2. Manage the risk

Your risk assessment[8] will help you decide if you need health surveillance. You should:

  • look around your workplace and decide what may harm your worker’s health
  • decide if you are taking reasonable steps to reduce risk and prevent harm
  • think about reasonably practicable[9] improvements you can make or controls you can put in place to reduce risk

Your findings from health surveillance must contribute to your risk assessment and implementation of effective controls. Health surveillance can detect ill health effects early and show whether you need to review and revise your risk assessment and control measures. Control measures may not always be reliable, despite checking and maintenance.

Other issues that can indicate whether health surveillance might be appropriate include:

  • previous cases of work-related ill health in your workplace
  • reliance on personal protective equipment as an exposure control measure - experience shows its use isn’t always managed properly
  • evidence of ill health in jobs in your industry
  • information from insurance claims, manufacturer’s data and industry guidance

Link URLs in this page

  1. Overviewhttps://www.hse.gov.uk/health-surveillance/overview.htm
  2. Consult workers about health surveillancehttps://www.hse.gov.uk/health-surveillance/consult-workers.htm
  3. Understand what type of health surveillance your business needshttps://www.hse.gov.uk/health-surveillance/types-of-health-surveillance.htm
  4. Setting up a health surveillance schemehttps://www.hse.gov.uk/health-surveillance/setting-up.htm
  5. Act on the results of health surveillancehttps://www.hse.gov.uk/health-surveillance/act-on-results.htm
  6. Record keepinghttps://www.hse.gov.uk/health-surveillance/record-keeping.htm
  7. Health monitoring, biological monitoring and biological effect monitoringhttps://www.hse.gov.uk/health-surveillance/health-biological-monitoring.htm
  8. risk assessmenthttps://www.hse.gov.uk/simple-health-safety/risk/index.htm
  9. reasonably practicablehttps://www.hse.gov.uk/simple-health-safety/risk/steps-needed-to-manage-risk.htm#_Control_the_risks
  10. Previous page Overviewhttps://www.hse.gov.uk/health-surveillance/index.htm
  11. Next page Consult workers about health surveillance https://www.hse.gov.uk/health-surveillance/consult-workers.htm
  12. View a printable version of the whole guidehttps://www.hse.gov.uk/health-surveillance/print.htm
  13. Occupational healthhttps://www.hse.gov.uk/health-surveillance/occupational-health/index.htm
  14. Noisehttps://www.hse.gov.uk/noise/healthsurveillance.htm
  15. Vibrationhttps://www.hse.gov.uk/vibration/hav/advicetoemployers/healthsurveillance.htm
  16. COSHHhttps://www.hse.gov.uk/coshh/basics/surveillance.htm
  17. Asbestoshttps://www.hse.gov.uk/asbestos/index.htm
  18. Leadhttps://www.hse.gov.uk/lead/index.htm
  19. Ionising radiationhttps://www.hse.gov.uk/radiation/ionising/index.htm

Is this page useful?

Updated 2025-01-23