EFHA is an independent training organisation delivering evidence-based, standards-aligned education and skills development across Africa. EFHA focuses on occupational health, primary care, and public health training, with a strong emphasis on practical competence, ethical practice, and learner support.
EFHA was established to address gaps in frontline health skills training by providing structured, accessible programmes that are relevant to real-world working environments. Training is designed to support learners working in diverse and often resource-constrained settings, while maintaining alignment with recognised international standards and best practice.
Courses are developed and delivered by experienced clinicians, educators, and subject-matter experts with extensive experience across African, European, and global health systems.
EFHA aligns its training programmes to South African Qualifications Authority (SAQA) frameworks, Quality Council for Trades and Occupations (QCTO) occupational qualifications, applicable Unit Standards, and relevant national legislation and SANS standards, depending on the course.
Where applicable, EFHA courses are aligned to:
- SAQA-registered Unit Standards
- QCTO occupational qualifications
- South African occupational health legislation (including the OHS Act, COIDA, and NIHL Regulations)
- Relevant SANS and international technical standards
- International clinical guidelines (e.g. ATS/ERS for spirometry)
Formal accreditation processes are pursued where appropriate for the course type and delivery model. Not all EFHA courses require formal accreditation to be valid or fit for purpose, particularly where the training is skills-based, competency-focused, or refresher-oriented.
EFHA is transparent about the alignment, scope, and purpose of each course and does not present any programme as accredited where it is not.
Yes. EFHA certificates are widely recognised across Africa and internationally as evidence of structured training, workplace-based learning, and demonstrated competence, particularly within occupational health and primary care settings.
Recognition may vary by country and employer, as professional practice and regulatory requirements differ internationally. However, EFHA training is frequently accepted by:
- Occupational health service providers
- Employers and industry clients
- NGOs and international health projects
- Research institutions
- Multinational organisations operating across Africa
EFHA certificates demonstrate that a learner has:
- Completed a structured theoretical curriculum
- Participated in supervised practical training
- Met defined competence requirements through assessment
EFHA certificates do not replace professional registration, medical licensure, or statutory authority, but they provide strong supporting evidence of competence within a defined scope of practice.
Yes. EFHA Certificates of Competence are commonly used as supporting documentation for:
- Internal quality assurance processes
- Employer compliance records
- Client and contractor audits
- Occupational health programme reviews
Certificates indicate that staff have been trained, assessed, and supported to perform specific screening or health-related tasks appropriately. EFHA training supports competence and quality assurance but does not replace the legal responsibilities of employers or Occupational Medical Practitioners (OMPs).
Yes. EFHA programmes are intentionally designed to align with international best practice, while remaining realistic and appropriate for African healthcare and occupational health contexts.
Depending on the course, alignment may include:
- ATS/ERS clinical standards and guidelines
- International occupational health principles
- ISO and SANS technical standards
- Good Clinical Practice (where applicable)
This ensures that learners are trained to understand what good practice looks like, even when working in settings with limited equipment, supervision, or infrastructure.
No. EFHA does not issue licences to practise and does not grant authority to work outside a learner’s professional scope.
EFHA training:
- Builds knowledge and practical competence
- Supports ethical and safe practice
- Reinforces scope-of-practice boundaries
Learners must always practise in accordance with:
- Their professional registration (if applicable)
- National legislation
- Employer policies and standard operating procedures
EFHA certificates confirm training and competence – they do not confer legal authority.
EFHA is committed to supportive, ethical, and high-quality training. Our approach prioritises:
- Learner mentorship and guidance
- Practical, workplace-relevant skills
- Clear scope-of-practice protection
- Fair, transparent, and defensible assessment processes
EFHA’s goal is not simply to issue certificates, but to support learners in becoming confident, competent, and safe practitioners who understand both their abilities and their professional boundaries.
EFHA courses are open to a wide range of learners working in, or intending to work in, occupational health, primary care, and related health services. Each course has clearly defined entry requirements to ensure that learners are appropriately prepared and supported.
Depending on the course, eligible learners may include:
- Occupational Health Nurses
- Medical Practitioners
- Allied health professionals
- Occupational health practitioners and assistants
- Healthcare assistants and screening staff
- Individuals entering the occupational health field
Each course page clearly outlines who the course is intended for and any specific professional or educational requirements.
Yes. Most EFHA occupational screening and skills-based courses require a minimum of Grade 12 or NQF Level 4.
Some advanced or clinically focused courses may require:
- A relevant tertiary qualification
- Professional council registration (e.g. HPCSA, SANC, SAMA), depending on the scope of the course
Entry requirements are always specified upfront to ensure learners are enrolled on courses appropriate to their background and role.
This depends on the course and the certification pathway you choose.
For example:
- Assistant / Practitioner pathways generally do not require professional council registration.
- Advanced or professional-level pathways (e.g. Spirometrist, Audiometrist) may require registration with a recognised professional council, such as the HPCSA or SANC.
Professional registration requirements are clearly stated for each course, and learners are advised at registration if council registration is required.
Yes. Several EFHA courses are designed specifically for learners new to occupational health, provided they meet the minimum educational requirements.
Introductory and assistant-level courses focus on:
- Foundational knowledge
- Step-by-step skills development
- Clear scope-of-practice boundaries
- Close facilitator support
Learners are not expected to have prior occupational health experience unless explicitly stated in the course entry requirements.
For most Certificate of Competence courses, yes. Learners are required to have access to:
- An occupational health clinic or workplace setting
- Appropriate screening equipment relevant to the course
This is essential to allow learners to:
- Practise skills in a real-world environment
- Complete workplace assignments
- Compile a Workplace Assignment
If you are unsure whether your workplace setting is suitable, EFHA encourages you to contact the team before enrolling for guidance.
EFHA does not place learners directly into clinics. However, where possible, EFHA may:
- Provide guidance on suitable workplace arrangements
- Encourage peer support or supervised access through colleagues
- Offer practical advice on how to meet workplace requirements
Learners remain responsible for securing appropriate access for practical components.
