{"id":42619,"date":"2024-12-13T01:37:02","date_gmt":"2024-12-12T18:37:02","guid":{"rendered":"https:\/\/www.intouchmedicare.com\/?p=42619"},"modified":"2026-02-23T14:25:46","modified_gmt":"2026-02-23T07:25:46","slug":"a-working-in-confined-spaces-medical-certificate-en","status":"publish","type":"post","link":"https:\/\/www.intouchmedicare.com\/en\/a-working-in-confined-spaces-medical-certificate-en","title":{"rendered":"A Medical Certificate for Working in Confined Spaces"},"content":{"rendered":"<p><span style=\"color: #4f9111;\">Working in confined spaces <\/span>is challenging and requires special caution due to the restricted and high-risk environment. These areas are often limited in size, dark, poorly ventilated, humid, and may contain low oxygen levels.<\/p>\n<p><span style=\"color: #4f9111;\"><strong><span style=\"line-height: 1.8;\"><span style=\"color: #0000ff;\"><span style=\"color: #3366ff;\">Medical examinations for employees who work in confined spaces are essential.<\/span><\/span><span style=\"color: #3366ff;\">\u00a0<\/span><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/item_%E0%B8%AA%E0%B8%B3%E0%B8%84%E0%B8%B1%E0%B8%8D.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/12\/item_\u0e2a\u0e33\u0e04\u0e31\u0e0d.webp?v=202405291424\" width=\"36\" height=\"20\" \/><\/a><\/span><\/strong><\/span><\/p>\n<p><span style=\"line-height: 1.8;\">This helps ensure that workers are physically and mentally fit to perform their duties safely in such demanding conditions and can continue their daily lives smoothly.<\/span><\/p>\n<div class=\"table-responsive\">\n<table style=\"border-style: solid; border-color: #ffffff; border-collapse: collapse; background-color: #e6f7cd;\" border=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><span style=\"line-height: 1.8; color: #4f9111;\"><span style=\"font-family: Sarabun, Tahoma; font-size: 18px;\">Employers should arrange for employees to undergo a medical examination to obtain a Confined Space Health Certificate <strong>at least once a year.<\/strong><\/span><span style=\"font-family: Sarabun, Tahoma; font-size: 18px;\">\u00a0<a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/item_%E0%B8%AA%E0%B8%B3%E0%B8%84%E0%B8%B1%E0%B8%8D.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/12\/item_\u0e2a\u0e33\u0e04\u0e31\u0e0d.webp?v=202405291424\" width=\"36\" height=\"20\" \/><\/a><br \/><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/%E0%B9%81%E0%B8%96%E0%B8%9A_2.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/12\/\u0e41\u0e16\u0e1a_2.webp?v=202405291424\" width=\"75\" height=\"8\" \/><\/a><br \/><\/span><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div style=\"text-align: center;\"><a href=\"https:\/\/lin.ee\/QMQJPg\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"text-decoration: underline; color: #ff6600;\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e1e\u0e1a\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\" src=\"\/wp-content\/uploads\/2024\/12\/See_a_doctor_at_Intouchmedicare_5.webp?v=202405291424\" alt=\"\u0e1e\u0e1a\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\" width=\"1150\" height=\"349\" \/><\/span><\/a><\/div>\n<p><span style=\"font-family: kanit; font-size: 130%; line-height: 1.8; color: #4f9111;\">Information You Should Know About <span style=\"color: #4f9111;\"><span style=\"line-height: 1.8;\">a Confined Space Medical Certificate<\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"text-decoration: underline; color: #4f9111;\"><a style=\"color: #4f9111;\" href=\"#a.001\"><span style=\"line-height: 1.8;\">Importance of a Confined Space Medical Certificate<\/span><\/a><\/span><\/li>\n<li><span style=\"text-decoration: underline; color: #4f9111;\"><a style=\"color: #4f9111;\" href=\"#a.002\"><span style=\"line-height: 1.8;\">Confined Space Health Examination Checklist<\/span><\/a><\/span><\/li>\n<li><span style=\"line-height: 1.8; color: #4f9111;\"><span style=\"text-decoration: underline;\"><a style=\"color: #4f9111;\" href=\"#a.003\">Health Examination Service Fees<\/a><\/span>\u00a0<a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/hot_02.