diff --git a/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyHealthCheck.cs b/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyHealthCheck.cs
new file mode 100644
index 0000000..0c577d8
--- /dev/null
+++ b/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyHealthCheck.cs
@@ -0,0 +1,80 @@
+using Grpc.Core;
+using Grpc.Net.Client;
+using Microsoft.Extensions.Diagnostics.HealthChecks;
+
+namespace ZB.MOM.WW.Health;
+
+/// <summary>
+/// Health check that verifies a downstream gRPC dependency is reachable over its
+/// <see cref="GrpcChannel"/>.
+/// </summary>
+/// <remarks>
+/// <para>
+/// The probe is injectable via <see cref="GrpcDependencyOptions.Probe"/>; the default drives the
+/// channel to a connected state with <see cref="GrpcChannel.ConnectAsync"/>. The result is
+/// <see cref="HealthStatus.Healthy"/> when the probe returns <c>true</c>, and
+/// <see cref="HealthStatus.Unhealthy"/> when it returns <c>false</c>, throws an
+/// <see cref="RpcException"/>, or times out / is cancelled within
+/// <see cref="GrpcDependencyOptions.Timeout"/>.
+/// </para>
+/// <para>
+/// Recommended registration tags: <see cref="ZbHealthTags.Ready"/> and
+/// <see cref="ZbHealthTags.Active"/> — a missing downstream gRPC dependency makes the node both
+/// not-ready and not-able-to-act. The registrant applies the tags.
+/// </para>
+/// </remarks>
+public sealed class GrpcDependencyHealthCheck : IHealthCheck
+{
+    private readonly GrpcChannel _channel;
+    private readonly GrpcDependencyOptions _options;
+
+    /// <summary>Initializes a new <see cref="GrpcDependencyHealthCheck"/>.</summary>
+    /// <param name="channel">The gRPC channel to the downstream dependency.</param>
+    /// <param name="options">
+    /// Probe, dependency name, and timeout. When <c>null</c>, defaults are used (the default probe is
+    /// <see cref="GrpcChannel.ConnectAsync"/> with a 5 s timeout).
+    /// </param>
+    public GrpcDependencyHealthCheck(GrpcChannel channel, GrpcDependencyOptions? options = null)
+    {
+        _channel = channel ?? throw new ArgumentNullException(nameof(channel));
+        _options = options ?? new GrpcDependencyOptions();
+    }
+
+    /// <inheritdoc />
+    public async Task<HealthCheckResult> CheckHealthAsync(
+        HealthCheckContext context,
+        CancellationToken cancellationToken = default)
+    {
+        var name = _options.DependencyName ?? "gRPC dependency";
+        var probe = _options.Probe ?? DefaultProbeAsync;
+
+        using var timeoutCts = CancellationTokenSource.CreateLinkedTokenSource(cancellationToken);
+        timeoutCts.CancelAfter(_options.Timeout);
+
+        try
+        {
+            var reachable = await probe(_channel, timeoutCts.Token).ConfigureAwait(false);
+            return reachable
+                ? HealthCheckResult.Healthy($"{name} is reachable.")
+                : HealthCheckResult.Unhealthy($"{name} is unreachable.");
+        }
+        catch (RpcException ex)
+        {
+            return HealthCheckResult.Unhealthy($"{name} probe failed: {ex.Status.StatusCode}.", ex);
+        }
+        catch (OperationCanceledException ex) when (timeoutCts.IsCancellationRequested && !cancellationToken.IsCancellationRequested)
+        {
+            return HealthCheckResult.Unhealthy($"{name} probe timed out after {_options.Timeout}.", ex);
+        }
+    }
+
+    /// <summary>
+    /// Default probe: connects the channel and reports reachability. Returns <c>true</c> once the
+    /// channel reaches a connected state; surfaces failures as a thrown exception (handled by the caller).
+    /// </summary>
+    private static async Task<bool> DefaultProbeAsync(GrpcChannel channel, CancellationToken cancellationToken)
+    {
+        await channel.ConnectAsync(cancellationToken).ConfigureAwait(false);
+        return true;
+    }
+}
diff --git a/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyOptions.cs b/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyOptions.cs
new file mode 100644
index 0000000..bd42812
--- /dev/null
+++ b/ZB.MOM.WW.Health/src/ZB.MOM.WW.Health/GrpcDependencyOptions.cs
@@ -0,0 +1,26 @@
+using Grpc.Net.Client;
+
+namespace ZB.MOM.WW.Health;
+
+/// <summary>
+/// Options for <see cref="GrpcDependencyHealthCheck"/>.
