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HAVS Health Surveillance

Ongoing health surveillance for employees whose work exposes them to hand-arm vibration, run to the tiered approach set out in HSE guidance under the Control of Vibration at Work Regulations 2005.

Health surveillance for hand-arm vibration syndrome (HAVS) is required under regulation 7 of the Control of Vibration at Work Regulations 2005 for employees who are regularly exposed to vibration at or above the Exposure Action Value (2.5 m/s² A(8)), occasionally exposed above the EAV where a risk assessment shows a risk, or already diagnosed with HAVS or vibration white finger, even if their current exposure has since fallen below the EAV.

Surveillance is not a one-off check. HSE guidance sets out a tiered approach, from an initial and annual questionnaire through to clinical assessment and, where indicated, formal diagnosis by a doctor. We carry out the tier your workforce actually needs, escalating on symptoms rather than defaulting everyone to the most intensive level.

Who this is for

  • Employers with employees who use vibrating tools regularly, or occasionally above the Exposure Action Value
  • Employers continuing surveillance for a worker previously diagnosed with HAVS or vibration white finger
  • Health & safety or occupational health managers setting up or reviewing a surveillance programme
  • Employers not yet sure which tier their workforce needs — we help establish this from your risk assessment and exposure history

What's included

The examination matches the level of surveillance your workforce needs: a symptom questionnaire for Tier 1–2, or a hands-on clinical assessment with a qualified occupational health professional for Tier 3, with formal diagnosis and staging by a doctor at Tier 4 where the questionnaire or clinical assessment indicates it. Every round ends with a written outcome for your employer health record and, where relevant, an opinion on continuing fitness for vibration-exposed work.

Health surveillance vs risk assessment
Health surveillance monitors individual worker health. A HAVS risk assessment evaluates workplace vibration exposure and is what determines whether surveillance is needed. The two are not interchangeable.
Questions

HAVS Health Surveillance FAQs.

Who needs HAVS health surveillance?
Employees regularly exposed to hand-arm vibration at or above the Exposure Action Value (2.5 m/s² A(8)), those occasionally exposed above the EAV where a risk assessment shows a risk, and anyone already diagnosed with HAVS or vibration white finger, even if their current exposure has fallen below the EAV.
How often is HAVS health surveillance required?
At least annually for workers already under surveillance, with a baseline assessment before or shortly after someone starts vibration-exposed work. See our full breakdown of surveillance frequency for the detail.
What's the difference between health surveillance and a HAVS risk assessment?
Health surveillance monitors individual worker health. A HAVS risk assessment evaluates workplace vibration exposure — the tools, trigger times and resulting A(8) — and is what determines whether surveillance is needed in the first place. See our HAVS risk assessment page for that service.
What are the HAVS tiers?
HSE guidance describes a tiered approach from an initial questionnaire (Tier 1) through annual review (Tier 2), clinical assessment (Tier 3) and formal diagnosis (Tier 4), to optional specialist referral (Tier 5). Read our full tier guide for what each involves.
What happens if a worker's questionnaire shows symptoms?
They're escalated to a Tier 3 clinical assessment rather than being signed off on the questionnaire alone. See our Tier 3 & 4 assessment page for what that involves.
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