- Since March 2018, for those undertaking the Emergency Breathing Systems (EBS) training as part of BOSIET, you will need to undertake a Fitness To Train FTT assessment. This is to identify those with respiratory problems, cardiac or Ear Nose and Throat ENT conditions that may contraindicate in-water training.
- Absolute contraindications to EBS training are for those with the following conditions:
- Spontaneous Pneumothorax
- Cystic Fibrosis
- Patients with Asthma and COPD will need to undergo Spirometry and pass a minimum standard
- Referral for a hospital specialist opinion may be required for the following individuals:
- - Asthma and COPD patients who fail the minimum standard of spirometry
- - Any other lung or heart conditions that affects the ability to exercise
- - ENT conditions where they have been advised to avoid immersion / diving.
As of November 2025, fitness to train is annotated on the OEUK certificate.
The fitness to train with therefore be valid for the duration of the OEUK certificate.
There is no advantage to doing the fitness to train separately.