Depending on the type of job being applied for, one employer may require different examinations than another. All pre-employment physical examinations however will start with a health assessment questionnaire, followed by a medical professional commonly conducting: - Blood tests - Chest x-ray - Urine drug screen - Alcohol blood test - Audiometry (hearing test) - Spirometry (lung capacity test) - Manual dexterity assessment - Work fitness assessment - MRI and/or ECG. If an adverse health issue is discovered, the examining physician will make a referral to your primary care doctor.