title: Uptake and quality of health surveillance for noise and hand-arm vibration.
abstract: BACKGROUND
  Health surveillance (HS) is required for employees if noise or hand-arm vibration (HAV) exposures are likely to be above exposure action levels. The extent to which employers comply with Health and Safety Executive (HSE) regulations is unclear.
  
  
  OBJECTIVE
  To establish the uptake and quality of HS for noise and HAV in high-risk industries.
  
  
  METHODS
  A cross-sectional telephone-based questionnaire study involving employers in high-risk industries for noise or HAV.
  
  
  RESULTS
  A total of 246 and 386 interviews were completed for noise and HAV, respectively. The uptake of HS in the cohorts was 17 and 10%, respectively. Selection of those companies thought to have 'higher risk' increased the uptake to 25 and 18%, respectively. The proportion of companies carrying out HS was strongly related to the size of the company, with smaller companies less likely to provide this for their employees. A large proportion of companies that reported having HS in place had formal procedures for managing exposed workers (90 and 83% for noise and HAV, respectively), received feedback on individual workers (81 and 80%) and some reported that they used this information to inform their risk management process (58 and 63%). The frequency of HS for HAV was in line with that suggested in HSE guidance in 70% of cases, however, for noise, it was often utilized more frequently.
  
  
  CONCLUSIONS
  While many of the companies appear to be following HSE guidance, there is a significant number that are not. Further initiatives that engage with smaller companies may help increase HS provision.
authors.affiliation: Center for Workplace Health, Occupational Hygiene Unit, Health and Safety Laboratory, Harpur Hill, Buxton, Derbyshire SK17 9JN, UK. kerry.poole@hsl.gov.uk
authors.forename: K
authors.initials: K
authors.lastname: Poole
authors.forename: H J
authors.initials: HJ
authors.lastname: Mason
authors.forename: J
authors.initials: J
authors.lastname: Harris-Roberts
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D019983:Guideline Adherence; D053421:Hand-Arm Vibration Syndrome / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009623:Noise, Occupational / Q000009:adverse effects*; D016273:Occupational Exposure / Q000009:adverse effects*; D009786:Occupational Health Services / Q000592:standards*