval.
Legislative information is provided for general guidance only; consult our specialists for an assessment specific to your business.
Workplace Physician for your industry
Automotive and Automotive Suppliers
Parts manufacturing is mostly hazardous class Machine safety, noise and chemical exposure management across press lines, robotic welding cells, paint booths and assembly.Metalworking and Machinery Manufacturing
Hazardous; laser cutting and plating very hazardous Limb injuries, lifting operations and equipment inspections on CNC, machining, welding, laser cutting and plating lines.Textiles and Apparel
Apparel less hazardous; weaving and dyeing hazardous Managing noise, cotton dust, dyestuffs, steam boilers and sewing-line ergonomics in weaving, dyehouses and apparel production.Food and Beverage Production
Class depends on the code; bread making is less hazardous OHS that manages cold rooms, slippery floors, cutting and filling machines, ammonia and steam risks together with hygiene and carrier screening.Offices, Retail and Services
Typical office codes are less hazardous Ergonomics, display screen equipment, electrical safety, emergencies and psychosocial risk management for less hazardous offices, shops and service businesses.Workplace Physician: frequently asked questions
We have fewer than 50 employees and are in the less hazardous class. Is a workplace physician mandatory?
Yes. With the Constitutional Court decision published in the Official Gazette on 09.12.2025, the postponement for these workplaces was annulled. You can obtain the service from an OSGB or ÇASMER (a public occupational health and safety centre), or carry it out yourself as employer or employer’s representative after completing the training announced by the Ministry. If you take it on yourself, pre-employment and periodic examinations must still be carried out by a physician; you can also obtain these reports from a family physician, ÇASMER or other public healthcare providers.
Is a pre-employment report from a family physician enough?
Only in less hazardous workplaces with fewer than 50 employees. In all other workplaces the report must be obtained from the workplace physician under Article 15 of Law No. 6331. In hazardous and very hazardous work an employee cannot start without the report. We recommend informing the family physician in writing about the work the employee will do and their exposures; the report only makes sense with this information. Objections to a report are made to the referee hospitals designated by the Ministry of Health, and their decision is final.
How many hours a month will the physician spend at our workplace?
The time is the number of employees multiplied by the minutes for your hazard class. For example, a hazardous workplace with 45 employees needs at least 450 minutes, or 7.5 hours, per month. We split this time into weekly or fortnightly visits to suit your workflow and, in shift-based operations, plan it to cover night shifts too. In less hazardous workplaces with fewer than 50 employees, times may be combined within the same contract year. You can see your own figures with the obligation calculator.
Can the physician time be split between two different physicians?
No. Under the regulation the calculated time cannot be split among more than one workplace physician. The exception is shift work, where assignments are made to match the shifts. If the physician changes for compelling reasons such as maternity, illness or annual leave and this lasts more than 30 days, the Directorate General is notified. If the physician leaves the post, a replacement is assigned within 30 days. The same rules apply to the OHS specialist and DSP.
How do we switch from our current OSGB?
The termination of the old contract is reported to ISG-KATİP by the OSGB providing the service within 5 working days. We prepare the new contract according to the ISG-KATİP template and both parties approve it within 5 days at the latest. The previous OSGB must hand over all records and files to the employer at the end of the contract, even if not requested. We check the examination dates in these files on the first visit and prioritise any overdue examinations.
As the employer, can we see employees’ health information?
What you need to know from an examination is whether the employee is fit for the work and any work restrictions. Details such as the diagnosis, test results and history stay in the personal health file. Law No. 6331 requires health information to be kept confidential, and the regulation requires the physician to keep it confidential. Under the Turkish Personal Data Protection Law (KVKK), health data is a special category of personal data. Files are kept for at least 15 years after the employee leaves.
When is a full-time workplace physician required?
Once you reach 2,000 employees in less hazardous, 1,000 in hazardous or 750 in very hazardous workplaces, at least one full-time physician must be assigned for each such number of employees; the remaining employees require an additional assignment calculated in minutes. Where a full-time physician and specialist are required, the employer sets up an in-house workplace health and safety unit (İSGB). In a very hazardous workplace with a full-time physician, the DSP requirement no longer applies.
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