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/12\/hot_02.webp?v=202405291424\" width=\"32\" height=\"20\" \/><\/a><\/span><\/li>\n<li><span style=\"line-height: 1.8; color: #4f9111;\"><span style=\"text-decoration: underline;\"><a style=\"color: #4f9111;\" href=\"#a.004\">Examination and Reporting Timeframe<\/a><\/span>\u00a0<a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/hot_02.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2024\/12\/hot_02.webp?v=202405291424\" width=\"32\" height=\"20\" \/><\/a><\/span><\/li>\n<li><span style=\"text-decoration: underline; color: #4f9111;\"><a style=\"color: #4f9111;\" href=\"#a.005\"><span style=\"line-height: 1.8;\">How to Obtain a Medical Certificate for Working in Confined Spaces<\/span><\/a><\/span><\/li>\n<li><span style=\"color: #4f9111;\"><span style=\"text-decoration: underline;\"><a style=\"color: #4f9111;\" href=\"#a.006\"><span style=\"line-height: 1.8;\">Frequently Asked Questions About Health Examinations<\/span><\/a><\/span><\/span><\/li>\n<\/ul>\n<hr class=\"solid\" \/>\n<h2><span style=\"line-height: 1.8; color: #4f9111;\"><strong><a id=\"a.001\" style=\"color: #333333;\"><\/a>Importance of a Confined Space Medical Certificate<\/strong><\/span><\/h2>\n<ol>\n<li><span style=\"line-height: 1.8;\"><span style=\"color: #3366ff;\">For employee safety:<\/span> Working in confined spaces involves <span style=\"color: #4f9111;\"><a style=\"color: #4f9111;\" href=\"\/potential-hazards-from-working-in-confined-spaces\"><span style=\"text-decoration: underline;\">high risks<\/span><\/a><\/span> and potential hazards. A medical certificate helps confirm that the employee is physically fit to perform this type of work.<\/span><\/li>\n<li><span style=\"line-height: 1.8;\"><span style=\"color: #3366ff;\">To prevent accidents caused by unfit health conditions:<\/span> Ensures workers are physically and mentally prepared for demanding environments.<\/span><\/li>\n<li><span style=\"line-height: 1.8;\"><span style=\"color: #3366ff;\">To comply with legal requirements:<\/span> <em>Employees working in confined spaces must obtain a medical certificate<\/em> in accordance with laws and occupational safety standards.<\/span><\/li>\n<li><span style=\"line-height: 1.8;\"><span style=\"color: #3366ff;\">To build confidence for employers and co-workers:<\/span> Assures that the employee is capable of performing duties effectively and safely.<\/span><\/li>\n<li><span style=\"line-height: 1.8;\"><span style=\"color: #3366ff;\">To monitor employees\u2019 health and prevent occupational illnesses:<\/span> Regular health checks help detect potential health issues early and support long-term health protection for workers in confined spaces.<\/span><\/li>\n<\/ol>\n<p style=\"text-align: center;\"><span style=\"line-height: 1.8; color: #4f9111;\">\u00a0<span style=\"text-decoration: underline;\"><a style=\"color: #4f9111;\" href=\"\/\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e43\u0e19\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e28\u0e2d\u0e32\u0e0a\u0e35\u0e1e\u0e44\u0e2b\u0e19\u0e15\u0e49\u0e2d\u0e07\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\">Occupations Recommended for Confined Space Health Examinations<\/a><\/span><\/span><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/lin.ee\/QMQJPg\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"line-height: 1.8; color: #4f9111;\"><span style=\"text-decoration: underline;\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e1e\u0e1a\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\" src=\"\/wp-content\/uploads\/2024\/12\/See_a_doctor_at_Intouchmedicare_5.webp?v=202405291424\" alt=\"\u0e1e\u0e1a\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\" width=\"1150\" height=\"349\" \/><\/span><\/span><\/a><\/p>\n<hr class=\"solid\" \/>\n<h2><span style=\"color: #4f9111;\"><strong><span style=\"line-height: 1.8;\"><a id=\"a.002\" style=\"color: #333333;\"><\/a>Confined Space Health Examination Checklist<\/span><\/strong><\/span><\/h2>\n<p style=\"text-align: center;\"><span style=\"color: #4f9111;\"><strong><span style=\"line-height: 1.8;\"><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/Duration_of_examination_and_report_of_results_1.