Yes. EFHA training is delivered across Africa and internationally through online and hybrid learning models.
Learners outside South Africa are welcome to enrol, provided they:
- Meet the course entry requirements
- Have access to appropriate practical settings
- Understand that local regulations and scope-of-practice rules apply in their country of practice
EFHA training aligns with international best practice but does not override country-specific legal or regulatory requirements.
In some cases, yes. Recent graduates or students may enrol if:
- They meet the minimum educational requirements
- The course scope aligns with their current training or role
- They have access to a suitable practical environment
EFHA may recommend specific courses or pathways depending on the learner’s level of training and professional development goals.
Learners are required to submit:
- A completed booking or registration form
- A copy of their identity document or passport
- Proof of highest qualification
- Proof of professional council registration (if applicable)
Additional documentation may be requested depending on the course.
Yes. EFHA reserves the right to decline enrolment if:
- Entry requirements are not met
- The course is not appropriate for the learner’s background or role
- Adequate practical access cannot be confirmed for competence-based courses
This is done to protect learners, employers, and patients, and to ensure that training remains ethical, safe, and defensible.
EFHA encourages prospective learners to:
- Review the course flyer and Q&A carefully
- Contact the EFHA team for guidance
- Discuss options with their employer or supervisor
EFHA staff are happy to assist in identifying the most appropriate course and certification pathway based on your role, experience, and career goals.
Yes – many learners complete multiple screening courses to broaden their skills, but you can only do one course per month as all our courses run each month
Examples:
- spirometry + audiometry + vision screening
- 3-in-1 occupational health practitioner pathway
Your facilitator can help you plan your learning schedule.
No. It is designed to be simple, structured, and supportive.
What makes EFHA easier for learners:
- friendly facilitators
- step-by-step explanations
- live demonstrations
- WhatsApp group guidance
- real workplace practice
- no unnecessary complexity
We help you learn confidently, even if this is your first medical course.
EFHA courses follow a structured, stepwise learning pathway designed to support safe, effective skills development. While the clinical content differs by course, the overall structure is consistent across EFHA programmes.
Most Certificate of Competence courses include:
- Induction and orientation
- Online theory learning
- Live Q&A and mentoring sessions
- A theory examination
- Practical training sessions (compulsory)
- A Portfolio of Evidence (workplace-based assignments)
- A formal practical assessment
- Certification and course close-out
Each stage builds on the previous one and must be completed in sequence.
Most EFHA short courses are designed to be completed over approximately three months, although learners are given additional time to accommodate workplace demands, clinical schedules, and unforeseen challenges.
Each course has a defined course closing date, by which all assessments must be completed. This date is communicated clearly at the start of the course.
Learners are encouraged to pace their learning consistently rather than leaving requirements to the final weeks.
Yes. EFHA courses run in cohorts with clearly defined:
- Registration closing dates
- Induction dates
- Theory examination dates
- Portfolio submission deadlines
- Course closing dates
These dates are shared with learners at registration and reiterated during induction. Working within a cohort allows learners to benefit from group support, live sessions, and shared learning experiences.
Step-by-step sections, illustrations, videos, and open-book questions to help you learn easily.
Modules include:
- clear explanations of each topic
- diagrams and images
- case studies
- quizzes to check your understanding
- examples from real workplace scenarios
- guidance based on updated legislation
You can study on laptop, tablet, or phone.
Most courses run over 1–2 weeks for theory, followed by time to complete your workplace assignment and your practical assessment.
Your timeline includes:
- theory week/s
- supervised online theory exam
- workplace assignment (often 1–4 weeks depending on workplace access)
- practical assessment booking
You move at a supported pace – but you must stay on schedule to avoid delays.
The induction session is a compulsory live online session designed to orient learners to the course.
During induction, learners are introduced to:
- The learner portal and course materials
- Course timelines and expectations
- Assessment requirements
- Communication channels and support structures
Attendance is strongly encouraged, as this session answers many common questions and sets learners up for success.
The online theory component consists of:
- Structured learning modules
- Pre-recorded lectures and readings
- Embedded knowledge checks or quizzes
Learners can complete theory modules at their own pace within the allocated timeframe, allowing flexibility alongside work and personal commitments.
A combination of open-book questions and one final supervised online multiple-choice exam.
The theory assessment includes:
- End-of-module open-book questions
- A final supervised theory exam
Open-book questions help you build understanding gradually.
The final theory exam confirms that you can apply essential concepts confidently before you move into practical assessment.
Yes. EFHA courses include live online Q&A and mentoring sessions facilitated by experienced trainers.
These sessions provide:
- Clarification of theoretical concepts
- Discussion of practical challenges
- Guidance on applying theory in the workplace
- Opportunity to ask questions in real time
Sessions are recorded and made available to learners who are unable to attend live.
Yes. Each session covers essential content for your assessments.
Live sessions help you:
- understand the most important concepts
- get clarification
- see demonstrations
- prepare for theory and practical exams
- receive guidance on the workplace assignment
If you miss a session due to valid reasons, EFHA will guide you on how to catch up.
The theory examination takes place after learners have completed the online theory component and attended the required live sessions.
The exam is:
- Conducted online
- Invigilated live via Zoom
- Scheduled on a fixed date communicated well in advance
Examination rules and requirements are shared with learners before the exam.
Online, supervised, and multiple-choice – you will receive a scheduled time slot.
The exam is:
- written online
- supervised via video
- structured as multiple-choice
- scheduled one week after the online theory sessions
The supervision requirement protects academic integrity and ensures fairness for all learners.
After successful completion of the theory exam, learners move into the practical training phase of the course.
This phase focuses on:
- Hands-on skill development
- Facilitator demonstrations
- Guided practice and feedback
- Preparation for workplace assignments
Practical training sessions are compulsory for competence-based courses.
You will be given one free rewrite and support to help you prepare.
We don’t want any learner to feel discouraged. Your facilitator will help you identify gaps, revise the content, and prepare for your rewrite. Most learners pass on the second attempt.
