What is an Act 24 (Workers' Compensation Act 24) physical?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 11, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

An Act 24 physical is a medical examination required under Pennsylvania's Workers' Compensation Act for employees who have been injured on the job and are receiving workers' compensation benefits. This examination is conducted by a physician chosen by the employer or their insurance company to evaluate the injured worker's medical condition and determine their ability to return to work. According to the guidelines for assessing and managing work-related illnesses, clinicians should be aware of the major pertinent laws, regulations, and agencies that have relevance to patients with work-related injuries, including the Workers' Compensation Act 1.

During an Act 24 physical, the doctor reviews the employee's medical history, examines their current physical condition related to the workplace injury, and assesses their capacity to perform job duties. The physician then provides a report that may include work restrictions, recommendations for continued treatment, or clearance to return to full duty. The purpose of this examination is to provide an objective medical assessment that helps determine ongoing benefit eligibility and appropriate return-to-work plans.

Some key points to consider include:

  • The examination is typically conducted by a physician chosen by the employer or their insurance company
  • The examination aims to evaluate the injured worker's medical condition and determine their ability to return to work
  • The physician's report may include work restrictions, recommendations for continued treatment, or clearance to return to full duty
  • Workers are required to attend these examinations when requested, as refusal could potentially affect their workers' compensation benefits, as stated in the Workers' Compensation Laws section of the guidelines 1.

The examination results can significantly impact the course of a workers' compensation claim by influencing decisions about benefit continuation, modification, or termination. Workers should be aware of their rights and responsibilities under the Workers' Compensation Act, including the requirement to attend Act 24 physicals and the potential consequences of refusing to do so.

From the Research

Definition of Act 24 Physical

An Act 24 physical, also known as a Workers' Compensation Act 24 physical, is a type of physical examination conducted for workers' compensation purposes.

Purpose of Act 24 Physical

  • The purpose of an Act 24 physical is to evaluate an employee's physical condition and determine the extent of any work-related injuries or illnesses.
  • The examination is usually conducted by a licensed healthcare professional, such as a physician or an occupational health nurse.
  • The results of the examination are used to determine the employee's eligibility for workers' compensation benefits and to develop a plan for their treatment and rehabilitation.

Components of Act 24 Physical

  • A comprehensive physical examination, which may include a review of the employee's medical history, a physical assessment, and diagnostic tests.
  • The examination may be focused on a specific body system or may be a comprehensive, head-to-toe examination, as seen in studies such as 2.
  • The physical examination is a critical element of any occupational health practice, and when performed effectively, it can benefit both the employer and the employee, as stated in 2.

Importance of Act 24 Physical

  • The Act 24 physical is an important tool for ensuring that employees receive the medical care and benefits they need to recover from work-related injuries or illnesses.
  • The examination can also help to identify any underlying medical conditions that may be contributing to the employee's symptoms or disability, as discussed in 3.
  • Additionally, the Act 24 physical can help to prevent further injuries or illnesses by identifying potential health risks and developing strategies for mitigating them, as seen in studies such as 4 and 5.

Related Concepts

  • Occupational physical and emotional fitness, which is an important aspect of workers' compensation and workplace health, as discussed in 4.
  • Medical screening examinations, which are an essential component of physical therapy practice, as stated in 5.
  • Industrial medicine and acute musculoskeletal rehabilitation, which may involve the use of modalities, therapeutic exercise, and orthotic devices to treat work-related musculoskeletal conditions, as seen in 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Physical examination for the occupational health nurse: skills update.

AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2003

Research

The Outpatient Physical Examination.

The Medical clinics of North America, 2018

Research

Occupational physical and emotional fitness.

Work (Reading, Mass.), 2018

Research

Medical screening examination: not optional for physical therapists.

The Journal of orthopaedic and sports physical therapy, 1991

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.