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" title=\" \u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e42\u0e14\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c (Physical Examination)\" src=\"\/wp-content\/uploads\/2024\/12\/Duration_of_examination_and_report_of_results_1.webp?v=202405291424\" alt=\" \u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e42\u0e14\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c (Physical Examination)\" width=\"1150\" height=\"832\" \/><\/a><\/span><\/strong><\/span><\/p>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">1. Physical Examination<\/span><\/strong><\/span><\/h3>\n<p><span style=\"line-height: 1.8; color: #808080;\">This includes a medical screening to assess potential risks related to working in confined spaces, such as heart disease, asthma, neurological disorders, blood disorders, and other relevant medical conditions. <span style=\"color: #4f9111;\">A history of these conditions is critically important in evaluating whether the worker is physically fit to perform duties in a confined space. <\/span>This assessment also helps reduce the risk of accidents or health emergencies while working.<\/span><\/p>\n<hr class=\"solid\" \/>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">2. Medical Certificate For Working In Confined Space<\/span><\/strong><\/span><\/h3>\n<p><span style=\"line-height: 1.8; color: #808080;\">Individuals who undergo the health examination will receive a specific medical certificate for working in confined spaces. The examination items comply with the requirements set by ministerial regulations. Employers may refer to the physician\u2019s opinion stated in the medical certificate when considering whether <span style=\"color: #4f9111;\">to permit or restrict an employee<\/span> from working in confined spaces.<\/span><\/p>\n<hr class=\"solid\" \/>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><strong><span style=\"line-height: 1.8;\"><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/Chest_X_ray_2.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e40\u0e2d\u0e01\u0e0b\u0e40\u0e23\u0e22\u0e4c\u0e1b\u0e2d\u0e14 (Chest X-ray)\" src=\"\/wp-content\/uploads\/2024\/12\/Chest_X_ray_2.webp?v=202405291424\" alt=\"\u0e40\u0e2d\u0e01\u0e0b\u0e40\u0e23\u0e22\u0e4c\u0e1b\u0e2d\u0e14 (Chest X-ray)\" width=\"1150\" height=\"831\" \/><\/a><\/span><\/strong><\/span><\/p>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">3. Chest X-ray<\/span><\/strong><\/span><\/h3>\n<p><span style=\"line-height: 1.8;\"><span style=\"color: #4f9111;\">Helps screen for inflammatory conditions in the lung tissue<\/span> caused by chemical exposure and detect infectious lung diseases in the contagious stage, such as active pulmonary tuberculosis, which pose significant risks and are not suitable for working in confined spaces.<\/span><\/p>\n<hr class=\"solid\" \/>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">4. Visual Acuity Test<\/span><\/strong><\/span><\/h3>\n<p><span style=\"color: #4f9111;\">A distance visual acuity test for both eyes.<\/span> If an individual has visual impairment beyond the acceptable standard, corrective measures such as wearing glasses or contact lenses must be taken, to ensure clear vision before being permitted to work in confined spaces.<\/p>\n<hr class=\"solid\" \/>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">5. CBC<\/span><\/strong><\/span><\/h3>\n<div class=\"flex flex-col text-sm pb-25\">\n<article class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [&amp;:has([data-writing-block])&gt;*]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-WEB:a18f10b6-a96f-4e83-9243-57b7899e1493-46\" data-testid=\"conversation-turn-20\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] @w-sm\/main:[--thread-content-margin:--spacing(6)] @w-lg\/main:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] @w-lg\/main:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"0a743c36-3a9d-4724-96d7-2b6052a1fd66\" data-message-model-slug=\"gpt-5-2\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full wrap-break-word light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"284\" data-is-last-node=\"\" data-is-only-node=\"\">Severe anemia can increase the risk of fainting in confined spaces; therefore, <span style=\"color: #4f9111;\">platelet count is required.