No. The exam is scheduled for all learners to ensure consistency.
This ensures:
- fairness
- equal preparation time
- structured group progression
- proper supervision
Exceptions are considered only in exceptional circumstances.
The usual pass mark is 60%, depending on the course.
Theories in occupational health require solid understanding for safety and accuracy.
The 60% benchmark ensures you can apply knowledge confidently before moving on to practical skills.
A real-world practical task where you conduct screening tests on real subjects in your own workplace (or home environment if workplace is unavailable).
📝 Explanation:
This demonstrates that you can apply the theory safely and correctly using:
- your own equipment
- your real work environment
- real people (never mannequins or simulations)
It shows that you can operate in real-life conditions, not just in theory
Any real, consenting adults – colleagues, volunteers, family members.
Each learner must use different subjects.
You cannot:
- use the same subject as another learner
- repeat the same subject for multiple tests
- test children
Why?
Because each subject brings unique reliability challenges, behaviours, and patterns.
This proves proper independence and competence.
You may use volunteers outside the workplace or EFHA can advise on alternatives.
Workplace restrictions are common.
You may complete your assignment using:
- family
- friends
- colleagues from another department
- volunteers
EFHA will guide you, so you remain compliant.
It is important that you think this aspect through prior to registering for training and find a suitable workplace to complete the practical requirements. EFHA is not able to assist students to find workplaces.
We understand that not all workplaces have:
- audiometry booths
- spirometers
- vision screening tools
In such cases, you may need to:
- borrow equipment
- use workplace partners
- attend practical-support days
- arrange supervised sessions
Yes. You must pass theory and the workplace assignment before you can book your practical assessment.
This ensures that you:
- understand the theory
- can apply it independently
- are ready for a live assessment
Skipping steps would put you at risk of failure – so we sequence them correctly.
The practical assessment is conducted after successful portfolio completion.
Learners:
- Book the assessment with an approved assessor
- Demonstrate practical competence
- Receive structured feedback
Practical assessments confirm that learners can perform required tasks safely, accurately, and within scope.
A live online assessment where you demonstrate the full testing cycle.
You will be assessed on:
- preparation
- subject instruction
- equipment setup
- conducting the screening test
- ensuring reliability
- recording results
- identifying when to escalate
- interpretation (if professionally allowed)
The assessor guides you and supports you throughout.
That’s completely normal. EFHA assessors are friendly and guide you step-by-step.
We understand assessments can be intimidating.
EFHA assessors:
- create a calm environment
- explain the process
- answer questions
- give gentle correction
- set you up for success
Our goal is competence, not intimidation.
Not if you follow the steps you learned.
It is straightforward and supportive. The practical assessment is all about showing the assessor that you can manage your environment, equipment and subject as you would in normal day to day work in your own workplace.
Assessors check for:
- correct management of the environment
- correct management of the equipment
- correct management of the subject
- correct preparation and testing technique
- understanding of results validity
- correct escalation
- safe practice
- good communication
Almost all learners pass on their first attempt.
Yes. It is a learning environment – not a memory test.
You may use:
- notes
- checklists
- printed module sections
- your workplace forms
Good practice in occupational health includes using checklists, so this is encouraged.
You will receive feedback and may book a follow-up session.
We don’t leave learners behind. Your assessor will explain what needs improvement and help you prepare for a successful retest. There is no penalty – only support
EFHA will give you timelines based on the course structure (usually 4–8 weeks total).
Timelines ensure:
- the pace stays manageable
- your knowledge stays fresh
- you don’t lose momentum
If you need more time for a valid reason, EFHA will support you.
EFHA understands that learners are balancing training with work and personal responsibilities. Learners are encouraged to communicate early if challenges arise.
Support options may include:
- Guidance on catch-up plans
- Rescheduling within the course window
- Additional mentoring where appropriate
However, learners are expected to engage actively and meet published deadlines wherever possible.
EFHA uses a three-part assessment process:
- Theory Assessment
- Workplace Assignment
- Practical Competency Assessment
This system ensures that you are competent both in theory and in real-world practice.
You learn the knowledge (theory), apply it in real life (workplace assignment), and demonstrate your skill live (practical assessment).
This combination creates a safe, confident practitioner – not just someone who passed an online quiz.
Once all components are successfully completed:
- The course is formally closed
- Certificates are issued
- Learners receive confirmation of completion
Certificates clearly reflect the course completed and the learner’s scope of practice.
EFHA courses use a blended online learning model that combines self-paced theory modules with live, facilitator-led sessions. This approach allows learners to study flexibly while still receiving real-time guidance, clarification, and mentorship.
Online delivery typically includes:
- Access to a secure learner portal
- Pre-recorded lectures and reading materials
- Embedded quizzes or knowledge checks
- Live online Q&A and mentoring sessions via Zoom
This model is designed to support learners working full-time and those in geographically diverse locations.
No – you can access your study materials 24/7.
This allows you to:
- revise when it suits you
- complete open-book questions in your own time
- prepare comfortably before assessments
The only scheduled items are live sessions and your supervised theory exam.
Absolutely. EFHA offers ongoing support through facilitators, WhatsApp groups, and direct communication.
You are not alone at any stage.
EFHA provides:
- academic support
- technical guidance
- exam preparation tips
- reminders & check-ins
- encouragement when you feel stuck
Our goal is for you to succeed with confidence.
Reliable internet access is helpful, but EFHA recognises that connectivity can vary across regions. Course materials are designed to be:
- Accessible on standard internet connections
- Downloadable where possible for offline viewing
Live sessions require stable internet at the time of attendance. If connectivity issues arise, session recordings are made available so learners can catch up.
Learners are encouraged to plan ahead for live sessions where possible.
Rejoin immediately. If the issue continues, EFHA will assist or reschedule.
You will NOT fail because of signal issues or loadshedding.
EFHA handles this fairly and with understanding.
Plan ahead by checking the schedule and charging your devices.
