Programmes built around processes, production lines and shift patterns.

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

Relevant hazards to assess

Process and machinery noise
Vibrating hand tools
Metalworking fluids, isocyanates, dusts and fumes
Cleaning agents and repeated skin exposure

Workforce and site logistics

Manufacturing clinics must work around production constraints without rushing assessments. Exposure groups, hygiene controls, shift handovers and suitable testing spaces all affect the delivery plan.

A suitable programme pathway

Use COSHH, noise and vibration assessments to segment the workforce. Agree baseline requirements, recurring surveillance, clinical escalation and how programme findings are fed back into control reviews.

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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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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Substances hazardous to health

COSHH surveillance

COSHH surveillance is required in defined circumstances where exposure can be linked to an identifiable health effect, valid detection techniques exist and workplace conditions make that effect reasonably likely.

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Manufacturing enquiry

Scope the exposure groups before the clinic days.

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