bill of health: meaning, definition, pronunciation and examples
B2Formal, official, and business contexts. The figurative use is common in journalism and everyday speech.
Quick answer
What does “bill of health” mean?
An official certificate stating that a ship's crew and passengers are free from infectious diseases, required when entering a port.
Audio
Pronunciation
Definition
Meaning and Definition
An official certificate stating that a ship's crew and passengers are free from infectious diseases, required when entering a port; more commonly used figuratively to mean a declaration or assessment of good condition or soundness.
A report on the state or condition of someone or something, especially a positive assessment. The phrase 'clean bill of health' is the most frequent modern usage, meaning a declaration that a person, organization, or system is in good condition, free from problems, or financially sound.
Dialectal Variation
British vs American Usage
Differences
No significant difference in meaning or usage. Both use the 'clean bill of health' formulation predominantly.
Connotations
Slightly more historical/maritime flavour in UK English, but the figurative use is universal.
Frequency
Equally common in both varieties.
Grammar
How to Use “bill of health” in a Sentence
to give someone/something a (clean) bill of healthto get/receive/be given a (clean) bill of health (from someone)to come through/pass with a (clean) bill of healthVocabulary
Collocations
Examples
Examples of “bill of health” in a Sentence
noun
British English
- The port authorities demanded to see the ship's bill of health before allowing it to dock.
- After the inspection, the school received a clean bill of health from the regulators.
American English
- The factory got a clean bill of health from the safety inspectors.
- His annual physical resulted in a perfect bill of health.
Usage
Meaning in Context
Business
The auditors gave the company accounts a clean bill of health.
Academic
The peer-review process resulted in a clean bill of health for the study's methodology.
Everyday
The mechanic gave my car a clean bill of health after its service.
Technical
The network diagnostics returned a clean bill of health, with no security vulnerabilities detected.
Vocabulary
Synonyms of “bill of health”
Neutral
Weak
Vocabulary
Antonyms of “bill of health”
Watch out
Common Mistakes When Using “bill of health”
- Saying 'bill of health' without 'clean' in figurative contexts (sounds odd).
- Confusing with 'bill of sale' or 'bill of lading'.
- Using it for a negative report (e.g., 'a bad bill of health' is very rare).
FAQ
Frequently Asked Questions
It is extremely uncommon. The original maritime term was a simple 'bill of health' which could be 'clean' or 'foul'. In modern figurative use, the phrase is almost fossilised as 'a clean bill of health'. For a negative report, different phrases like 'damning report' or 'negative assessment' are used.
Rarely. Its original use in maritime quarantine is largely historical. Contemporary literal use is mostly restricted to historical or ceremonial contexts. The vast majority of usage is figurative.
Historically, a 'bill of health' was the document, which could be clean (healthy) or foul (infected). In modern English, 'bill of health' alone feels incomplete and is seldom used. 'Clean bill of health' is the fixed, idiomatic phrase meaning a declaration that all is well.
It originated as an official/public health term. While it can be used in medical contexts (e.g., 'The patient got a clean bill of health'), it is now a general-purpose idiom applied to systems, organizations, machinery, finances, etc., to indicate a positive inspection outcome.
An official certificate stating that a ship's crew and passengers are free from infectious diseases, required when entering a port.
Bill of health is usually formal, official, and business contexts. the figurative use is common in journalism and everyday speech. in register.
Bill of health: in British English it is pronounced /ˌbɪl əv ˈhelθ/, and in American English it is pronounced /ˌbɪl əv ˈhelθ/. Tap the audio buttons above to hear it.
Phrases
Idioms & Phrases
- “clean bill of health”
- “get the all-clear (related)”
Learning
Memory Aids
Mnemonic
Think of a doctor writing a BILL (a document) about your HEALTH. A clean one means you're good to go.
Conceptual Metaphor
HEALTH IS CLEANLINESS / SOUNDNESS IS A VERIFIED DOCUMENT. The abstract state of being problem-free is conceptualised as a tangible, official certificate.
Practice
Quiz
In which of these situations would the phrase 'a clean bill of health' be LEAST appropriate?