Tips:
- charge your phone/laptop beforehand
- keep a power bank ready
- use mobile data if Wi-Fi drops
- notify your facilitator if loadshedding overlaps with exam time
EFHA is flexible and understanding when dealing with loadshedding.
Around 2-3 GB per live session if using mobile data.
Usage depends on:
- video quality
- session length
- device settings
Wi-Fi uses less data; mobile data is still fine
A laptop or desktop.
If unavailable, a tablet can work – phones are not recommended.
A larger screen helps with:
- reading questions
- switching between items
- stable supervision
- reduced technical errors
If a laptop is unavailable, EFHA will help you plan alternatives.
Yes – for classes and studying.
A laptop is strongly recommended for the theory exam and practical assessment.
Phones are great for:
- Zoom classes
- reading modules
- WhatsApp support
A laptop just gives you more space during assessments.
Contact EFHA immediately – we will guide you on safe alternatives.
You may use:
- another phone
- a workplace device
- a borrowed laptop
- a rescheduled exam slot
You won’t be penalised.
Learners can access EFHA courses using:
- A laptop or desktop computer (recommended)
- A tablet
- A smartphone (limited functionality for some tasks)
For exams, practical sessions, and live meetings, a laptop or desktop with a webcam and microphone is strongly recommended to ensure smooth participation and compliance with assessment requirements.
No specialised software is required. EFHA uses commonly available platforms such as:
- A web-based learner portal
- Zoom for live sessions and examinations
All access links and instructions are provided in advance. Learners are encouraged to test their device and Zoom setup before live sessions.
That’s okay – EFHA provides step-by-step guidance.
You will receive:
- an easy “How to join” message
- test links
- reminders
- support during your first login
Many learners join Zoom for the first time during EFHA courses – and we help every step of the way.
Yes – choose the quietest place you can.
A quiet space helps you:
- hear explanations
- ask questions easily
- focus on demonstrations
Earphones work well in noisy households.
Yes – especially for live classes, the theory exam, and practical assessment.
A camera is required for supervision and demonstrating your technique.
Phone cameras are perfectly acceptable.
Yes. You must be able to hear and speak during online sessions.
- Earphones with a built-in microphone work best and reduce background noise.
Yes – if you can stay focused and have a quiet space.
You may use:
Many learners join from:
- clinics
- OH rooms
- site offices
- staff rooms
Just ensure you can listen and participate.
Live sessions are strongly encouraged and, for some components (such as induction, exams, and practical sessions), compulsory.
Live Q&A and mentoring sessions:
- Enhance understanding
- Allow learners to ask questions directly
- Provide guidance on practical application
Where sessions are not compulsory, recordings are provided for learners who cannot attend live.
Many EFHA learners are new to online learning. The induction session includes:
- A walkthrough of the learner portal
- Guidance on using Zoom
- Tips for navigating course materials
Facilitators and administrators are available to assist learners who need extra support.
Experienced facilitators who are certified practitioners and work in occupational health environments.
EFHA trainers are:
- practising clinicians
- specialists in spirometry, audiometry, and vision testing
- experienced in mentoring beginners
- up to date with legislation and SANS standards
This ensures you receive practical, trustworthy guidance.
Yes. EFHA provides technical guidance and administrative support throughout the course.
Support includes:
- Assistance with portal access
- Guidance on Zoom setup
- Help with downloading or accessing materials
Learners are encouraged to report technical issues early to avoid disruption.
Yes. Pre-recorded theory content can be:
- Paused
- Replayed
- Reviewed multiple times
This allows learners to study at their own pace and revisit complex topics as needed.
Yes. Most sessions are recorded and made available for revision.
Recordings help you:
- revise before the theory exam
- catch up if you missed a concept
- revisit explanations during the workplace assignment
Some sensitive or practical demonstrations may not be recorded.
No. EFHA courses are designed to be user-friendly and supportive, even for learners with limited digital experience.
Learners are supported through:
- Clear instructions
- Step-by-step guidance
- Access to recordings and written materials
The focus remains on learning and competence, not technical ability.
EFHA uses a multi-step assessment approach to ensure that learners demonstrate both knowledge and practical competence. Assessment is designed to be fair, transparent, and supportive, while maintaining clear standards.
Most Certificate of Competence courses include:
- A theory examination
- Compulsory practical training sessions
- A Portfolio of Evidence (Workplace Assignments)
- A formal practical assessment
Each component assesses a different aspect of competence and must be completed successfully to qualify for certification.
The theory examination assesses a learner’s understanding of:
- Core concepts and principles
- Relevant guidelines, standards, and legislation
- Quality assurance and safety requirements
- Appropriate interpretation and decision-making within scope
The theory exam confirms that learners have the necessary knowledge foundation before progressing to hands-on assessment.
If a learner does not pass the theory exam on the first attempt:
- Feedback is provided where appropriate
- The learner may be given an opportunity to rewrite the exam
Rewrite fees may apply. EFHA’s goal is to support learning while maintaining assessment integrity.
Yes. All screening courses include supervised practical training to help you build real confidence and skill.
Practical training ensures you can:
- prepare equipment safely
- guide your test subject properly
- conduct the full test procedure
- recognise reliability problems
- know when to stop or repeat a test
- follow legal and best-practice steps
EFHA believes competence comes from doing, not just reading.
Practical training sessions are compulsory for competence-based courses. These sessions focus on:
- Demonstration of required skills by the facilitator
- Guided learner practice
- Real-time feedback and correction
- Reinforcement of quality and safety standards
Practical sessions prepare learners for workplace assignments and the final practical assessment.
Practical training sessions themselves are primarily formative, meaning they are designed to support learning rather than to formally assess performance.
However, facilitators may:
- Observe learner participation
- Identify areas requiring additional support
- Provide guidance on readiness for portfolio submission
Attendance and engagement are required.
EFHA offers both onsite and online practical options, depending on the course and region.
Practical sessions may be:
- In-person (Johannesburg, Durban, Cape Town, Windhoek, Botswana etc.)
