Hand Arm Vibration Syndrome

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

Protect Against Hand Arm Vibration Syndrome

Assess Vibration Risks

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).

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 exceed the daily exposure level, of 2.5 m/s2A(8), then health surveillance is required. This will identify employees with symptoms that require further investigation.

What’s Needed and When

HAVS Assessment Tiers

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:

Tier 1

Assessment Details

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

Assessment Details

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

Assessment Details

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

Assessment Details

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.

Hand Arm Vibration Syndrome Monitoring
All bases covered

Other Services


Occupational Audiometry is a screening technique used to detect early damage to hearing resulting from exposure to noise. Identifying any damage allows for follow-up remedial action in the workplace and if necessary a medical referral.


After completing a general respiratory questionnaire, lung function tests are carried out using a Spirometer. Results are discussed with the employee and a summary report of the results will be forwarded to the employer. If any abnormalities are detected, a referral will be made to the company Medical Officer or the employee’s GP.

Vision Screening

In industry, a comprehensive screening programme can provide a general overview of employee’s visual disorders, detecting those where corrective action should be taken. Vision Screening Tests are a means of identifying individuals with defective vision who need a full eyesight test. Using the Keystone VS-II, we carry out fourteen tests of nine visual functions, not just visual acuity alone.

Absence Management & Advice

If you want to get your staff back to work as quickly and safely as possible, early intervention is essential. Once an employee has been off sick for more than six weeks, the problem is often compounded and the chances of returning to work at all are significantly reduced.

Our skilled and experienced team will work with you, in the context of your business culture and with your business priorities in mind, to resolve even the most difficult and sensitive cases, where fitness to work is an issue.  With sickness and absenteeism costing British business over £11.6 billion each year, according to the Confederation of British Industry, it is not surprising that more and more organisations are taking action to control these costs.

Medical Assessments

ROHS can undertake medical assessments for a whole range of needs. These will be carried out by the Occupational Health Physician or the Occupational Health Nurse Advisor.

Medicals include:

  • Initial Medical Assessments for New Starters
  • Night Worker Health Assessments
  • Lift Truck Driver Medical Assessments
  • Medical Assessment for Safety Critical Workers
  • Food Hygiene Medical Assessments
  • Life Style Medical Assessment
First Aid Courses

The First Aid at Work training course is designed to enable people designated as a First Aider to carry out appropriate first aid in an emergency situation at work.

At the end of the course the candidate will be able to manage a casualty who is injured at work, or suffers from a serious illness, while waiting for more qualified medical help to arrive.

Our training courses are non-regulated and held in accordance with the syllabus of subjects set out in the First Aid at Work Regulations 1981 – Approved Code of Practice 2009.  

Our courses meet the HSE’s due diligence criteria for what is expected of training providers, including the qualifications expected of trainers and assessors, monitoring and quality assurance systems, teaching and standards of first aid practice, and syllabus content and certification.