Description
Hand Arm Vibration Syndrome
Vital Medicals is committed to ensuring the safety of employees who use vibrating hand tools and are at risk of developing HAVS. As an employer, if your employees work with vibrating tool or machinery, you would have a duty under the Control of Vibration at Work Regulations to conduct regular risk assessments for your staff.
These regulations mandate employers to minimise health and safety risks from workplace vibration exposure. Here’s a simplified breakdown of an employer’s responsibilities:
Employer’s Duties According to HSE
As an employer, you have specific legal duties under the Control of Vibration at Work Regulations:
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- Assess the vibration risk to your employees.
- Take action to reduce vibration exposure that produces risks.
- Decide if employees are likely to be exposed above the:
- Daily exposure action value (EAV): Introduce controls to eliminate or reduce risk.
- Daily exposure limit value (ELV): Take immediate action to reduce exposure below the limit value.
- Ensure legal limits on vibration exposure are not exceeded.
- Provide information and training to employees on health risks and control measures.
- Carry out health surveillance (regular health checks) where there is a risk to health.
- Keep records of risk assessments and control actions.
- Maintain health records for employees under health surveillance.
- Regularly review and update your risk assessment.
Who Can Conduct the HAVS Medical
A HAVS assessment (Tier 4) can only be performed by a fully qualified and independent GMC registered doctor with an additional qualification in Occupational Medicine and HAVS. At Vital Medicals we have multiple doctors who are able to meet your needs with a quick turn around time.
What Does the HAVS Assessment Involve?
There are several Tiers of HAVS surveillance:
Tier 1 – Initial Questionnaire: This first step collects information about an employee’s past employment, any existing health conditions related to vibration exposure, or any factors that may increase susceptibility to HAVS.
Tier 2 – Yearly Screening: This is a yearly questionnaire-based assessment designed to monitor any changes from the initial questionnaire and to identify individuals who may need to be referred to Tier 3 for a HAVS health check.
Tier 3 – Examination by Qualified Individual: A qualified individual, typically an HAVS qualified and approved Occupational Health Nurse, carries out this health check. It can consist of several elements to assess whether the information provided by the employee in their Tier 1 or 2 questionnaire if accurate, and if this is, they will arrange for a doctor for a Tier 4 assessment.
Tier 4 – Official Diagnosis: This involves a referral for an official diagnosis of HAVS by a doctor who has the specialised training needed to perform HAVS medicals. The doctor provides a written diagnosis with a description of symptoms and advice on future exposure. At this stage multiple sets of specialist equipment are used to help inform the diagnosis and future plans.
Tier 5 – Specialised Testing: This involves specialised testing to confirm symptoms in support of a HAVS diagnosis. Most cases stop at Tier 4. This Tier is usually only required in extreme circumstances and where there is a significant dispute in the findings.
How Often Should the Examinations Be Performed?
HAVS surveillance needs to be carried out at least every year. Once an employee is under the care of a doctor for a Tier 4 assessment, they may require an assessment more frequently, however this if decided in each individual assessment and the recommendation made to both the employee and employer.
At Vital Medicals you can be assured of a top quality service. We have multiple doctors experienced in HAVS assessments with all the specialist equipment and knowledge required to provide you with the vital information you need to keep your employees healthy and in work.
Choose Vital Medicals for expert HAVS management and proactive care. Contact us today to prioritize your employees’ health and safety. If you need any further occupational health support, click here to see our full set of services.
Chose Vital Medicals today for your HAVS medicals
At Vital Medicals, we offer solutions to all your needs with HAVS. We offer comprehensive screening process to help us identify any potential issues. If an employee’s annual questionnaire or our screening reveals any concerns, we offer a full HAVS service up to Tier 4, meaning your employee will be seen by a HAVS trained doctor. You can rest assured of an accurate and professional service including the use of expert tools such as dynamometers for grip strength measurement, monofilaments for sensation testing, and dexterity tests like the Purdue Pegboard along with clinical expertise used to assess for Carpal Tunnel Syndrome. Our medical will provide you with;
- Detailed findings from the assessments and interpretation of the results providing medical advice on managing symptoms, preventing further injury, and potential treatment options.
- Workplace advice including recommendations for the employer and employee regarding ergonomic practices, minimizing vibration exposure, and potentially modifying work tasks to reduce strain on the hands and wrists along with adequate follow up.




