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Our approach

A work clearance is a medical decision, not paperwork.

Bristlecone grew out of a scene we kept seeing: exams done assembly-line style, clearances signed with nothing behind them and flagged employees nobody ever saw again. When the inspection or the accident comes, that paper protects neither the company nor the employee.

  • Our own lab, so we don't depend on samples that travel.
  • We can see employees at the clinic, on the job site or at a remote site.
  • Predictable: the protocol set up front, a report in 48 hours and dated rechecks.

Three moments in every visit

  1. Examine

    The protocol is built around the position and its real hazards.

  2. Document

    Every clearance states the finding it's based on, signed with a license number.

  3. Monitor

    Flagged cases get a recheck with a date and an owner.

What we solve

It almost always starts with one of these.

We start from what's actually worrying the company, not from a price list.

Pick a situation to see how we'd handle it.

Our last provider took two weeks.

The report goes out within 48 hours of the last test. If a case needs more time, we tell you the same day instead of leaving the site waiting.

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An inspector flagged our medical records.

We check what's missing: protocols by position, support for each clearance, proof of exit exams and the surveillance log.

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We have crews working at 9,000 feet.

Clearance is evaluated against the site's actual elevation, not a generic number. That changes the cardiovascular and respiratory evaluation.

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We can't drive a hundred people to the clinic.

We bring the mobile unit to the job site or the mine, with the equipment for the protocol and block scheduling.

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We're billed for tests the position doesn't need.

The protocol is set by the position's real hazards. A test that doesn't apply drives up the cost without protecting anyone.

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We've had flagged cases for two years and nobody followed up.

That's exactly what an inspection looks at. We set up the surveillance program with dated rechecks and an owner assigned.

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Do we really need an exit exam?

It's what documents the employee's health on the way out. Without it, a later claim gets argued with no evidence.

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Step by step

From the protocol to the follow-up.

Every stage has a point where the company gets information and can decide.

  1. Protocol
  2. Scheduling
  3. Exam
  4. Report
  5. Surveillance
  6. Recheck
How we work

Five steps in every visit.

The same order for one office employee or a crew of 120 on a job site.

  1. 01

    Protocol by position

    Before we quote, we set the protocol based on the position and its real hazards: heights, noise, dust, food handling or driving. Billing for tests a position doesn't need drives up the cost without protecting anyone.

    Stage 1 of 5
  2. 02

    Scheduling

    We schedule employees in blocks with set appointment times. Sending twenty people at seven in the morning means the last one walks out at two in the afternoon, and the company loses a full day of work from all of them.

    Stage 2 of 5
  3. 03

    Exam

    The employee completes all their tests in one pass: lab work, hearing test, spirometry, vision, fitness-for-duty and the physical exam. If a test in the protocol is missing, we don't send them back another day without warning.

    Stage 3 of 5
  4. 04

    Report in 48 hours

    The report goes out within 48 hours of the last test, with the clearance and the finding behind it, signed by the occupational physician with their license number. A clearance with nothing behind it won't hold up in an inspection.

    Stage 4 of 5
  5. 05

    Surveillance

    Employees with findings go into follow-up: we set the recheck, the date and what the company needs to fix at the workstation. An exam that finds a problem and never follows up just fills a filing cabinet.

    Stage 5 of 5
Why BRISTLECONE?

What you'll find here.

It's not just about having the exam done. It's about it holding up when someone reviews it.

Report in 48 hours

From the last test. If a case needs more time, we tell you the same day instead of leaving you waiting.

Every clearance backed up

Each clearance states the finding it's based on and carries the physician's name and license number.

Protocol by position

Only the tests the position requires. We don't pad the exam with things that don't apply.

Set appointment times

Block scheduling, so the company doesn't lose an entire crew for the whole day.

We come to your site

A mobile unit for screenings where your people are, without driving a hundred employees to the clinic.

Real follow-up

Flagged employees get a dated recheck, and the company gets a list of what to fix at the workstation.

48 Hours to the report From the moment the employee finishes their last test.
8 Clinic services Four for exams and four for surveillance and support.
1 Physician responsible per report Name, license number and signature on every clearance.
Who we are

Who we are, in six answers.

What's worth knowing about Bristlecone before your first screening.

What we do

Occupational exams, work at heights and altitude, lab work, a mobile unit, surveillance and training.

Where we're strongest

Large screenings at remote sites and high-altitude clearances, where clinical support matters most.

Who we serve

Mining and energy, construction, and industry and services, each with its own protocols.

The problem we solve

Getting exams back on time, making them hold up to review and turning findings into real follow-up.

How we do it

A protocol by position, block scheduling, a report in 48 hours and dated rechecks.

What sets us apart

We back up what we sign. And we tell you when a not-cleared result can improve instead of just closing the case.

Next step

Get a quote.

We'll send you the protocol for each position with the per-person price and the turnaround time.