This examination applies to employees working at heights above 3 meters, in particular the operators listed below, who operate any high-bay machinery:
The examinations conclude with the issuance of a medical certificate specifying recommendations, contraindications, and an opinion on the employee’s fitness for the specific position.
In particular, the medical certificate states:

The G41 examination is one of the mandatory preventive medical examinations required in Germany for employees working under conditions of exceptional psychophysical stress.
It mainly applies to individuals working:
The G41 medical examination is mandatory for employees working in Germany in the following positions: