Q & A surveillance

Advice for employers on Health Surveillance for Hand-arm Vibration

Feedback from the Health Surveillance Q&A session

How can employers get a better health surveillance service?

 

Increased communication and co-operation between employers and Occupational Health Service Providers (OHSP) would be beneficial. The latter to be invited to visit the workplace.

 

What can HSE, the Faculty of Occupational Medicine (FOM) and suppliers do to help?

  • Many want to see action taken against poor health surveillance providers - HSE is aware of the problem and is responding accordingly
  • HSE to communicate what a good (OHSP) looks like; employers need guidance on how to choose a suitable OHSP for Hand-arm Vibration (HAV) health surveillance. HSE or FOM could do more to help employers check on who is suitably qualified to conduct HAV clinical assessment and diagnosis.
  • More HSE events on HAV at a more local level would be helpful.
  • There was a suggestion that suppliers of tools/equipment could advise that where there is significant risk, health surveillance should be provided.

How should providers sell health surveillance packages?

 
  • Health surveillance for HAV should not be 'sold' as a stand-alone screening package as this misleads the employer. The essential requirement for referral must be included and it should be explained that referral only applies where further assessment is necessary ie not for every worker under health surveillance.
  • OHSP (and others eg FOM and the Institute of Occupational Safety and Health), can help by raising the profile of the OHSP services that are available and beneficial as part of the more appropriate health surveillance package. Risk assessment and risk management are essential; health surveillance is not meant to be an isolated activity.

What would motivate employers to provide good quality health surveillance?

 

Employers would probably pay careful attention to the need for quality health surveillance if they were aware of the potential cost of HAV-related claims in the civil courts.

Link URLs in this page

  1. Vibrationhttps://www.hse.gov.uk/vIBRAtIon/index.htm
  2. Hand arm vibrationhttps://www.hse.gov.uk/vIBRAtIon/hav/index.htm
  3. About this websitehttps://www.hse.gov.uk/vIBRAtIon/hav/about.htm
  4. Key messageshttps://www.hse.gov.uk/vIBRAtIon/hav/keymessages.htm
  5. Worried about your handshttps://www.hse.gov.uk/vIBRAtIon/hav/yourhands.htm
  6. Overview - Advice for employershttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/index.htm
  7. Employers responsibilitieshttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/responsibilities.htm
  8. Assess riskhttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/assessrisks.htm
  9. Overview - How to protect workershttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/protect.htm
  10. Control riskhttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/controlrisks.htm
  11. Information and traininghttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/information.htm
  12. Health surveillancehttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/healthsurveillance.htm
  13. Overview - Good practicehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/index.htm
  14. Overview - Foundrieshttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/index.htm
  15. Eliminate fettling by improving casting qualityhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/fettlingelimination.htm
  16. Machining as a substitute for fettlinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/machining.htm
  17. Automatic fettlinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/automaticfettling.htm
  18. Jig-mounting of grindershttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/jigmounting.htm
  19. Semi-automatic cut off machinehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/cutoffmachine.htm
  20. Isolated casting cut offhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/isolatedcasting.htm
  21. Installation of hydraulic cropping machinehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/hydrauliccropping.htm
  22. Shell knockout 1https://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/castingshell.htm
  23. Shell knockout 2https://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/contactcastingshell.htm
  24. Hydraulic pushouthttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/furnaceliningremoval.htm
  25. Ladle slag chippinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/foundries/chippingslag.htm
  26. Overview - Constructionhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/index.htm
  27. Preparing a code of practicehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/tunnelling.htm
  28. Construction Industry Council guidancehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/cicguidance.htm
  29. Mounted breakerhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/mountedroadbreaker.htm
  30. Directional drillinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/directionaldrilling.htm
  31. Crushing concretehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/crushingconcrete.htm
  32. Bursting concretehttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/burstingconcrete.htm
  33. Diamond wire cuttinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/diamondwire.htm
  34. Water jettinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/waterjetting.htm
  35. Codes of Practice from the Water Jetting Associationhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/codeofpractice.htm
  36. Grit blastinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/gritblasting.htm
  37. Paint-on retarderhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/paintonmaterial.htm
  38. Special formworkhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/construction/specialformwork.htm
  39. Overview - Steel fabricationhttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/index.htm
  40. Machininghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/cncmachining.htm
  41. Laser cuttinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/lasercutter.htm
  42. Plasma cuttinghttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/plasmacutting.htm
  43. Noise reduction in the ship repair industry – research report 1992https://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/noisereduction.htm
  44. Abrasive blastershttps://www.hse.gov.uk/vIBRAtIon/hav/campaign/fabrication/abrasiveblasters.htm
  45. Overview - Regulationshttps://www.hse.gov.uk/vIBRAtIon/hav/regulations.htm
  46. Inspector briefinghttps://www.hse.gov.uk/vIBRAtIon/hav/inspectorbriefing.htm
  47. Overview - Resourceshttps://www.hse.gov.uk/vIBRAtIon/hav/information.htm
  48. Publicationshttps://www.hse.gov.uk/vIBRAtIon/hav/publications.htm
  49. Researchhttps://www.hse.gov.uk/vIBRAtIon/hav/research.htm
  50. Statisticshttps://www.hse.gov.uk/vIBRAtIon/hav/statistics.htm
  51. Useful linkshttps://www.hse.gov.uk/vIBRAtIon/hav/links.htm
  52. Vibration calculatorhttps://www.hse.gov.uk/vIBRAtIon/hav/calculator-guide.htm
  53. Overview - Case studieshttps://www.hse.gov.uk/vIBRAtIon/hav/casestudies/index.htm
  54. (HAVS) in two motor companieshttps://www.hse.gov.uk/vIBRAtIon/hav/casestudies/enforceex.htm
  55. Monitoring exposure to Hand-Arm Vibrationhttps://www.hse.gov.uk/vIBRAtIon/hav/casestudies/mhav-carlwest.htm
  56. Overview - Supply project eventshttps://www.hse.gov.uk/vIBRAtIon/hav/project-events.htm
  57. Controlling vibrationhttps://www.hse.gov.uk/vIBRAtIon/hav/controlling-vibration.htm
  58. Q & A on hand toolshttps://www.hse.gov.uk/vIBRAtIon/hav/hand-tools-qa.htm
  59. Q & A on using a vibration consultanthttps://www.hse.gov.uk/vIBRAtIon/hav/qa-consultant.htm
  60. Q & A on health surveillancehttps://www.hse.gov.uk/vIBRAtIon/hav/qa-surveillance.htm
  61. Publicationshttps://www.hse.gov.uk/vIBRAtIon/hav/publications.htm
  62. Vibration calculatorhttps://www.hse.gov.uk/vIBRAtIon/hav/calculator-guide.htm
  63. Advice for employershttps://www.hse.gov.uk/vIBRAtIon/hav/advicetoemployers/index.htm
  64. Regulationshttps://www.hse.gov.uk/vIBRAtIon/hav/regulations.htm
  65. Constructionhttps://www.hse.gov.uk/construction/index.htm
  66. MSD - Back painhttps://www.hse.gov.uk/msd/backpain/index.htm
  67. Noisehttps://www.hse.gov.uk/noise/index.htm
  68. Quarrieshttps://www.hse.gov.uk/quarries/index.htm
  69. Agriculturehttps://www.hse.gov.uk/agriculture/index.htm

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2024-02-09