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Employees whose hands are regularly exposed to vibration may suffer from damage to the tissues of hands and arms, which causes the symptoms collectively known as HAVS (Hand Arm Vibration Syndrome).


Possibly, up to 1 in 10 people who work regularly with vibrating tools may develop HAVS.


Under The Control of Vibration at Work Regulations 2005 an employer has a duty to assess vibration risks to health and safety. The employer must eliminate vibration risk at source, or reduce to the lowest reasonable practicable level and to provide information and training for employees on vibration risks and control measures. If the exposure action value (EAV) is likely to be exceeded, Daily exposure of 2.5 m/s2 A(8), health surveillance is required. This will identify employees with symptoms that require further investigation.  


Health Surveillance involves working through a number of stages or Tiers, and once your risk assessment has identified the need for health surveillance, and you have put in place a policy outlining details of your health surveillance programme, then ROHS will be able to offer you our services as follows, up to Tier 3:-


Tier 1 is a health questionnaire completed as part of Initial or Baseline Screening.  The replies to the questionnaire will indicate whether they need to be referred to Tier 3 for a HAVS health assessment with our Specialist Occupational Health Nurse.


Tier 2 is a health questionnaire to be completed as part of an annual screening programme for employees exposed to vibration risks to check whether they need to be referred to Tier 3 for a HAVS health assessment with our Specialist Occupational Health Nurse.


Tier 3 involves a HAVS health assessment by our Specialist Occupational Health Nurse. If the assessment shows that the employee has symptoms suggestive of HAVS, then Tier 4 will apply.


Tier 4 involves a referral to an Occupational Health Physician with specialist training for a formal diagnosis. The doctor will advise you on the employee's fitness for work with exposure to vibration.

HAVS