<\/span> Individuals with low platelet counts are at higher risk of bleeding or excessive blood loss from minor impacts or injuries, especially when working in narrow or restricted areas.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<hr class=\"solid\" \/>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><strong><span style=\"line-height: 1.8;\"><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/Urine_pregnancy_test.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e15\u0e23\u0e27\u0e08\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c (Pregnancy Test)\" src=\"\/wp-content\/uploads\/2024\/12\/Urine_pregnancy_test.webp?v=202405291424\" alt=\"\u0e15\u0e23\u0e27\u0e08\u0e01\u0e32\u0e23\u0e15\u0e31\u0e49\u0e07\u0e04\u0e23\u0e23\u0e20\u0e4c (Pregnancy Test)\" width=\"1150\" height=\"832\" \/><\/a><\/span><\/strong><\/span><\/p>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">6. Pregnancy Test<\/span><\/strong><\/span><\/h3>\n<p><span style=\"line-height: 1.8;\"><span style=\"color: #ed1c24;\">Employees who are pregnant should not work in confined spaces.<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-31947\" src=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2025\/05\/important-300x90.png\" alt=\"\" width=\"66\" height=\"20\" srcset=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2025\/05\/important-300x90.png 300w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2025\/05\/important.png 601w\" sizes=\"auto, (max-width: 66px) 100vw, 66px\" \/><\/span>\u00a0Due to the limited space and poor ventilation, there is a higher likelihood of exposure to hazardous substances generated during work, such as lead fumes and solvents found in paint or adhesives. These substances may pose serious risks to the developing fetus.<\/span><\/p>\n<hr class=\"solid\" \/>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">7. Audiometric Test<\/span><\/strong><\/span><\/h3>\n<p>Working in confined spaces requires the ability to clearly hear co-workers\u2019 warnings and emergency alarm signals. In the event of an emergency, prompt response is critical. <span style=\"color: #4f9111;\">Individuals with hearing impairments should not work in confined spaces<\/span> and should undergo further evaluation and treatment by an ear, nose, and throat (ENT) specialist.<\/p>\n<hr class=\"solid\" \/>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">8. Pulmonary Function Testing<\/span><\/strong><\/span><\/h3>\n<p>Performed by <span style=\"color: #4f9111;\">blowing into a measuring device to assess lung expansion<\/span>, based on lung volume and airflow rate. If abnormalities are detected such as restrictive impairment or moderate to severe obstructive patterns. The individual should not work in confined spaces. Further evaluation and treatment by a pulmonologist are recommended to determine the underlying cause.<\/p>\n<hr class=\"solid\" \/>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><strong><span style=\"line-height: 1.8;\"><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/Electrocardiogram_1.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e15\u0e23\u0e27\u0e08\u0e04\u0e25\u0e37\u0e48\u0e19\u0e44\u0e1f\u0e1f\u0e49\u0e32\u0e2b\u0e31\u0e27\u0e43\u0e08 (Electrocardiogram)\" src=\"\/wp-content\/uploads\/2024\/12\/Electrocardiogram_1.webp?v=202405291424\" alt=\"\u0e15\u0e23\u0e27\u0e08\u0e04\u0e25\u0e37\u0e48\u0e19\u0e44\u0e1f\u0e1f\u0e49\u0e32\u0e2b\u0e31\u0e27\u0e43\u0e08 (Electrocardiogram)\" width=\"1150\" height=\"832\" \/><\/a><\/span><\/strong><\/span><\/p>\n<h3><span style=\"color: #3366ff;\"><strong><span style=\"line-height: 1.8;\">9. Electrocardiogram<\/span><\/strong><\/span><\/h3>\n<p>Helps screen for certain heart conditions that may pose dangers during work, such as specific types of cardiac arrhythmias, cardiomegaly (enlarged heart), and certain cardiac conduction abnormalities.<span style=\"color: #ff0000;\"> Individuals with these conditions should not work in confined spaces.