
AFIH Course
The AFIH Course gives occupational health physicians and workplace health professionals the clinical and managerial tools to protect workers, ensure legal compliance, and lead effective health programmes. From toxicology to ergonomics, from risk assessment to disability management, every competency you need is covered. This is the definitive training for professionals serious about industrial medicine.
What you will learn:
In this course you will master occupational medicine, beginning with hazard classification and legal frameworks, then moving to clinical diagnosis of occupational diseases, toxicology, and ergonomic assessment. You will learn to design and manage pre-employment and periodic medical exams for diverse worker groups. The curriculum includes occupational hygiene, ventilation design, noise and chemical monitoring, and incident investigation using root cause analysis. You will also develop strategic skills in programme planning, budgeting, emergency preparedness, and health surveillance auditing. Mental health, disability management, and emerging issues such as AI and climate change are addressed. By course end you will be ready to lead occupational health programmes that are clinically sound, legally compliant, and organisationally effective.
How you study in practice AFIH Course
How you practise AFIH Course
For companies looking to train their teams
With Elevify for businesses, the course includes exercises and examples tailored to your company and its specific needs.
Course content
8 Chapters • 39 LessonsDuration between 4 and 360 hours (you decide)
Chapter 1HideHide detailsSee detailsFoundations of Occupational Health
Foundations of Occupational Health
Lesson 1 • Workplace Hazard Classification
Categorises physical, chemical, biological, ergonomic, and psychosocial hazards. Builds vocabulary for hazard identification used throughout the course.
Lesson 2 • Legal and Ethical Framework
Covers employer and employee obligations, medical confidentiality, and dual-loyalty conflicts. Grounds clinical decisions in ethical and regulatory context.
Lesson 3 • Occupational Health Documentation
Introduces medical records, exposure registers, and statutory reporting forms. Accurate documentation underpins all subsequent clinical and legal tasks.
Lesson 4 • Scope of Industrial Medicine
Defines occupational health as a discipline and its boundaries. Positions the AFIH role within workplace health systems.
Chapter 2HideHide detailsSee detailsOccupational Risk Assessment
Occupational Risk Assessment
Lesson 1 • Hierarchy of Controls
Applies elimination, substitution, engineering, administrative, and PPE controls to assessed risks. Links risk level to appropriate control selection.
Lesson 2 • Risk Communication to Stakeholders
Translates technical risk data into actionable reports for management and workers. Effective communication drives implementation of control measures.
Lesson 3 • Risk Assessment Methodology
Introduces hazard identification, likelihood-severity matrices, and risk ranking. Provides the analytical framework applied in all subsequent assessment tasks.
Lesson 4 • Exposure Measurement Techniques
Covers personal and area monitoring, sampling strategies, and measurement units. Quantitative data collection enables evidence-based exposure control decisions.
Lesson 5 • Sector-Specific Risk Profiles
Examines risk patterns in manufacturing, construction, healthcare, and agriculture. Contextualises generic methodology for real-world industrial environments.
Chapter 3HideHide detailsSee detailsOccupational Diseases and Toxicology
Occupational Diseases and Toxicology
Lesson 1 • Respiratory Occupational Diseases
Examines pneumoconioses, occupational asthma, and toxic inhalation syndromes. Respiratory conditions represent the highest-burden occupational disease category.
Lesson 2 • Principles of Occupational Toxicology
Covers dose-response relationships, routes of entry, and target organ toxicity. Provides mechanistic basis for understanding all occupational disease presentations.
Lesson 3 • Dermatological and Sensory Disorders
Addresses contact dermatitis, occupational skin cancers, noise-induced hearing loss, and vibration disorders. Covers second most prevalent occupational disease group.
Lesson 4 • Musculoskeletal and Neurological Disorders
Covers work-related upper limb disorders, back injury, and neurotoxic syndromes. Links biomechanical and chemical exposures to clinical presentations.
Lesson 5 • Attribution and Causation Analysis
Applies Bradford Hill criteria and exposure history to establish occupational causation. Accurate attribution is essential for compensation and prevention decisions.
Chapter 4HideHide detailsSee detailsPre-Employment and Periodic Medical Examinations
Pre-Employment and Periodic Medical Examinations
Lesson 1 • Medical Fitness for Work Concepts
Defines fitness-for-work standards, functional capacity, and reasonable accommodation. Establishes the conceptual basis for all examination decisions.
Lesson 2 • Special Population Considerations
Addresses examination adaptations for night workers, young workers, pregnant employees, and ageing workers. Ensures equitable and legally compliant assessment.
Lesson 3 • Return-to-Work Medical Assessment
Guides evaluation after illness, injury, or long absence to determine safe reintegration. Connects clinical findings to workplace modification recommendations.
