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All employees who are exposed to substances that are hazardous to their health must have a dermatitis check to comply with the health surveillance monitoring outlined in the COSHH (Regulation 11). A full list of the substances that may cause occupational dermatitis can be supplied on request. The list will include epoxy resins, solvents, paints and engine oil. The employee will be requested to complete a questionnaire before his/her hands are checked to establish whether dermatitis is present.
If dermatitis is suspected or detected will issue a letter for the employee to give to his/her family doctor. Information and instruction is given in good skin care practices, and the necessary steps to take if skin problems occur. The dermatitis check should be carried out annually.
Seated in a sound proofed booth the employee will be given a hearing test using a diagnostic audiometer. The employee will also be required to complete a questionnaire. The results of the hearing test will be classified using the Health & Safety Executive's approved method of evaluating levels of hearing. Any employee whose hearing is below average will be referred to their family doctor. The classifications and action required are as follows:
Category 1 - Within normal limits. Advice given on importance of hearing protection and conservation.
Category 2 - Mild hearing impairment. Formal verbal notification of mild hearing deficit. Advice will be given on importance of hearing protection and implications of further hearing loss.
Category 3 - Poor hearing level. Referral to General Practitioner or Occupational Physician, as appropriate. Advice given on importance of hearing protection and implications of further hearing loss.
Category 4 - Rapid hearing loss. Significant deterioration in hearing level from previous test. Referral will be made to General Practitioner or Occupational Physician, as appropriate. Advice will be given on the importance of hearing protection and implications of further hearing loss.
Using an otoscope, the employee will also be assessed for any ear infection or disease. An employee found with an ear infection or disease will be given a letter to take to their family doctor requesting that further investigation be made.
It is the responsibility of the employer to ensure that the employee wears his/her personal hearing protection before having a hearing test. We recommend hearing tests should be carried out annually. It is requested that, where possible, the MedProtect mobile medical unit is sited away from excessive workshop noise.
Lung Function Test
Lung Function Test
After filling in a medical questionnaire, the lung function screening test will be carried out using a computerised spirometer.Four classifications are used for the lung function screening tests:
within normal limits: Means that the lungs are functioning normally
obstructive: Means that the employee has airways obstruction caused by conditions including bronchitis, asthma (occupational or non-occupational), emphysema, etc.
restrictive: This classification indicates that the employee may be suffering from diseases affecting the ribs or the vertebral column, the tissue of the lung, or be due to normal physiology.
combined: An employee who is classified as combined is both "obstructive and restrictive". Those employees who are found to be classified as obstructive, restrictive or combined must fill in another, more detailed questionnaire. The results of the test, along with the completed questionnaire, will be shown to the MedProtect occupational health physician. He will analyse the data and write to the employee's family doctor with his findings. The employee must make an appointment with his/her family doctor, for a more detailed examination. MedProtect provide this referral service at no additional cost.
An employee failing the test may be issued with a peak flow meter for further monitoring. This enables the MedProtect occupational health physician to gain a more detailed insight into the employee's medical condition. The company will be advised of the situation and MedProtect will supervise and co-ordinate all correspondence between the occupational health physician and the employee's family doctor. MedProtect offer this service free of charge.
The lung function screening test should be carried out annually. However, where an employee has been classified as obstructive, restrictive or combined or the employees are working in a high risk environment, it is recommended that the lung function screening tests are carried out at six monthly intervals. A full list of the substances that may cause occupational asthma can be supplied on request.
Hand Arm Vibration Syndrome (HAVS)
Hand Arm Vibration Syndrome
Regulation 7 of the Control of Vibration at Work Regulations 2005 requires employers to provide Hand/Arm Vibration Syndrome (HAVS) health surveillance where their risk assessment indicates that employees may be exposed to vibration which could be a risk their health.
Health surveillance should be provided for:
employees who are likely to be regularly exposed above the daily exposure action value, (2.5 m/s A(8));
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; and
employees who have a diagnosis of HAVS (even when exposed below the exposure action value).
employees who may have a particular susceptibility to vibration injury and disease (e.g. Reynaud's disease sufferers)
To ensure the effectiveness of the HAVS health surveillance programme employees should be given information and instruction to make them aware of the serious hazards associated with vibration induced injury and disease, the measures required to protect them from injury, (wearing gloves to improve tool grip and keep hands warm etc.) and the symptoms of vibration injury. MedProtect technicians can provide Level 2 Annual HAVS assessment either on your premises in a mobile clinic or by post. We will provide posters and/or information cards to employees and instruct them, during their Level 2 assessment, on how to reduce the risks associated with using handheld vibrating tools and the signs and symptoms to look out for. MedProtect can arrange referral on for Levels 3 and 4
Employees who are identified as having possible symptoms of vibration injury must be referred on to further assessment with suitably qualified health professionals as shown in the HSE guidance shown below:
LEVEL 3: Clinical assessment with Occupational Health Nurse, (OHN)
Clinical assessment by specialist occupational health advisor directed to the vascular & neurological function of the arm & hand: specific tests may include grip strength, Purdue pegboard and monofilaments.
Referral to specialist Doctor (Level 4) where symptoms are reported or clinical effects found.
LEVEL 4: Formal diagnosis by Occupational Health Physician, (OHP)
Formal diagnosis for reporting under RIDDOR by specialist medical practitioner. Fitness for work issues/case management.
LEVEL 5: Standardised tests
Levels 1 & 2: Pre-employment assessment and annual screening involves a simple questionnaire for employees to complete before they begin working with vibration tools (Level 1) and annually (Level 2).
MedProtect can also arrange for pre-employment HAVS assessment, (Level 1), with an OHN.
3-yearly HAVS consultation
The HSE recommends that after three years of reporting 'no symptoms' at Levels 1 & 2, employees should consult a qualified professional to explore any HAVS issues that may have remained undetected over time.
Other services we provide
MedProtect can cover all an employer's Occupational Health, Health and Safety compliance, employee health / wellbeing considerations. We can also provide emminently qualified risk assessors or medical professionals to cover management requirements.
For example -
-Breathable air quality monitoring to BS4275
-Booth clearance times
-Sickness absence analysis
-Display Screen Equipment assessments
-Fork Lift Truck driver medicals
-Vision screening for VDU users or drivers
In addition to the health surveillance service, the occupational health services that we can provide include:
- Pre-Placement Health Assessments
- Fork Lift Truck Driver Health Assessments
- Night Worker Health Assessments
- DSE Assessments
- Management Referrals
- Sickness Absence Management
- Hand Arm Vibration Syndrome (HAVS) tier 3 and 4 Assessments
- Driver Medicals
- Noise Assessments
- Biological Monitoring of urine for Isocyanates