<\/span><\/p>\n<hr class=\"solid\" \/>\n<h2><span style=\"color: #4f9111;\"><strong><a id=\"a.003\" style=\"color: #333333;\"><\/a>Health Examination Service Fees<\/strong><\/span><\/h2>\n<p><span style=\"line-height: 1.8;\">Service Fees for Health Examination for a Medical Certificate to Work in Confined Spaces are as Follows:<\/span><\/p>\n<p><span style=\"line-height: 1.8;\"><a class=\"magnificPopImg\" href=\"\/wp-content\/uploads\/2024\/12\/Price_of_health_examination_for_medical_certificate_for_working_in_confined_spaces.webp?v=202405291424\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e23\u0e32\u0e04\u0e32\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e43\u0e1a\u0e23\u0e31\u0e1a\u0e23\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e33\u0e07\u0e32\u0e19\u0e1e\u0e37\u0e49\u0e19\u0e17\u0e35\u0e48\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e28\" src=\"\/wp-content\/uploads\/2024\/12\/Price_of_health_examination_for_medical_certificate_for_working_in_confined_spaces.webp?v=202405291424\" alt=\"\u0e23\u0e32\u0e04\u0e32\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e40\u0e1e\u0e37\u0e48\u0e2d\u0e43\u0e1a\u0e23\u0e31\u0e1a\u0e23\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e17\u0e33\u0e07\u0e32\u0e19\u0e1e\u0e37\u0e49\u0e19\u0e17\u0e35\u0e48\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e28\" width=\"1150\" height=\"811\" \/><\/a><\/span><\/p>\n<ol>\n<li><span style=\"color: #3366ff;\">Health examination fee<\/span> <span style=\"color: #ff0000;\">for males: 1,790 THB<\/span><\/li>\n<li><span style=\"color: #3366ff;\">Health examination fee<\/span> <span style=\"color: #ff0000;\">for females: 1,890 THB<\/span><\/li>\n<\/ol>\n<p><span style=\"line-height: 1.8; font-size: 16px;\"><span style=\"color: #4f9111;\"><strong>Note:<\/strong><\/span> If you require the medical certificate for working in confined spaces to be issued in English, an additional fee of 450 THB will apply.<\/span><\/p>\n<div class=\"table-responsive\">\n<table style=\"border-style: solid; border-color: #ffffff; border-collapse: collapse; background-color: #e6f7cd;\" border=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><span style=\"color: #4f9111;\"><span style=\"font-family: Sarabun, Tahoma; font-size: 18px; text-align: center;\"><span style=\"color: #4f9111; line-height: 1.8;\"><span style=\"text-decoration: underline;\"><a style=\"color: #4f9111; text-decoration: underline;\" href=\"\/en\/pre-employment-health-checkup-program-for-occupation-b-en#a.001\">Click Here for More Information<\/a><\/span><\/p>\n<p><\/span><\/span><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<hr class=\"solid\" \/>\n<h2><span style=\"line-height: 1.8; color: #4f9111;\"><strong><a id=\"a.004\" style=\"color: #333333;\"><\/a>Examination and Reporting Timeframe<\/strong><\/span><\/h2>\n<ol>\n<li data-start=\"41\" data-end=\"385\">The health examination takes approximately 45\u201360 minutes, including medical history taking, blood collection, urine sample collection, and physician consultation. The duration may vary depending on the individual\u2019s physical condition, as certain procedures\u2014such as the pulmonary function test (spirometry)\u2014may require different amounts of time.<\/li>\n<li>The medical report will be available within 1\u20133 business days.<\/li>\n<\/ol>\n<p><span style=\"color: #ff0000;\">Delivery service for the medical report is available, so there is no need to collect it in person. Delivery fees will be charged based on the actual distance.<\/span><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/lin.ee\/QMQJPg\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"line-height: 1.8;\"><span style=\"color: #ff0000;\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\u0e04\u0e25\u0e34\u0e19\u0e34\u0e01\" src=\"\/wp-content\/uploads\/2024\/12\/Interested_in_receiving_services_You_can_inquire_first.webp?v=202405291424\" alt=\"\u0e23\u0e31\u0e1a\u0e1a\u0e23\u0e34\u0e01\u0e32\u0e23\u0e17\u0e35\u0e48\u0e2d\u0e34\u0e19\u0e17\u0e31\u0e0a\u0e40\u0e21\u0e14\u0e34\u0e41\u0e04\u0e23\u0e4c\u0e04\u0e25\u0e34\u0e19\u0e34\u0e01\" width=\"1150\" height=\"151\" \/><\/span><\/span><\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"line-height: 1.8; color: #3366ff; font-size: 100%;\">\u00a0<span style=\"text-decoration: underline;\"><a style=\"color: #3366ff;\" href=\"\/\u0e43\u0e1a\u0e23\u0e31\u0e1a\u0e23\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c-9-\u0e1b\u0e23\u0e30\u0e40\u0e20\u0e17\u0e17\u0e35\u0e48\u0e04\u0e38\u0e13\u0e04\u0e27\u0e23\u0e23\u0e39\u0e49#a.011\">Sample Health Examination Report for Working in Confined Spaces<\/a><\/span><\/span><\/p>\n<hr class=\"solid\" \/>\n<h2><span style=\"line-height: 1.8; color: #4f9111;\"><strong><a id=\"a.005\" style=\"color: #333333;\"><\/a>How to Obtain a Medical Certificate for Working in Confined Spaces<\/strong><\/span><\/h2>\n<ol>\n<li><span style=\"line-height: 1.8;\">Appointments can be made by phone or through any online channel. Walk-in visits are also welcome.