Risk-led workplace health surveillance Employee guidance
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Construction

Health surveillance for changing projects, trades and exposure groups.

Use tasks, substances and measured exposure, rather than the industry label alone, to decide who enters a surveillance programme.

Relevant hazards to assess

  • Hand-arm vibration from powered tools
  • Noise from plant, cutting and demolition
  • Respirable dusts and respiratory sensitisers
  • Cement, resins, oils and other skin hazards

Workforce and site logistics

Construction programmes need a reliable way to track workers as projects, subcontractors and exposure groups change. Site access, induction rules, welfare space and shift windows should be planned before a clinic date is offered.

A suitable programme pathway

Start with the task and exposure data for each similar exposure group. Map only the indicated surveillance, then agree how new starters, project transfers, missed appointments and concerns will enter the programme.

Potential pathways

Services often considered for these hazards.

These links are guidance only. The risk assessment determines whether surveillance is appropriate.

Noise

Audiometry

Hearing surveillance can help identify early signs of noise-related hearing damage where a workplace noise risk assessment indicates a risk to health.

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Dust, fumes and respiratory sensitisers

Spirometry

Spirometry measures lung function and may form part of surveillance for employees exposed to respiratory hazards where the risk-led criteria are met.

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Hand-arm vibration

HAVS surveillance

Health surveillance may be required where the vibration risk assessment shows a risk to health, including employees exposed at or above the exposure action value or otherwise considered at risk.

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Skin irritants, sensitisers and wet work

Skin surveillance

Regular skin checks may be appropriate where employees remain exposed to substances or work patterns associated with occupational dermatitis.

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Construction enquiry

Scope the exposure groups before the clinic days.

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