+/// </summary>
+public sealed class GrpcDependencyOptions
+{
+    /// <summary>
+    /// The reachability probe. Returns <c>true</c> when the dependency is reachable, <c>false</c>
+    /// otherwise. When <c>null</c> the default probe is used: <see cref="GrpcChannel.ConnectAsync"/>,
+    /// which drives the channel to the <see cref="Grpc.Core.ConnectivityState.Ready"/> state (or
+    /// throws / cancels on failure). Override to perform a richer probe, e.g. a
+    /// <c>grpc.health.v1.Health/Check</c> RPC returning <c>SERVING</c>.
+    /// </summary>
+    public Func<GrpcChannel, CancellationToken, Task<bool>>? Probe { get; set; }
+
+    /// <summary>
+    /// Human-readable name of the dependency, surfaced in the <c>HealthCheckResult</c> description.
+    /// </summary>
+    public string? DependencyName { get; set; }
+
+    /// <summary>Maximum time the probe may take before it is treated as unreachable. Default 5 s.</summary>
+    public TimeSpan Timeout { get; set; } = TimeSpan.FromSeconds(5);
+}
diff --git a/ZB.MOM.WW.Health/tests/ZB.MOM.WW.Health.Tests/GrpcDependencyHealthCheckTests.cs b/ZB.MOM.WW.Health/tests/ZB.MOM.WW.Health.Tests/GrpcDependencyHealthCheckTests.cs
new file mode 100644
index 0000000..d1dd117
--- /dev/null
+++ b/ZB.MOM.WW.Health/tests/ZB.MOM.WW.Health.Tests/GrpcDependencyHealthCheckTests.cs
@@ -0,0 +1,72 @@
+using Grpc.Core;
+using Grpc.Net.Client;
+using Microsoft.Extensions.Diagnostics.HealthChecks;
+using ZB.MOM.WW.Health;
+
+namespace ZB.MOM.WW.Health.Tests;
+
+/// <summary>
+/// Verifies <see cref="GrpcDependencyHealthCheck"/> via an injected probe (no live gRPC server):
+/// probe-true → Healthy, probe-false → Unhealthy, and an <see cref="RpcException"/> from the probe
+/// → Unhealthy. The channel is constructed but never dialled because the probe is stubbed.
+/// </summary>
+public sealed class GrpcDependencyHealthCheckTests
+{
+    private static readonly GrpcChannel Channel = GrpcChannel.ForAddress("http://localhost");
+
+    private static async Task<HealthCheckResult> RunAsync(GrpcDependencyOptions options)
+    {
+        var check = new GrpcDependencyHealthCheck(Channel, options);
+        var context = new HealthCheckContext
+        {
+            Registration = new HealthCheckRegistration("grpc-dep", check, HealthStatus.Unhealthy, tags: null),
+        };
+        return await check.CheckHealthAsync(context, CancellationToken.None);
+    }
+
+    [Fact]
+    public async Task ProbeReturnsTrue_Healthy()
+    {
+        var result = await RunAsync(new GrpcDependencyOptions
+        {
+            Probe = static (_, _) => Task.FromResult(true),
+        });
+
+        Assert.Equal(HealthStatus.Healthy, result.Status);
+    }
+
+    [Fact]
+    public async Task ProbeReturnsFalse_Unhealthy()
+    {
+        var result = await RunAsync(new GrpcDependencyOptions
+        {
+            Probe = static (_, _) => Task.FromResult(false),
+        });
+
+        Assert.Equal(HealthStatus.Unhealthy, result.Status);
+    }
+
+    [Fact]
+    public async Task ProbeThrowsRpcException_Unhealthy()
+    {
+        var result = await RunAsync(new GrpcDependencyOptions
+        {
+            Probe = static (_, _) => throw new RpcException(new Status(StatusCode.Unavailable, "down")),
+        });
+
+        Assert.Equal(HealthStatus.Unhealthy, result.Status);
+    }
+
+    [Fact]
+    public async Task DependencyName_AppearsInDescription()
+    {
+        var result = await RunAsync(new GrpcDependencyOptions
+        {
+            DependencyName = "mxaccessgw worker",
+            Probe = static (_, _) => Task.FromResult(false),
+        });
+
+        Assert.Equal(HealthStatus.Unhealthy, result.Status);
+        Assert.Contains("mxaccessgw worker", result.Description);
+    }
+}