- Online live practical with your own equipment
- Hybrid (a combination of both)
We choose the format that best fits the course type and ensures safe, reliable practice for all learners.
You will practise the entire testing procedure from start to finish.
Depending on the course (Spirometry, Audiometry, Vision, Thermal), you will learn how to:
- set up the environment
- check equipment readiness
- prepare and instruct the worker
- conduct the test correctly
- manage reliability problems
- record and document results
- identify abnormal findings
- know when to escalate to an OHNP/OMP
This prepares you for your workplace assignment and practical exam.
Bring your study notes, a notebook, your device (if required), and your own refreshments.
You should pack:
- notebook + pen
- printed checklists or module pages
- laptop/tablet (for online components)
- your own lunch (tea/coffee provided where possible)
- any workplace documentation you need to practise
Comfortable clothing is recommended.
Not always. EFHA provides equipment at in-person sessions.
For online practical, you must use your workplace equipment.
In-person sessions allow learners to use EFHA’s:
- spirometers
- audiometers
- vision charts
- thermometers / tympanometers
Online practical require:
- functioning workplace equipment
- calibration in date
- a quiet room
- a stable internet connection
If you don’t have equipment, EFHA will guide you on options.
Usually half-day (4–5 hours), depending on group size and course.
We allow enough time for:
- demonstrations
- supervised practice
- troubleshooting
- questions
- preparation for your workplace assignment
Some groups may need slightly longer, but most finish comfortably in half a day.
Yes, lots of it – our facilitators give supportive, real-time guidance.
During practice, facilitators will help you with:
- Correct posture and positioning
- Subject instruction
- Technique corrections
- Error identification
- Good habits for reliability
- Safety and hygiene guidelines
Feedback is always warm, constructive, and designed to build confidence.
No. The practical day is training, not an exam.
The purpose of the practical training is to:
- learn
- make mistakes
- practise corrections
- prepare for your workplace assignment
- build confidence
Your actual assessment is done later during the online practical exam session.
Yes. Learners may request an additional session if needed.
We arrange this on a case-by-case basis for learners who:
- feel anxious
- need more practice
- lack workplace equipment
- want stronger technique before the exam
Our goal is success, not pressure.
Yes – practical training is a mandatory part of competence.
Skipping the practical day affects your ability to:
- complete the workplace assignment
- pass the practical exam
- receive your certificate
If you cannot attend, EFHA will help you reschedule.
Contact EFHA immediately. You will be moved to the next available date.
We understand that emergencies happen.
Late withdrawals may incur a rescheduling fee, but EFHA will always help you continue your learning journey
You start your workplace assignment – the next step toward your competency certificate.
After the practical day, you will feel ready to:
- conduct tests independently
- complete workplace forms
- identify reliability problems
- follow documentation steps
- escalate abnormal findings
Once the assignment is complete and approved, you may book your practical competency assessment.
You will practise using your own equipment in your workplace or home environment, guided via video call.
For online practical training:
- you need a phone or laptop with camera
- your facilitator demonstrates live
- you copy the steps
- you practise on a real volunteer
- you get feedback instantly
This format works very well, especially for remote learners.
The practical assessment is a formal, summative assessment conducted by an approved assessor after successful portfolio completion.
During the assessment, learners must:
- Demonstrate required practical skills
- Follow correct procedures and safety practices
- Show understanding of quality control and limitations
The practical assessment confirms that learners can perform tasks independently and competently within scope.
Practical assessments usually take place:
- Online
Details are confirmed during the booking process.
No. While course content may overlap, assessment requirements differ depending on the certification pathway.
Assistant-level pathways:
- Focus on safe screening and support tasks
Advanced pathways:
- Require deeper demonstration of technical competence, interpretation, and quality assurance
Certificates clearly indicate the pathway and scope achieved.
EFHA ensures fairness through:
- Standardised assessment criteria
- Trained assessors
- Clear instructions and expectations
- Opportunities for feedback and improvement
Learners are assessed on competence, not perfection.
The workplace assignment is a real-life practical task where you conduct screening tests on real adults using your own equipment in your work or home environment.
The assignment shows that you can:
- Apply your theory in a real setting
- Use proper technique
- Manage reliability and subject behaviour
- Document results correctly
- Know when to escalate
- Follow safety, ethics, and good communication
It proves you can work independently, not just pass a theory exam.
A portfolio may include:
- Completed reporting templates or case forms
- Evidence of tests or screenings performed by the learner
- Quality checks and self-review components
- Reflective questions or short written reflections
- Confirmation of supervision where applicable
Exact requirements vary by course and are clearly outlined in the portfolio instructions.
Because real competence comes from practising with real people, not simulations.
Testing real subjects teaches you:
- different behaviours and responses
- how to explain instructions clearly
- how to handle nerves or distractions
- What a real-world noise, airflow, or lighting affects results
- how to apply reliability checks
- how to correct errors quickly
These experiences prepare you for the practical exam and for safe, confident practice at work.
Yes. For Certificate of Competence courses, portfolio evidence must reflect tasks personally performed by the learner, unless explicitly stated otherwise for a specific pathway.
This requirement ensures that the portfolio genuinely demonstrates the learner’s practical competence, not just theoretical understanding or observation of others.
You may NOT:
- test the same subject twice
- share subjects with another learner
- test children
- test mannequins or use simulations
Each subject must be unique, because each person presents different challenges – this ensures true independence.
This depends on the course. EFHA will give you the exact number per discipline.
Typical requirements:
- Spirometry: multiple FVC manoeuvres, usually ≥ 3 subjects
- Audiometry: several screening audiograms, usually ≥ 5 subjects
- Vision: distance + near charts, usually ≥ 5 subjects
- Thermals: surface or core measures, usually ≥ 10 subjects
The goal is enough practice to demonstrate repeatable, reliable technique.
