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Health Surveillance

Health surveillance is a system of ongoing health checks to monitor the health of employees exposed to specific risks through work. These health checks may be required by law for employees who are exposed to noise or vibration, ionizing radiation, solvents, fumes, dust, biological agents, and other substances hazardous to health, or work in compressed air.

Audiometry (hearing)

Health surveillance is a requirement under ‘The Control of Noise at Work Regulations’, 2005 for workers who are:

  • Regularly exposed to noise over the upper exposure action value of 85 dB (A)
  • Occasional exposed to the action value of 80 dB (A) or above and have a significant sensitivity to noise identified via medical history.

What does it involve?

  • Hearing test
  • Health questionnaire
  • Onward referral if applicable
  • An outcome certificate satisfying HSE requirements.
Surveillance duration:
20 min

Spirometry (lung function)

Substances that can cause occupational lung disease/occupational asthma usually trigger a requirement for lung function health surveillance. These can be in the form of allergens or irritants such as the below:

  • Flour dust and additives
  • Latex used in healthcare settings
  • Animal fur, skin and saliva, as well as dust from animal enclosures
  • Grain and poultry dusts – the most common cause of occupational asthma among agricultural workers
  • Vapours and particles from surgical techniques in hospitals
  • Wood dust produced when machining or sanding
  • Fumes, mists and vapours from electronic, engineering or metal work, from adhesives, and from chlorine in indoor pools.

What does it involve?

  • Lung function test
  • Health questionnaire
  • Blood pressure reading
  • Onward referral if applicable
  • An outcome certificate satisfying HSE requirements.
Surveillance duration:
20 min

Safety Critical Medicals

Required under The Health and Safety at Work Act 1974, roles defined as “safety critical” include:

  • Asbestos Licensed Worker
  • Confined Space
  • Construction Worker (non-railway)
  • Diver
  • Driver and Mechanical Handling Equipment Operator
  • Electrician
  • Geotechnical
  • LGV / HGV Driver
  • Maritime Operative Specialist
  • Plant Operator (general, crane drive / mobile machine driver)
  • Scaffolder/Rigger
  • Slinger/Signaller/Banksman/Traffic Marshall
  • Steel Erector Structural / Fabricator
  • Steeplejack
  • Tunnel worker
  • Working at Height

What does it involve?

Contents will vary depending in the job role and associated hazards

  • Baseline health questionnaire
  • General health check
  • Hearing test
  • Lung function test
  • Skin surveillance
  • Visual acuity
  • MSK assessment
  • Confined space fitness tests
  • Working at heights
  • HAVS and night worker assessment
  • Blood glucose analysis
Surveillance duration:
60 min / each

HAVS tiers 1-4

Regulation 7 of the Control of Vibration at Work Regulations 2005 requires employers to provide suitable health surveillance where the risk assessment indicates a risk to workers’ health. In any case, workers likely to be exposed in excess of the daily exposure action value of 2.5 m/s2 A(8) should be under suitable health surveillance. Health surveillance should be instituted for:

  • Employees who are likely to be regularly exposed above the exposure action value
  • Employees likely to be occasionally exposed above the exposure action value where the risk assessment identifies that the frequency and severity of exposure may pose a risk to health
  • Employees who have a diagnosis of HAVS (even when exposed below the exposure action value).

What does it involve?

  1. Initial or baseline assessment Health surveillance programmes need to include an initial assessment for any new or existing employee before they begin exposure to HAV. This consists of a short, online questionnaire.
  2. Annual (screening) questionnaire This also consists of a short, online questionnaire.
  3. Assessment by qualified person It involves an administered clinical questionnaire that asks about relevant symptoms and a limited clinical examination. The clinical examination by the qualified person is not a full medical examination but a targeted assessment. If relevant symptoms are reported or clinical effects found, diagnosis, described below, will be required.
  4. Formal Diagnosis Formal diagnosis made by a doctor. Formal diagnosis is required for certain actions including reporting by employers of cases of occupational disease under RIDDOR 1995 and fitness for work recommendations.

Mobile Clinics

Innovate Healthcare operate a fleet of bespoke, mobile clinics across, England, Wales and Scotland, making our Health Surveillance and employee wellbeing services accessible and convenient to all businesses. Our air conditioned and heated units are suitable for the following Health Surveillance Tests:

  • Audiology
  • Lung Function Tests
  • Visual Tests
  • BMI (Height and Weight)
  • Skin Surveillance
  • Driver Medical
  • Safety Critical Medicals
  • Blood Glucose & Cholesterol Checks

Additionally our mobile clinics can be utilised for vaccinations and blood tests.

Driver Medical

Those operating fork-lift trucks or similar, such as machine operating, generally require a driver medical as per the Management of Health & Safety at Work Regulations 1999, and The Provision and use of Work Equipment Regulations 1998.

What does it involve?

  • BP check
  • Blood glucose analysis
  • Height/weight check
  • Visual acuity
  • General health questionnaire
  • Onward referral if applicable
  • An outcome certificate satisfying HSE requirements.
Surveillance duration:
30 min

Skin Surveillance

Work-related skin problems can happen in most workplaces through exposure to or coming into contact with substances such as chemicals or other skin irritants.

What does it involve?

  • A short, online questionnaire
  • Escalation to virtual or face to face consultation for advice and onward referral if required
Surveillance duration:
10 min

Drug & Alcohol Testing

Protecting your organisation from drugs and alcohol misuse plays an essential part in keeping your employee’s safe, reducing accidents and protecting your business. In line with your corporate policies, Innovate can provide you with a 24 hour service for Random and For Cause drug and alcohol testing. Both types of tests ensure that our clients receive accurate and quick results, tailored to their requirements.

Medical Surveillance

Medical surveillance is a legally obliged surveillance that must be conducted by an approved medical physician, and is necessary where:

(a) it is required by national law whenever workers are liable to be exposed to chemicals hazardous to health; or

(b) the employer is advised by an occupational health service that it is necessary as part of the protection of workers exposed to chemicals hazardous to health, given special attention to pregnant and breastfeeding women and other susceptible workers; or

(c) atmospheric or biological monitoring show that there could be effects on the health of a worker because of exposure to chemicals at work and medical surveillance will assist early detection of ill effects.

Get in Touch

Innovate Healthcare

Ground Floor, Dale House
Stockport,
SK1 1TA

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