<\/span><\/li>\n<li>Prepare your identification documents, including your national ID card and medical history (if available).<\/li>\n<li>Undergo the required medical examinations as determined by the physician, including medical history taking, blood tests, urine sample collection, pulmonary function testing, electrocardiogram (ECG), and any additional tests deemed necessary by the doctor.<\/li>\n<li>As the confined space medical certificate is not issued immediately on the same day, <span style=\"color: #ff0000;\">clients may inform the clinic of their preferred method for receiving the results: via email, by postal mail (additional fee applies), or by express courier service (delivery fee charged based on actual distance)<\/span><\/li>\n<\/ol>\n<hr class=\"solid\" \/>\n<h2><span style=\"line-height: 1.8; color: #4f9111;\"><strong><a id=\"a.006\" style=\"color: #333333;\"><\/a>Frequently Asked Questions About Health Examinations<\/strong><\/span><\/h2>\n<h3><span style=\"line-height: 1.8; color: #0000ff;\"><strong><span style=\"color: #3366ff;\">Which medical facilities can issue a medical certificate?<\/span><br \/><\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"line-height: 1.8;\">Clinics and hospitals with a health check-up department or licensed physicians authorized to issue medical certificates for confined space work.<\/span><\/li>\n<\/ul>\n<h3><span style=\"color: #0000ff; line-height: 1.8;\"><strong><span style=\"color: #3366ff;\">How long is a confined space medical certificate valid?<\/span><br \/><\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"line-height: 1.8; color: #333333;\">A medical certificate for working in confined spaces is<span style=\"color: #4f9111;\"> generally valid for approximately 1 month<\/span>, depending on the specific requirements of each organization.<\/span><\/li>\n<\/ul>\n<h3><span style=\"line-height: 1.8; color: #0000ff;\"><strong><span style=\"color: #3366ff;\">How should I prepare for a confined space health examination?<\/span><br \/><\/strong><\/span><\/h3>\n<ul>\n<li>Fasting is not required. Please prepare your identification documents, such as your national ID card, and any previous medical records (if available).<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><a href=\"https:\/\/lin.ee\/QMQJPg\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"line-height: 1.8;\"><img loading=\"lazy\" decoding=\"async\" title=\"\u0e02\u0e2d\u0e43\u0e1a\u0e23\u0e31\u0e1a\u0e23\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c \u0e2a\u0e2d\u0e1a\u0e16\u0e32\u0e21\" src=\"\/wp-content\/uploads\/2024\/12\/medical_certificate_click_for_information_TH_24.webp?v=202405291424\" alt=\"\u0e02\u0e2d\u0e43\u0e1a\u0e23\u0e31\u0e1a\u0e23\u0e2d\u0e07\u0e41\u0e1e\u0e17\u0e22\u0e4c \u0e2a\u0e2d\u0e1a\u0e16\u0e32\u0e21\" width=\"1150\" height=\"197\" \/><\/span><\/a><\/p>\n<hr class=\"solid\" \/>\n<p>Health examinations for employees working in confined spaces help reduce risks and enhance workplace safety. Proper preparation and regular health monitoring can prevent potential health problems, enabling employees to work efficiently and safely.<\/p>\n<p><span style=\"line-height: 1.8; color: #808080;\">If you are interested in a confined space health examination to obtain a medical certificate for working in confined spaces, you can receive services or consultation at any branch of Intouch Medicare Clinic near you. Simply search for a \u201cclinic near me\u201d on Google or contact the clinic directly through the communication channels provided on the website.<\/span><\/p>\n<p><span style=\"font-size: 16px;\"><span style=\"color: #4f9111;\">Reference :<\/span> Guideline for Health Examination of Confined-space Workers (2561). Summacheeva Foundation.