Home / Blog / Leave
Leave

Sick Leave in South Africa: How Many Days and When It Applies (BCEA)

Updated 18 July 2026·5 min read

Paid sick leave is a right under the Basic Conditions of Employment Act (BCEA), section 22. Every employee who works more than 24 hours a month is entitled to it, and the amount is more generous than most people realise.

How much sick leave

Over each three-year cycle (36 months), an employee is entitled to paid sick leave equal to the number of days they would normally work in six weeks.

This is not per year — it is a pool for the whole three-year cycle. When the cycle ends, a new one starts and the entitlement resets.

The first six months

There is a separate rule for a brand-new employee. During the first six months of employment, they get one day of paid sick leave for every 26 days worked (roughly one day a month). The full six-weeks entitlement kicks in once they pass six months.

Sick leave is paid at the employee's normal rate, as if they had worked. It is not unpaid time and it is not deducted from annual leave.

Medical certificates

You may require a medical certificate before paying sick leave if the employee is:

The certificate must be from a registered medical practitioner. If the employee cannot produce one when it is fairly required, the employer is not obliged to pay for those days.

When sick leave runs out

Once an employee has used their full sick-leave entitlement for the cycle, further time off for illness is generally unpaid — unless you agree otherwise. Long-term illness is a separate situation with its own fair-process rules, and is worth getting advice on before acting.

Keeping the record

Sick leave disputes almost always come down to records: how many days were taken, and when. Tracking each sick day against the three-year cycle by hand is fiddly, which is why WageDesk keeps a running sick-leave balance for every worker and shows it on the payslip. See how WageDesk works, or read about annual leave and what must be on a payslip.

Run your staff admin on WhatsApp

WageDesk handles leave, advances, overtime and payslips for South African employers — no app to install. Sign up for your free 30 days.

Start on WhatsApp

Frequently asked questions

How many sick days are you entitled to in South Africa?

Over each three-year cycle, an employee gets paid sick leave equal to the days they normally work in six weeks — 30 days for a five-day week, or 36 days for a six-day week.

How does sick leave work in the first six months?

During the first six months of employment, the employee gets one day of paid sick leave for every 26 days worked. The full six-weeks entitlement applies after six months.

Can an employer ask for a medical certificate?

Yes. An employer may require a certificate from a registered medical practitioner if the employee is off for more than two consecutive days, or more than twice in an eight-week period.

Is sick leave paid in South Africa?

Yes. Sick leave within the BCEA entitlement is paid at the employee's normal rate. Once the entitlement is used up, further sick time is usually unpaid unless agreed otherwise.

WageDesk is a payroll and HR tool, not a legal, tax or HR advisor, and this article is not legal advice. It is general information on South African employment law to help you understand your obligations. Rates and thresholds change, and every situation is different — verify the current figures and get professional advice for your own case. Official starting points: the Department of Employment and Labour, SARS and the CCMA.