Saudi Arabia Introduces Mandatory Occupational Fitness Tests & NCD Screenings for All Employees in 2026 – Three-Phase Rollout Begins

Saudi Arabia introduces mandatory occupational fitness tests and NCD screenings for all employees in 2026

Riyadh, 21 June 2026 — The Saudi Ministry of Human Resources and Social Development (MHRSD) has announced a major new policy requiring occupational fitness assessments and non-communicable disease (NCD) screenings for all employees across the Kingdom. This initiative aims to enhance worker health, improve workplace safety, and ensure employees are physically and medically fit for their roles.

The new guide, reviewed by Okaz newspaper, will be implemented in three phases, starting with pre-employment screenings and eventually covering every worker in both public and private sectors.

Three-Phase Implementation Plan

Phase 1: Pre-Employment Screenings

• Mandatory NCD and fitness tests for all new hires before they start work.

• Establishments must conduct screenings and upload results to the approved electronic system.

• First six months focused on public-sector entities and non-profit organizations.

Phase 2: High-Risk Companies & Establishments

• Expanded to existing employees in higher-risk sectors.

• 12-month duration after Phase 1 completion.

• Full integration of all establishments into the electronic system.

Phase 3: Nationwide Full Implementation

• Applies to all companies, establishments, and employees across every economic sector.

• Covers permanent staff, temporary/seasonal workers, trainees, persons with disabilities, and remote workers.

• Public-sector entities and non-profits must fully comply regardless of contract type.

Key Requirements Under the New Guide

• Employees who do not meet occupational fitness standards will be prohibited from continuing in their profession.

• Employers must reassign the employee to a suitable role or allow additional medical examinations to prove capability.

• Screenings will also be required in cases of occupational injuries, diseases, profession changes, or periodic assessments based on job nature.

The policy standardises procedures, ensures regulatory compliance, and strengthens protection of workers’ health and occupational safety through a unified digital system.

Who Is Affected?

• All employees in Saudi Arabia (Saudi and expatriate)

• Public sector, non-profits, and private companies

• New hires and existing workforce

• Remote workers and persons with disabilities

Why Saudi Arabia Is Implementing These Tests

The move aligns with Vision 2030 goals to create a healthier, more productive workforce and reduce the burden of non-communicable diseases on the healthcare system. It also aims to improve workplace safety, reduce absenteeism, and ensure employees are medically fit for their specific roles.

Practical Advice for Employers and Employees

For Employers:

• Prepare for phased compliance and integrate with the approved electronic system.

• Update HR policies and medical screening procedures immediately.

• Budget for screenings and potential reassignments.

• Ensure medical providers are authorised for occupational fitness assessments.

For Employees (Expatriates & Saudis):

• Expect mandatory health screenings during onboarding and periodically.

• Maintain good health records and follow up on any required tests.

• Understand your rights regarding reassignment if you fail a fitness test.

Timeline & Compliance

• Phase 1 begins with new regulations coming into effect.

• Full nationwide rollout will be completed within the three-phase timeline.

• Employers must comply or face potential penalties.

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