All testing must follow EFHA’s safety principles:
- consent
- hygiene
- privacy
- safe environment
- proper equipment usage
You must:
- clean equipment between subjects
- explain the procedure
- ensure subjects are not dizzy, ill, or medically unsafe
- stop immediately if someone becomes uncomfortable
- follow your employer’s IPC protocols
Safety comes first – always.
Yes. EFHA provides a simple consent form
The form includes:
- permission to be tested
- permission for results to be used in your assignment
- confirmation that the test is for training only
- privacy and confidentiality statements
This protects both you and the volunteer.
Use EFHA’s templates or your workplace forms.
Your documentation should include:
- volunteer name & details (initials allowed for privacy)
- date of testing
- equipment details
- full test results
- reliability checks
- notes on challenges
- your summary or interpretation (if permitted by scope)
Good documentation is a core skill in occupational health.
In your own workplace if possible, or at home if workplace testing is not allowed.
You may complete the assignment:
- in an OH room
- in a clinic
- in a mobile unit
- at home using personal volunteers
- in a community setting
As long as your environment meets basic safety requirements.
No. You must attend the practical day first.
This ensures you:
- use correct technique
- avoid unsafe errors
- don’t practise incorrectly
- feel confident before testing real people
Practical → Assignment → Practical Exam = the safe order.
Quality standards ensure that portfolio evidence demonstrates safe and defensible practice.
While lower-quality results may sometimes be clinically useful in practice, they do not demonstrate technical competence for training and certification purposes. Portfolio standards are aligned with:
- Course learning outcomes
- Relevant technical standards
- Good occupational health practice
This protects learners, employers, and the public.
EFHA recognises that learning is a process. If a portfolio does not meet requirements on first submission:
- Detailed feedback is provided
- Learners are given guidance on how to improve
- A resubmission opportunity is offered
Typically, two submissions are included as part of the course. Additional submissions may incur a fee.
Learners are supported through:
- Clear written portfolio guidelines
- Practical training sessions
- Live Q&A and mentoring opportunities
- Feedback on submissions
EFHA’s goal is to help learners succeed while maintaining appropriate standards.
EFHA recognises that access to equipment, supervision, or permissions may vary.
Learners in such settings are encouraged to:
- Communicate challenges early
- Seek guidance on suitable solutions
- Explore supervised access or peer-supported arrangements
However, portfolio standards themselves are not lowered, as they are essential to demonstrating competence.
No. For competence-based certification, portfolio requirements cannot be waived or replaced with alternative documentation.
This ensures fairness, consistency, and credibility across all learners and settings.
Portfolio submission deadlines are set at the start of the course and communicated clearly. Learners are expected to plan accordingly and submit on time.
Extensions may be considered in exceptional circumstances if communicated early.
Your assessor reviews your work and provides feedback. Once approved, you may book your practical exam.
The assessor looks for:
- correct technique
- proper documentation
- safe practice
- consistency across subjects
- understanding of reliability
- correct escalation (where applicable)
Feedback may include suggested improvements before your practical exam.
The most common errors are:
- Testing the same volunteer twice
- Not checking reliability correctly
- Poor documentation
- Forgetting escalation notes
- Rushing through the procedure
These mistakes are avoided by:
- using checklists
- taking your time
- revising your module content
- asking your facilitator when unsure
EFHA encourages quality over speed.
Your assessor will guide you through corrections – you won’t fail immediately.
Common issues include:
- missing forms
- poor documentation
- incomplete reliability checks
- using the same subject twice
- unclear results
You will always be allowed to correct errors and resubmit.
EFHA ensures fairness by:
- Using standardised portfolio requirements
- Applying the same marking criteria to all learners
- Considering context without compromising standards
- Providing clear feedback and opportunities for improvement
Competence is assessed on ability to perform safely and correctly, not on speed or perfection.
Successful portfolio completion confirms that a learner:
- Has applied theory in practice
- Can perform required tasks competently
- Understands quality, limitations, and escalation
- Is ready to proceed to formal practical assessment
It is a key milestone on the path to certification.
EFHA places strong emphasis on learner support and mentorship throughout the course. Support is provided through:
- Live induction and orientation sessions
- Facilitator-led Q&A and mentoring sessions
- Clear written instructions and guidance documents
- Constructive feedback on assessments and portfolios
- Administrative and technical support from the EFHA team
Learners are encouraged to ask questions and seek clarification at any stage of the course.
It is completely normal to feel overwhelmed at times, especially when balancing training with work and personal responsibilities.
Learners who are struggling are encouraged to:
- Reach out early to facilitators or the EFHA team
- Attend live Q&A sessions
- Review recordings and written materials
- Ask for guidance on prioritising tasks
EFHA’s approach is to support learning, not to penalise learners for needing help.
If a learner does not meet the required standard in an assessment:
- Feedback is provided to explain what needs improvement
- Opportunities to rewrite or resubmit are offered where appropriate
Failure of an assessment does not mean failure of the course, provided learners engage with feedback and meet requirements within the course timeframe.
Yes. EFHA allows resits or rewrites for:
- Theory examinations
- Portfolio submissions
- Practical assessments
The number of included attempts varies by course. Any applicable resit or reassessment fees are communicated clearly in advance.
No. Learning involves making mistakes, and EFHA views errors as opportunities for growth.
Learners are assessed on:
- Willingness to learn and improve
- Ability to apply feedback
- Commitment to safe and ethical practice
The focus is on competence, not perfection.
If a learner misses a live session:
- Recordings are usually available
- Catch-up guidance can be provided
If a deadline is missed:
- Learners should contact EFHA immediately
- Support options may be discussed
Repeated non-engagement or missed deadlines without communication may affect course progression.
Courses have defined closing dates. Extensions are not automatic but may be considered in exceptional circumstances if discussed early.
Learners are encouraged to:
- Plan ahead
- Engage consistently
- Communicate proactively
If a learner withdraws:
- Fees may not be refundable, depending on timing and circumstances
- Partial completion does not result in certification
Learners considering withdrawal are encouraged to discuss options with EFHA before making a final decision.