<\/span><\/p>\n<div class=\"text-center\"><div class=\"is-divider divider clearfix\" style=\"margin-top:20px;margin-bottom:20px;max-width:2000px;height:1px;\"><\/div><\/div>\n<p><span style=\"font-size: 150%; font-family: prompt; color: #4f9111;\">Read More Articles<\/span><\/p>\n<ul>\n<li><span style=\"text-decoration: underline; color: #3366ff;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"\/\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e01\u0e32\u0e23\u0e17\u0e33\u0e07\u0e32\u0e19\u0e43\u0e19\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e28\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23\"><span style=\"line-height: 1.8;\">What Is a Health Examination for Working in Confined Spaces?<\/span><\/a><\/span><\/li>\n<li><span style=\"text-decoration: underline; color: #3366ff;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"\/potential-hazards-from-working-in-confined-spaces\"><span style=\"line-height: 1.8;\">Hidden Dangers and Serious Health Risks in Confined Spaces: Plus Prevention Tips!<\/span><\/a><\/span><\/li>\n<li><span style=\"text-decoration: underline; color: #3366ff;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"\/\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\u0e43\u0e19\u0e2a\u0e16\u0e32\u0e19\u0e17\u0e35\u0e48\u0e2d\u0e31\u0e1a\u0e2d\u0e32\u0e01\u0e32\u0e28\u0e2d\u0e32\u0e0a\u0e35\u0e1e\u0e44\u0e2b\u0e19\u0e15\u0e49\u0e2d\u0e07\u0e15\u0e23\u0e27\u0e08\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e\"><span style=\"line-height: 1.8;\">8 High-Risk Occupations That Should Undergo Health Screening Before Working in Confined Spaces<\/span><\/a><\/span><\/li>\n<\/ul>\n<div class=\"text-center\"><div class=\"is-divider divider clearfix\" style=\"margin-top:20px;margin-bottom:20px;max-width:2000px;height:1px;\"><\/div><\/div>\n\t<div id=\"text-2946802242\" class=\"text\">\n\t\t\n<p style=\"text-align: center;\"><span style=\"font-family: kanit; font-size: 130%;\"><span style=\"line-height: 1.8; color: #808080;\">For more info and make appointment<\/span><\/span><\/p>\n\t\t\n<style>\n#text-2946802242 {\n  font-size: 1.125rem;\n  line-height: 0.75;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"row\"  id=\"row-64306773\">\n\n\t<div id=\"col-2111088546\" class=\"col hide-for-small medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-667762535\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div id=\"stack-2752829942\" class=\"stack stack-col justify-center items-center\">\n\t\t\n<a href=\"tel:081-562-7722\" target=\"_blank\" class=\"button alert is-underline lowercase expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t<i class=\"icon-phone\" aria-hidden=\"true\"><\/i>\t<span>Hot Line : 081-562-7722<\/span>\n\t<\/a>\n\n<a href=\"https:\/\/lin.ee\/QMQJPg\" target=\"_blank\" class=\"button primary is-underline lowercase expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t<i class=\"icon-chat\" aria-hidden=\"true\"><\/i>\t<span>Chat on LINE @qns9056c<\/span>\n\t<\/a>\n\n<a href=\"https:\/\/wa.me\/66815627722\" target=\"_blank\" class=\"button primary is-underline lowercase expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i>\t<span>Chat on Whatsapp<\/span>\n\t<\/a>\n\n<a href=\"https:\/\/www.m.me\/intouchmedicareclinic\" target=\"_blank\" class=\"button secondary is-underline lowercase expand\" rel=\"noopener\" style=\"border-radius:99px;\">\n\t<i class=\"icon-facebook\" aria-hidden=\"true\"><\/i>\t<span>Intouchmedicare<\/span>\n\t<\/a>\n\n\t\t\n<style>\n#stack-2752829942 > * {\n  --stack-gap: 1rem;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1726962674\" class=\"col hide-for-small medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"text-center\"><div class=\"is-divider divider clearfix\" style=\"margin-top:20px;margin-bottom:20px;max-width:2000px;height:1px;\"><\/div><\/div>\n\n\t<section class=\"section\" id=\"section_726907837\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n\t\t<div class=\"icon-box featured-box icon-box-left text-left is-large\"  style=\"margin:0px 0px 0px 0px;\">\n\t\t\t\t\t<div class=\"icon-box-img\" style=\"width: 80px\">\n\t\t\t\t<div class=\"icon\">\n\t\t\t\t\t<div class=\"icon-inner\" >\n\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md-300x300.