diff --git a/USAGE.md b/USAGE.md
index e4aa8e7..3bb4d60 100644
--- a/USAGE.md
+++ b/USAGE.md
@@ -268,6 +268,7 @@ The web server exposes a REST API:
 
 | Method | Endpoint | Description |
 |--------|----------|-------------|
+| GET | `/api/health` | Health check for monitoring |
 | POST | `/api/scan` | Trigger new scan |
 | GET | `/api/latest` | Get most recent scan |
 | GET | `/api/scans` | List all scans |
diff --git a/docs/API.md b/docs/API.md
index 29bbc37..bad5280 100644
--- a/docs/API.md
+++ b/docs/API.md
@@ -6,6 +6,65 @@ REST API documentation for RF Mapper web interface.
 
 ---
 
+## System
+
+### Health Check
+
+Returns health status for monitoring and load balancers.
+
+```
+GET /api/health
+```
+
+**Response:**
+
+```json
+{
+  "status": "healthy",
+  "version": "1.0.0",
+  "uptime_seconds": 3600,
+  "uptime_human": "1h 0m",
+  "scanner_id": "rpios",
+  "components": {
+    "database": {
+      "status": "ok",
+      "device_count": 100
+    },
+    "peer_sync": {
+      "status": "ok",
+      "peer_count": 2
+    },
+    "auto_scanner": {
+      "status": "stopped"
+    }
+  }
+}
+```
+
+**Status Codes:**
+- `200` - Healthy
+- `503` - Unhealthy (component error)
+
+**Component Status Values:**
+- `ok` - Component working normally
+- `disabled` - Component not enabled in config
+- `error` - Component has errors
+- `running` / `stopped` - For auto_scanner
+
+**Example:**
+
+```bash
+# Simple health check
+curl -s http://localhost:5000/api/health | jq '.status'
+
+# Use in monitoring scripts
+if curl -sf http://localhost:5000/api/health > /dev/null; then
+  echo "RF Mapper is healthy"
+fi
+```
+
+---
+
 ## Scanning
 
 ### Trigger Scan
diff --git a/src/rf_mapper/web/app.py b/src/rf_mapper/web/app.py
index d3d783e..e70f79f 100644
--- a/src/rf_mapper/web/app.py
+++ b/src/rf_mapper/web/app.py
@@ -17,6 +17,7 @@ from ..config import Config, get_config
 from ..bluetooth_identify import identify_single_device, identify_device
 from ..database import DeviceDatabase, init_database, get_database
 from ..homeassistant import HAWebhooks, HAWebhookConfig
+from .. import __version__
 
 # Module-level SocketIO instance
 socketio = SocketIO()
@@ -237,6 +238,7 @@ def create_app(config: Config | None = None) -> Flask:
 
     # Store config reference
     app.config["RF_CONFIG"] = config
+    app.config["START_TIME"] = datetime.now()
 
     # Initialize SocketIO with threading mode (compatible with existing threads)
     socketio.init_app(app, cors_allowed_origins="*", async_mode="threading")
@@ -397,6 +399,70 @@ def create_app(config: Config | None = None) -> Flask:
             }
         )
 
+    @app.route("/api/health")
+    def api_health():
+        """Health check endpoint for monitoring"""
+        start_time = app.config.get("START_TIME", datetime.now())
+        uptime_seconds = (datetime.now() - start_time).total_seconds()
+
+        # Check component status
+        db = app.config.get("DATABASE")
+        peer_sync = app.config.get("PEER_SYNC")
+        auto_scanner = app.config.get("AUTO_SCANNER")
+
+        # Database status
+        db_status = "disabled"
+        db_device_count = 0
+        if db:
+            try:
+                db_device_count = len(db.get_all_devices())
+                db_status = "ok"
+            except Exception:
+                db_status = "error"
+
+        # Peer sync status
+        peers_status = "disabled"
+        peers_count = 0
+        if peer_sync:
+            try:
+                sync_status = peer_sync.get_status()
+                peers_count = len(sync_status.get("peers", []))
+                peers_status = "ok"
+            except Exception:
+                peers_status = "error"
+
+        # Auto scanner status
+        autoscan_status = "stopped"
+        if auto_scanner and auto_scanner._enabled:
+            autoscan_status = "running"
+
+        # Overall health
+        is_healthy = db_status != "error" and peers_status != "error"
+
+        response = {
+            "status": "healthy" if is_healthy else "unhealthy",
+            "version": __version__,
+            "uptime_seconds": int(uptime_seconds),
+            "uptime_human": f"{int(uptime_seconds // 3600)}h {int((uptime_seconds % 3600) // 60)}m",
+            "scanner_id": app.config.get("SCANNER_IDENTITY", {}).get("id", ""),
+            "components": {
+                "database": {
+                    "status": db_status,
+                    "device_count": db_device_count
+                },
+                "peer_sync": {
+                    "status": peers_status,
+                    "peer_count": peers_count
+                },
+                "auto_scanner": {
+                    "status": autoscan_status
+                }
+            }
+        }
+
+        status_code = 200 if is_healthy else 503
+        return jsonify(response), status_code
+
     @app.route("/api/scan", methods=["POST"])
     def api_scan():
         """Trigger a new RF scan"""