Rescue worker medical fitness standards require comprehensive clinical testing, prescribed physical criteria, and structured certification before training Medical examination standards apply to persons selected for rescue and recovery training and to rescue-trained persons. Assessment covers physical and mental fitness, locomotor function, unaided vision, hearing and audiometry, respiratory and cardiovascular health, neurological status, metabolic and blood parameters, renal function, BMI, dental health, and specified pathological conditions. Required procedures include chest radiography, spirometry, cardiovascular assessment with 12-lead electrocardiography and lipid profile, neurological examination, and the Height Pass and Vertigo Test. The certificate and report record clinical findings, investigations, supporting reports, fitness status, and any required treatment or re-examination.