An anonymous postal questionnaire was sent to 200 occupational physici
ans in the UK to determine their activities, the nature of the organiz
ations within which they work and their attitudes and practices with r
espect to audit. One hundred and sixty-six physicians responded to the
questionnaire, of whom 11 9 (72 per cent) were currently practising o
ccupational medicine. Fifty-seven (48 per cent) of these 119 were enga
ged in some form of audit but only 21 (18 per cent) were engaged in an
audit of structure, process and outcome. Assessment of continuing fit
ness for work or sickness absence ranked first overall with respect to
the proportion of the physician's time engaged. The study revealed a
wide diversity in the organization of the practice of occupational med
icine, in the qualifications of occupational physicians and in their p
articipation in audit. Needs for the development and wider implementat
ion of methods of audit in occupational medicine have been identified
by the study.