EFHA recognises that confident practitioners are supported practitioners. Training is designed to be:
- Structured and predictable
- Transparent in expectations
- Supportive rather than punitive
Learners are treated with respect and encouraged to progress at a sustainable pace.
The type of certificate you receive depends on the course you complete and the assessment requirements you meet.
EFHA issues:
- Certificates of Competence for courses that include theory, compulsory practical training, a Portfolio of Evidence, and a formal practical assessment
- Certificates of Attendance for refresher courses or short programmes that do not assess full practical competence
The certificate type is clearly stated on the course flyer and on the certificate itself.
You will receive a Certificate of Competence showing the level you completed – either Conducting Level or Conduct + Interpretation Level (depending on your profession and training pathway).
Each certificate clearly states:
- your full name
- course title (e.g., Occupational Screening Audiometry)
- competency level: Conducting Only OR Conduct + Interpretation
- date of completion
- accreditation details
- facilitator and assessor signatures
- hours of training
Certificates are issued only after theory + workplace assignment + practical exam are completed successfully.
A Certificate of Competence confirms that the learner has:
- Completed a structured theoretical programme
- Participated in supervised practical training
- Demonstrated competence through workplace-based evidence
- Passed a formal practical assessment
It indicates that the learner is competent to perform specific tasks within a defined scope of practice, as outlined by the course and relevant legislation.
A Certificate of Attendance confirms that the learner has:
- Attended and participated in a course or refresher programme
- Engaged with updated knowledge or skills
It does not confirm practical competence and does not replace a Certificate of Competence where formal assessment is required.
Yes. EFHA certificates are carefully worded to reflect:
- The course completed
- The training pathway (e.g. Assistant, Screener, Advanced)
- The nature of the training (competence-based or attendance-based)
Certificates do not imply authority beyond the learner’s professional or legal scope.
- Conducting Level (Screening Level)
For assistants, technicians, and non-clinical staff
You are trained to:
- perform the test
- ensure reliability
- document results
- identify when something is not normal
- refer immediately to a clinician
- You are NOT permitted to:
- diagnose
- interpret patterns
- classify hearing loss or lung function
- clear STS / PLH / medical concerns
- confirm fitness
This level is perfect for entry-level screening roles.
- For nurses, doctors, paramedics, and other qualified health care professionals
You are trained to:
- perform the test
- interpret screening results
- identify STS, NIHL patterns, spirometry patterns, visual abnormalities
- classify severity (where applicable)
- document clinical impressions
- advise the OMP or employer on appropriate next steps
Only medically trained professionals may be certified at interpretation level.
Yes. Assistants may learn the theory of interpretation but may not perform interpretation in practice.
Interpretation is permitted only for:
- registered nurses
- doctors
- clinical associates
- paramedics
- OMPs
- OHNPs
- other regulated health professionals
This is a legal and ethical requirement to protect patient safety.
Assistants may:
- observe
- learn
- understand what interpretation means
- identify “not normal”
- escalate appropriately
- Conducting Level CertificatesFor assistants and non-clinical staff:
- Spirometry Assistant
- Audiometry Assistant / Occupational Screening Audiometry Assistant
- Vision Screening Assistant
- Thermal Screening Assistant
- Occupational Health Practitioner (3-in-1 Assistants) → if you complete three screening courses (Spirometry + Audiometry + Vision)
- Conduct + Interpretation Level Certificates
For healthcare professionals (nurses, doctors, paramedics):
- Spirometrist
- Audiometrist
- Vision Screener (Professional Level)
These certificates allow formal interpretation within your professional scope of practice.
Yes, in most cases. Many global organisations and NGOs accept EFHA training for occupational screening roles.
Recognition varies by country.
However, EFHA aligns training with:
- international best practice (ERS, ATS)
- SANS/ISO standards
- COIDA + OHS Act requirements
- NER (2025) guidance
This helps employers recognise the training beyond South Africa.
EFHA certificates are widely recognised as evidence of training and competence. However, recognition depends on:
- National legislation
- Professional council requirements
- Employer policies
EFHA certificates support competence but do not override local regulatory or licensing requirements.
Yes. Many learners use EFHA certificates to:
- Demonstrate competence to employers
- Support role progression
- Meet workplace training requirements
- Strengthen CVs and professional portfolios
Employers remain responsible for defining roles and authorisations.
Certificates of Competence do not automatically expire. However, EFHA strongly recommends regular refresher training to maintain skills, particularly in technical screening procedures.
Some employers or regulations may require refresher training at defined intervals.
Certificates do not expire, but EFHA recommends refresher training every 2–3 years to maintain competence.
Competence can decline without practice.
Legislation and SANS standards evolve regularly (e.g., the 2025 NER update).
A refresher ensures you stay aligned to:
- new legal requirements
- new best-practice standards
- updated clinical recommendations
- new technology and equipment
Employers often require refresher training for audits and compliance.
Yes. EFHA certificates are widely recognised in occupational health, mining, manufacturing, logistics, medical, and NGO sectors.
Employers value EFHA training because:
- it is skills-based
- aligned with legislation
- aligned with SANS standards
- includes workplace practice
- includes a supervised practical exam
- is widely used across Africa
Certificates are accepted in:
- South Africa
- Namibia
- Botswana
- Zambia
- Kenya
- Tanzania
- Other African regions
Where applicable, EFHA courses carry CPD points, which are clearly stated on the course flyer.
CPD allocation depends on:
- Course duration
- Accrediting body
- Learner eligibility
Learners are responsible for ensuring CPD compliance with their professional council.
Yes. EFHA can reissue a certificate on request.
Replacement certificates include:
- reprinted PDF
- updated branding (if needed)
- confirmation letter for employers
A small administrative fee may apply.
Certificates are issued after:
- All course requirements are completed
- Assessments are passed
- Administrative checks are finalised
Learners are informed of expected timelines during the course.
If you notice an error:
- Contact the EFHA team promptly
- Provide supporting documentation
Corrections are made where appropriate.
