order to uphold the conditions of ethical clearance and gatekeeper permissions for this study, employment details are withheld as per conditions agreed upon prior to commencement of this study. Background: Occupational therapists working in the field of occupational health in South African private industrial sectors may find themselves involved in management of medical incapacity due to their expertise in vocational rehabilitation. Aim: In this study, the authors explored how South African Acts guide the role and scope of occupational therapists in medical incapacity management, in addition to determining the scope, role and value of occupational therapy in medical incapacity management from the perspectives of occupational therapists currently working in the field. Method: An exploratory qualitative design with use of two concurrent methods of data collection (document analysis and semi structured interviews) was undertaken. Data were analysed thematically, via deductive reasoning, and pooled to provide a picture of how occupational therapists can function within medical incapacity management. Results and Discussion: Six themes emerged from the data. Occupational therapists' role and scope within legislature appears to lack detail with a disjuncture between legislation that guides medical incapacity management and current practice of occupational therapists. Notwithstanding this, the findings of this study show that occupational therapists play a critical role within management of medical incapacity.