Article 18 of Legislative Decree 81/2008
The employer must appoint a competent physician and activate health surveillance whenever the risk assessment or the law requires it.


Companies need safe workplaces, healthy employees and clear compliance. Skema HSE provides specialist advice that goes beyond a formal requirement: we help build a solid, lasting safety culture.
Skema HSE is a partner for integrated workplace safety management, competent physician appointments and health surveillance under Legislative Decree 81/2008.
The employer must appoint a competent physician and activate health surveillance whenever the risk assessment or the law requires it.
The competent physician prepares the health surveillance plan, keeps health and risk records and collaborates with prevention services.
The law governs preventive, periodic, role-change, return-to-work and employee-requested medical examinations and fitness judgements.
A structured partner brings concrete operational benefits in addition to avoiding penalties.
Prevention protects employees and reduces avoidable downtime.
Correct fitness judgements and prescriptions reduce accident exposure.
Rigorous protocols and monitored deadlines support the company during inspections.
People who feel protected work in a safer, calmer and more productive environment.
Our method starts with the company’s reality and its processes. This allows us to:

Our goal is clear: raise the standard of workplace safety while improving efficiency, organisation and the internal climate.
With Skema, safety becomes a fluid, integrated process managed by professionals.
Dedicated advice: We support the company in interpreting and applying requirements, ensuring alignment with legal obligations and the required protocols.
Health surveillance organisation: We coordinate occupational health activities, simplifying communication between the employer, employees and the competent physician.
Risk and prevention assessment: We analyse each role and operating environment, recommending practical solutions that protect workers.
Ongoing monitoring and updates: As rules change, technology advances and businesses grow, we keep procedures, documents and strategies current.
Non-compliance can lead to:
Professional safety management does more than prevent risk: it builds resilience, credibility and competitiveness.
Technicians, physicians, trainers and consultants beside you.
Every company is unique, and its safety system should be too.
We turn obligations into opportunities for growth.
A partner that protects and accompanies your business as it evolves.
With Skema, safety becomes a strategic strength. Protect your company, your people and your reputation with professional advice focused on continuous improvement.
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