‘Spiro’ is the Greek word for breath and Spirometry is defined as the measurement of breathing.

Respiratory Assessments

Occupational Spirometry

Lung function tests have long been recognised as one of the most important tests available to assess lung impairment. In recent years there has been an increase in the performance of these test in Occupational Health. The Control of Substances Hazardous to Health Regulations 2004, state that if an occupational asthma agent is present in the workplace, appropriate health surveillance is required.

We do not yet know what all the agents are which induce occupational asthma, and the list is continually being added to.

When You’re Responsible

Employees at Risk

In some cases the requirement for lung function testing is fairly obvious, i.e. isocyanates, solder flux, epoxy resin, curing agents. However, it can be all to easy to overlook many other commonplace industrial hazards such as wood dust, fibreglass, welding fumes, etc.

Given the lengthy development time of symptoms in occupational lung disease, the lung function test can form a valuable part of Initial Screening for New Starters, where prospective employees are likely to be exposed to a potential hazard.

Early knowledge of the incidence of disease made available by lung function testing makes it possible to take effective remedial action promptly and so minimise future liability.

What’s involved?

Spirometry Screening Process

After completing a general respiratory questionnaire, the lung function test will be carried out using a Spirometer. Results will be 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 employees GP.

Each test takes approximately 15 minutes and can be carried out at our medical centre or at company premises. 

All employees who have been identified by your risk assessment as being exposed to respiratory irritants, sensitisers and nuisance dusts.

Testing Guidelines

Frequency of Spirometry Screenings

Testing should be carried out annually for any employees exposed to sensitisers, irritants , dusts, fumes, etc. 

For new employees, a baseline test should be carried out at Initial Medical Assessment. If employees are working with respiratory sensitising agents the test will need to be repeated 6-weekly, 12-weekly, 6-monthly, then annually thereafter.

If any abnormalities are detected then more frequent testing may be required to monitor the situation more closely.

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.

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.

Hand Arm Vibration

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.

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.