Table 1

Some potential advantages and disadvantages of pre-employment screening from different viewpoints

Applicant and his or her familyEmployerSociety
Possible advantages
• Avoidance of future ill-health• Less sickness absence and labour turnover; fewer ill-health retirements; more long serving efficient units of labour hired• Reduced work related ill-health, leading to lower demand for health services and less attrition of labour
• Awareness of a special need to use precautions more fully in the job• Less civil liability; lower insurance costs• Reduction in risks to third parties from business activities
• Avoidance of wasted time and effort in training for an unfitted career• Chance to target the deployment of control measures or make a special effort in selected cases
• Avoidance of the distress that might arise from harming third parties
• Possible disadvantages
• Inconvenience• Direct costs of programme (personnel, materials, overheads)• Additional cost to industry and so to the cost of goods and services
• Discomfort (possibly)• Indirect costs (e.g. disrupted production, labour disquiet)
• Anxiety about future health and security of job• Cost of excluding and replacing applicants
• Potential loss of privacy• Risk of legal suit for employment discrimination (in some countries)
• Risk of not being employed in a desirable job, with loss of income
• Risk that employer may forego the cost of primary control measures