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md-300x300.png 300w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md-1024x1024.png 1024w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md-150x150.png 150w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md-768x768.png 768w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/12\/jittiwat-amnouypon-md.png 1251w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div class=\"icon-box-text last-reset\">\n\t\t\t\t\t\t\t\t\t\n\t<div id=\"text-2421884114\" class=\"text\">\n\t\t\n<p><span style=\"font-family: prompt;\"><span style=\"text-decoration: underline;\"><a href=\"\/en\/doctor-jittiwat-amnouypon-en\"><span style=\"color: #4f9111; font-size: 90%; text-decoration: underline;\">Jittiwat Amnouypon ,M.D.<\/span><\/a><\/span><br \/>\n<\/span><span style=\"font-family: prompt; font-size: 80%;\">General Practitioner<\/span><br \/>\n\t\t\n<style>\n#text-2421884114 {\n  line-height: 1.2;\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\t<\/div>\n\t\n\t\n\t<div id=\"gap-481571162\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-481571162 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-3252106023\" class=\"text\">\n\t\t\n<p><span style=\"font-size: 14pt; font-family: prompt;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1039\" src=\"https:\/\/intouchmedicare.cc\/wp-content\/uploads\/2024\/10\/calendar.png\" alt=\"\" width=\"15\" height=\"15\" srcset=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/10\/calendar.png 256w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/10\/calendar-150x150.png 150w\" sizes=\"auto, (max-width: 15px) 100vw, 15px\" \/> Latest edit : 20\/02\/2026<\/span><br \/>\n\t\t\n<style>\n#text-3252106023 {\n  line-height: 0.9;\n  color: #4f9111;\n}\n#text-3252106023 > * {\n  color: #4f9111;\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-3596799324\" class=\"text\">\n\t\t\n<p><span style=\"font-size: 14pt; font-family: prompt;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1040\" src=\"https:\/\/intouchmedicare.cc\/wp-content\/uploads\/2024\/10\/copy-writing.png\" alt=\"\" width=\"15\" height=\"15\" srcset=\"https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/10\/copy-writing.png 256w, https:\/\/www.intouchmedicare.com\/wp-content\/uploads\/2024\/10\/copy-writing-150x150.png 150w\" sizes=\"auto, (max-width: 15px) 100vw, 15px\" \/> <span style=\"font-size: 75%;\">Images may be used without prior permission exclusively for educational or informational purposes, as long as proper credit is given to intouchmedicare.com<\/span><\/span><br \/>\n\t\t\n<style>\n#text-3596799324 {\n  line-height: 1.15;\n  color: rgb(255, 0, 0);\n}\n#text-3596799324 > * {\n  color: rgb(255, 0, 0);\n}\n@media (min-width:550px) {\n  #text-3596799324 {\n    line-height: 1.15;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t\t<\/div>\n\n\t\t\n<style>\n#section_726907837 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"<p>Working in confined spaces is challenging and requires special caution due to the restricted and high-risk environment. These areas are often limited in size, dark, poorly ventilated, humid, and may contain low oxygen levels. Medical examinations for employees who work in confined spaces are essential.\u00a0 This helps ensure that workers are physically and mentally fit&#8230;<\/p>\n","protected":false},"author":7,"featured_media":42627,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[84],"tags":[],"class_list":["post-42619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-certificate"],"_links":{"self":[{"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/posts\/42619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/comments?post=42619"}],"version-history":[{"count":0,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/posts\/42619\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/media\/42627"}],"wp:attachment":[{"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/media?parent=42619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/categories?post=42619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.intouchmedicare.com\/en\/wp-json\/wp\/v2\/tags?post=42619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}