Health Surveillance Risk Assessment HAVS Tiers Explained Symptoms For Employers About Contact Enquire now
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What is a HAVS assessment?

"HAVS assessment" covers two different things in practice. This page explains both, so you know which one you actually need.

Health surveillance

Most of the time, "HAVS assessment" means health surveillance: ongoing monitoring of an individual worker's health once they're exposed to hand-arm vibration. It's required under regulation 7 of the Control of Vibration at Work Regulations 2005 for employees regularly exposed at or above the Exposure Action Value, occasionally exposed above it where a risk assessment shows a risk, or already diagnosed with HAVS or vibration white finger.

HSE guidance describes a tiered approach: a questionnaire at Tier 1โ€“2, a clinical assessment at Tier 3 if that questionnaire flags a problem, and formal diagnosis by a doctor at Tier 4. See our full tier breakdown for how they connect.

Risk assessment

A HAVS risk assessment is a different exercise, evaluating workplace exposure rather than an individual's health: which tools are used, for how long, and the resulting daily exposure (A(8)) against the Exposure Action and Limit Values. It's a duty under regulation 5, and it's what actually determines whether health surveillance is required in the first place.

Which do you need?
If you're an employer who hasn't yet assessed vibration exposure, start with a risk assessment. If exposure is already established and you need ongoing worker monitoring, that's health surveillance.

What a HAVS assessment does not do

It doesn't diagnose HAVS on the spot at every tier โ€” diagnosis happens at Tier 4, by a doctor. It doesn't replace your engineering controls โ€” reducing exposure is a separate employer duty under regulation 6. And general information like this page isn't a substitute for individual medical advice about your own symptoms.

Questions

Quick answers.

Is a HAVS assessment the same as a HAVS medical?
Yes โ€” "HAVS medical" and "HAVS assessment" are usually both referring to health surveillance. It's a different exercise from a HAVS risk assessment, which looks at workplace exposure rather than an individual worker's health.
Can I have a HAVS assessment without my employer arranging it?
Health surveillance is normally arranged by your employer, since it's their statutory duty under regulation 7. If you're self-employed or concerned about symptoms outside an existing surveillance programme, get in touch and we can advise on the right route.
Does a HAVS assessment diagnose HAVS?
Tier 1โ€“3 surveillance monitors for symptoms and escalates where needed; a formal diagnosis is made at Tier 4, by a doctor, staged against the modified Stockholm Workshop Scale.
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