Risk-led workplace health surveillance Employee guidance

Services

Health surveillance pathways, organised by workplace risk.

Start with the hazard identified in your risk assessment. Each page explains who may need surveillance, what the assessment may involve, employer reporting and follow-up.

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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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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Important boundary

Health surveillance is not a test catalogue.

The appropriate programme depends on the workplace risk assessment, exposure, applicable regulations and competent occupational-health advice. Not every employee needs every assessment.

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