If you notice an error:
- Contact the EFHA team promptly
- Provide supporting documentation
Corrections are made where appropriate.
In rare circumstances, EFHA reserves the right to revoke a certificate if:
- Misrepresentation or misconduct is identified
- Evidence of unsafe or unethical practice arises
- Course requirements were not genuinely met
This protects learners, employers, and the integrity of EFHA training.
Precise wording ensures that certificates:
- Accurately reflect training and competence
- Protect learners from practising beyond scope
- Are defensible during audits or inspections
- Maintain credibility with employers and regulators
EFHA certificates are designed to be clear, honest, and ethically robust.
Scope of practice refers to the tasks and responsibilities that a learner is legally, professionally, and ethically permitted to perform, based on their role, qualifications, professional registration (if applicable), and workplace policies.
EFHA training is designed to support competence within scope, not to expand or override legal or professional boundaries.
No. EFHA training does not permit learners to work outside their scope of practice.
EFHA courses:
- Teach skills appropriate to specific roles
- Clearly distinguish between screening, interpretation, and diagnosis
- Reinforce escalation and referral pathways
Learners must always practise within:
- National legislation
- Professional council requirements
- Employer policies and standard operating procedures
EFHA training supports informed decision-making within defined roles, such as:
- Identifying abnormal screening results
- Recognising poor-quality or unreliable tests
- Escalating findings appropriately
EFHA training does not authorise learners to:
- Diagnose medical conditions
- Declare fitness or unfitness for work (unless professionally authorised)
- Make compensation or work-relatedness determinations
No. EFHA certificates confirm training and competence but do not replace:
- Professional council registration (e.g. HPCSA, SANC)
- Medical licensure
- Legal authority to practise
Learners must maintain all required professional registrations and comply with regulatory requirements independently of EFHA training.
EFHA clearly differentiates training pathways to protect scope of practice.
- Assistant pathways focus on performing tests and supporting screening activities under appropriate supervision.
- Screener or advanced pathways include additional responsibilities such as quality assurance, reporting, and interpretation, where professionally permitted.
Certificates clearly indicate the pathway completed and associated scope.
EFHA takes scope-of-practice issues seriously.
If concerns arise:
- EFHA may provide guidance and clarification
- Learners may be required to adjust practice or training activities
- Serious or repeated breaches may result in withdrawal from the course
This protects learners, patients, employers, and the integrity of EFHA certification.
Clear scope boundaries protect:
- Learners from legal and professional risk
- Employers from liability
- Patients and workers from harm
- The credibility of training programmes
EFHA’s goal is to produce safe, ethical, and confident practitioners who understand not only how to perform tasks, but also when to escalate and when not to act
EFHA training aligns with international best practice but recognises that legal and regulatory frameworks differ by country.
Learners are responsible for:
- Understanding local laws and regulations
- Complying with national and workplace requirements
EFHA does not provide legal advice and cannot authorise practice that is prohibited locally.
Mainly through WhatsApp and email.
Every course includes a dedicated WhatsApp group used for:
- pre-course instructions
- class links
- reminders
- support during the course
- assessment guidance
- updates and announcements
Email is used for:
- invoices
- certificates
- documents
- official communication
This combination ensures you never miss important information.
Shortly before the course starts – usually 1 to 3 days prior.
We wait until the class list is finalised, then add:
- all learners
- your facilitator
- the academic support team
The group stays active before, during, and after the course.
📝 Explanation:
Groups stay open for:
- workplace assignment help
- practical exam bookings
- certificate distribution
- final questions
Once everyone has completed assessments, the group is closed.
Yes. The group is a safe space for learning and support.
You can ask about:
- theory content
- practical steps
- workplace assignment
- deadlines
- technical issues
Facilitators reply during working hours and often provide extra tips or clarifications.
You may message your facilitator privately – EFHA welcomes this.
Many learners feel shy, especially beginners.
We encourage private messages for:
- personal concerns
- sensitive questions
- help with understanding content
- emotional support during assessments
You will always be treated with kindness and respect.
Usually within the same day during office hours.
Response times may vary depending on:
- weekends
- public holidays
- high training volumes
However, support is always consistent, patient, and helpful.
Your facilitator, the academic support team, and the admin team.
You receive support from:
- your facilitator (teaching + academic guidance)
- EFHA admin team (bookings + certificates + communication)
- EFHA assessors (practical exam)
- peer learners in your group
You are never doing this alone – EFHA is known for supportive learning communities.
Yes. EFHA continues to support learners even after certification.
Post-course support includes help with:
- applying skills at work
- documentation questions
- equipment questions
- quality control steps
- legal and compliance queries
- refresher training options
If you message us months later with a question, we’re still here.
You may message your facilitator or the EFHA admin team privately at any time.
This includes:
- personal circumstances
- health issues
- employer concerns
- financial difficulties
- anxiety or exam stress
All concerns are handled confidentially and respectfully.
Yes. EFHA can arrange private assistance for learners who need extra help.
This may include:
- private Zoom revision
- extra guidance for workplace assignments
- additional practical demonstrations
- step-by-step coaching
We accommodate learners as much as possible.
You need a smartphone, tablet, or laptop with internet access. A laptop is recommended for the theory exam.
Minimum requirements:
- smartphone/tablet for online classes
- laptop/desktop for the supervised theory exam
- working camera & microphone
- WhatsApp for communication
- browser: Chrome, Safari, or Edge
Most learners use phones for classes and a laptop for exams – this works well.
No – just a stable one. Standard home Wi-Fi or mobile data is enough.
You don’t need fibre. Zoom and exam platforms work with normal mobile data.
You can:
- lower video quality
- turn off video if needed
- reconnect anytime
We understand African internet realities and accommodate them.
Rejoin immediately. If the issue continues, EFHA will assist or reschedule.
You will NOT fail because of signal issues or loadshedding.
EFHA handles this fairly and with understanding.
Simply reconnect. You won’t be penalised or removed.
Network drops happen – no learner is punished for this.
Recordings are available for most sessions.
