Health Surveillance Risk Assessment HAVS Tiers Explained Symptoms For Employers About Contact Enquire now
HAVS assessment, UK

Two questions. Two services. One clear answer for each.

"Is this worker's health being affected?" and "how much vibration exposure does this job involve?" are different questions. We keep them as separate services — health surveillance and risk assessment — rather than folding both into one generic "HAVS check".

  • Surveillance tiered to what's needed, not maximised
  • Nationwide UK coverage, quote-based pricing

Get a quote

Every enquiry is reviewed by a person, who will confirm the right service and next steps.

Surveillance & risk assessment kept separate Written outcome after every assessment Tiered to HSE guidance
The tier system

Five tiers, escalating on symptoms.

HSE guidance sets out a tiered approach to surveillance. Nobody needs to start at Tier 4 — most workforces sit comfortably at Tier 1–2 unless a questionnaire flags a problem.

Tier 1

Baseline

Initial questionnaire before vibration work starts.

Tier 2

Annual review

Shorter questionnaire, repeated at least yearly.

Tier 3

Clinical assessment

Hands-on check by an OH professional, if flagged.

Tier 4

Diagnosis

Formal diagnosis and staging by a doctor.

Tier 5

Specialist referral

Optional specialist testing, where indicated.

How the tiers connect, in full

Who needs it

If your workers trigger vibrating tools, this applies.

Health surveillance is required for employees regularly exposed to hand-arm vibration at or above the Exposure Action Value, or occasionally exposed above it where a risk assessment shows a risk. Typical tools include:

  • Breakers and pneumatic hammers
  • Angle grinders and sanders
  • Impact drills and wrenches
  • Chainsaws and powered hand tools
Symptoms

What HAVS actually feels like.

General information, not a diagnosis. Reported symptoms should be assessed, not worked through.

  • Tingling or numbness in the fingers
  • Finger blanching ("vibration white finger"), usually triggered by cold
  • Reduced grip strength and joint stiffness

Full symptom guide

Exposure values

EAV, ELV, and A(8) in one scale.

Daily vibration exposure is expressed as A(8) — magnitude combined with trigger time, normalised to an 8-hour day — and measured against two thresholds.

EAV2.5 m/s²
ELV5.0 m/s²
0123456 m/s² A(8)
Below EAV — no action required EAV–ELV — action required Above ELV — must not be exceeded

Work out your own A(8) with the exposure calculator

How it works

From enquiry to written outcome.

1

Tell us your workforce

Tools in use, headcount, and whether surveillance is already established.

2

Confirm the service

Health surveillance, a risk assessment, or both — and which tier applies.

3

Assessment carried out

At a clinic or on-site for group bookings, scheduled around your workforce.

4

Written outcome

A record for your files, escalated to Tier 3/4 only where indicated.

Employer responsibilities

The duty sits with you, not your workers.

Regulation 5 requires a risk assessment before deciding on controls; regulation 7 requires health surveillance where that assessment shows a risk. Both are employer duties.

Read what this means in practice

For employers

Need HAVS assessments for multiple employees?

Tell us your headcount, the tools involved, and any tiers already established, and we'll confirm a schedule and quote for your group.

  • Right service, right tier

    Surveillance and risk assessment kept separate, escalated only when the evidence says so.

  • Written record for every worker

    Every round ends with a record for your employer health files.

  • Scheduled for groups

    Tell us your numbers and we'll coordinate a schedule so nobody lapses.

Why it matters

Getting the distinction right, not just the paperwork.

Surveillance and risk assessment, not blurred

They answer different questions under different regulations. We don't sell one when you need the other.

Tiered to what's needed

Tier 1–2 stays questionnaire-based unless a response actually indicates escalation to Tier 3 or 4.

Sourced from HSE guidance

Tier structure, EAV/ELV figures and surveillance frequency are checked against HSE's own guidance, not simplified rules of thumb.

Questions

HAVS assessment, explained.

Still unsure? Ask us

What is a HAVS assessment?
It covers two different things: health surveillance, which monitors an individual worker's health once they're exposed to hand-arm vibration, and a risk assessment, which evaluates the vibration exposure in your workplace. Both sit under the Control of Vibration at Work Regulations 2005, but they answer different questions.
What's the difference between health surveillance and a risk assessment?
Health surveillance monitors worker health through HSE's tiered approach (questionnaire through to physician diagnosis). A risk assessment evaluates workplace exposure — tools, trigger times and A(8) — and is what tells you whether surveillance is needed at all.
How often is HAVS health surveillance required?
At least annually once a worker is under surveillance, with a baseline assessment before or shortly after they start vibration-exposed work. See our full breakdown of surveillance frequency.
What are the HAVS tiers?
HSE guidance describes five tiers: an initial questionnaire (Tier 1), annual review (Tier 2), clinical assessment (Tier 3), formal diagnosis (Tier 4), and optional specialist referral (Tier 5). Read our full tier guide for how they connect.
Do I need a risk assessment before booking health surveillance?
A risk assessment is what establishes whether surveillance is required and for whom. If you haven't assessed your workplace's vibration exposure yet, that's the logical starting point.
Can you handle assessments for multiple employees?
Yes. Tell us your workforce size, the tools involved and any tiers already established, and we'll confirm a schedule for your group.
How much does a HAVS assessment cost?
We don't publish a fixed price list, because the right service depends on your workforce size, the tier required, and whether you need surveillance, a risk assessment, or both. We confirm a quote once we know these details, rather than a number that may not reflect what you actually need.
What happens if a business doesn't comply?
The HSE can issue improvement or prohibition notices and take enforcement action, including prosecution, for breaches of the Control of Vibration at Work Regulations 2005. Beyond enforcement, the practical risk is workers developing HAVS without surveillance in place to catch it early.
Can HAVS be reversed?
Once nerve or vascular damage has progressed, it doesn't reverse. Early-stage symptoms can stabilise if exposure is reduced quickly, which is why symptoms should be reported and assessed rather than worked through.
How can we reduce vibration exposure?
Lower-vibration tools, shorter daily trigger time, well-maintained equipment, task rotation and scheduled breaks all help. A risk assessment identifies which of these will actually move your A(8) figure, rather than guessing.
Ready when you are

Discuss your HAVS requirements.

Tell us whether it's surveillance, a risk assessment, or both, and how many people are involved.

Discuss your HAVS requirements