Lesson 4 • Periodic Surveillance Examinations
Designs frequency, content, and triggers for ongoing health surveillance. Periodic exams detect early disease and evaluate control effectiveness.
Lesson 5 • Pre-Employment Examination Protocol
Structures history, physical examination, and targeted tests for new hires. Baseline data collected here enables future change detection.
Chapter 5HideHide detailsSee detailsWorkplace Incident Investigation
Workplace Incident Investigation
Lesson 1 • Root Cause Analysis Techniques
Applies five-whys, fishbone diagrams, and fault tree analysis to incident data. Multiple techniques increase causal completeness.
Lesson 2 • Near-Miss and Incident Trend Analysis
Establishes near-miss reporting culture and statistical trend monitoring. Proactive analysis prevents escalation to serious incidents.
Lesson 3 • Investigation Reporting and Corrective Action
Structures formal investigation reports with findings, causes, and SMART corrective actions. Reports drive organisational learning and regulatory compliance.
Lesson 4 • Incident Causation Models
Compares domino, Swiss cheese, and systemic causation models. Theoretical grounding shapes the investigator's analytical approach.
Lesson 5 • Immediate Response and Scene Preservation
Covers first medical response, scene security, and evidence preservation protocols. Timely action protects both victims and investigation integrity.
Chapter 6HideHide detailsSee detailsOccupational Hygiene and Environmental Control
Occupational Hygiene and Environmental Control
Lesson 1 • Ventilation System Design Principles
Explains general dilution and local exhaust ventilation design parameters. Ventilation is the primary engineering control for airborne chemical hazards.
Lesson 2 • Thermal and Radiation Hazard Management
Addresses heat stress indices, cold exposure limits, and ionising/non-ionising radiation controls. Thermal and radiation hazards require specialised monitoring protocols.
Lesson 3 • Physical Hazard Control: Noise and Vibration
Covers noise mapping, vibration measurement, and engineering attenuation methods. Physical hazard control reduces the highest-prevalence sensory disease burden.
Lesson 4 • Industrial Hygiene Fundamentals
Defines anticipation, recognition, evaluation, and control as the hygiene cycle. Establishes the systematic process underlying all hygiene practice.
Lesson 5 • Chemical Hazard Monitoring Programmes
Designs sampling strategies, selects analytical methods, and interprets results against standards. Monitoring data drives exposure control decisions.
Chapter 7HideHide detailsSee detailsErgonomics and Work Organisation
Ergonomics and Work Organisation
Lesson 1 • Manual Handling Risk Reduction
Analyses lifting, carrying, pushing, and pulling tasks using quantitative tools. Intervention design reduces the leading cause of occupational injury.
Lesson 2 • Workstation Design and Adjustment
Covers anthropometric data application, display screen equipment setup, and seated/standing workstation criteria. Correct design prevents musculoskeletal disorders.
Lesson 3 • Participatory Ergonomics Programmes
Designs worker-involved ergonomic improvement programmes with management support structures. Participation increases intervention uptake and sustainability.
Lesson 4 • Shift Work and Fatigue Management
Examines circadian disruption, fatigue risk models, and shift schedule optimisation. Work organisation interventions complement physical ergonomic controls.
Lesson 5 • Ergonomic Assessment Methods
Introduces RULA, REBA, NIOSH lifting equation, and observational tools. Standardised methods enable reproducible ergonomic risk quantification.
Chapter 8HideHide detailsSee detailsOccupational Health Programme Management
Occupational Health Programme Management
Lesson 1 • Occupational Health Service Structure
Defines service models, staffing ratios, and infrastructure requirements for workplace health units. Structural decisions determine service capacity and quality.
Lesson 2 • Occupational Health Indicators and Audit
Establishes KPIs, audit frameworks, and benchmarking methods for health programme performance. Data-driven management enables continuous improvement.
Lesson 3 • Health Promotion at the Workplace
Designs evidence-based workplace health promotion programmes targeting lifestyle and occupational risk factors. Promotion extends impact beyond statutory compliance.
Lesson 4 • Strategic Planning and Budget Management
Applies business case development, budget planning, and stakeholder alignment to occupational health strategy. Strategic skills secure resources and organisational support.
Lesson 5 • Emergency Preparedness and Response
Develops industrial emergency response plans covering chemical releases, mass casualty events, and pandemic scenarios. Preparedness reduces harm and liability.

Your valid completion certificate
This course is for you:
Occupational physicians: seeking structured AFIH certification to formalise clinical expertise.
General practitioners: transitioning into industrial medicine as a specialised career path.
Workplace health nurses: expanding scope to include risk assessment and programme leadership.
Safety officers: adding medical and toxicological knowledge to complement existing credentials.
HR and EHS managers: building occupational health literacy to lead compliant workplace programmes.
Medical graduates: entering occupational health as a first specialty with no prior exposure.
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