Turner Access Higher Safety Total Access
Total Access Ethentic Chipmunk Data
Chipmunk Data Turner Access Ethentic

HEALTH SURVEILLANCE FOR THOSE EXPOSED TO SILICA

Report by HSL considers appropriate health surveillance standards

HSE is seeking to establish a standard for the health surveillance of respirable crystalline silica (RCS). There is currently uncertainty about what constitutes appropriate health surveillance for silica-exposed workers, despite evidence that new cases of silicosis are occurring.

The Health and Safety Laboratory (HSL) were therefore commissioned by HSE to:

  1. identify existing recommendations for health surveillance for silica-exposed workers;
  2. assess the evidence base for these recommendations and evidence in the scientific literature; and
  3. make recommendations for a standard approach to health surveillance for silica-exposed workers.

HSL has now published a report RR827: Health surveillance in silica exposed workers

Main findings

The report identifies the following main findings:

  • health surveillance programmes for RCS-exposed workers are important for identifying early adverse respiratory effects;
  • programmes should take into account regular and up-to date measures or estimates of individual worker exposure to RCS;
  • baseline assessment of respiratory health for potentially RCS-exposed workers is needed with a subsequent annual assessment. Both should include use of a ‘standardised’ questionnaire and lung function measures (although an agreed standard questionnaire or data recording proforma is currently not available); and
  • there is no agreed consensus on (a) how best to interpret lung function changes over time and (b) relating to the periodicity of chest radiographs required to identify changes of silicosis, although various approaches are suggested.
Recommendations

The report makes the following recommendations:

  1. health surveillance for RCS-exposed workers should be based upon the findings of appropriate workplace risk assessments.
  2. overall acceptance of RCS-based health surveillance by workers is key to success and programmes should be developed in close consultation with workers;
  3. programmes should make it explicitly clear to workers how they will be individually handled should they be noted to have abnormal results during testing;
  4. records should be shared with the individual worker, passed on (with consent) to the primary care provider and kept separate from human resources within an organisation;
  5. a standardised approach should be developed for health surveillance and should include a number of key elements (see Section 8.2.1). Consideration should be given to developing a standardised questionnaire and a health surveillance data recording proforma;
  6. those responsible for developing and delivering programmes require knowledge of the adverse health effects of RCS exposure, and of lung function and radiological abnormalities; and
  7. further work should be undetaken to gain a better understanding of the ideal periodicity of the various components of health surveillance and of predictive factors that are associated with the development of silicosis, accelerated lung function decline and COPD.
Comment

HSE has been taking steps to raise the profile of controlling exposure to silica dust within the construction industry. Enforcement activity on silica exposure risks increased seven-fold from 2008/09 to 2009/10 with approximately 100 Notices served by inspectors.

This follows the Time to clear the air’ initiative and interim guidance on the control of silica risks associated with the cutting of roof tiles

Latest Construction Health and Safety News

SOLE TRADER PRISON SENTENCE OVER ROOF FALL

Fall through fragile rooflight caused by poor planning and assessment

Read the rest of this article »

Posted on 24th November 2017

MAJOR SUPPLIER FINED £1.2M OVER DRIVER DEATH

Delivery driver crushed by overloaded FLT at supplier factory premises

Read the rest of this article »

Posted on 23rd November 2017

SOLAR PANEL BOSS SENTENCED WITH COMPANY

Director and company given hefty sentences over worker fall

Read the rest of this article »

Posted on 22nd November 2017

BUSINESS LEFT LEGIONELLA RISK UNCONTROLLED

Effective management arrangements missing for tunnel wash

Read the rest of this article »

Posted on 22nd November 2017

HSE ENFORCEMENT WEEKLY UPDATE 22nd NOV 2017

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 22nd November 2017

PRICE RISES FOR THOSE IGNORING HSE NOTICES

Contractor given jail term after scaffolding prohibition issued

Read the rest of this article »

Posted on 22nd November 2017

UPDATED GUIDANCE ON EXCAVATORS USED AS CRANES

Plant Forum stresses excavators should not be ‘first choice’ for lifting

Read the rest of this article »

Posted on 22nd November 2017

LORRY SHEETING ARRANGEMENTS PROVED FATAL

Driver fell 4m to death during unsafe un-sheeting of lorry

Read the rest of this article »

Posted on 16th November 2017

HSE ENFORCEMENT WEEKLY UPDATE 15th NOV 2017

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 16th November 2017

NEW CPA GUIDANCE ON FORWARD TIPPING DUMPERS

Industry aims to help prevent overturns and collision with workers

Read the rest of this article »

Posted on 13th November 2017

DEMOLITION WORKER LOST BALANCE IN FATAL FALL

Lack of measures in place to prevent fall from mezzanine floor

Read the rest of this article »

Posted on 13th November 2017

GROUNDWORKER SET ON FIRE BY CABLE STRIKE

RAMS requirement for underground service checks not followed

Read the rest of this article »

Posted on 13th November 2017

HSE ENFORCEMENT WEEKLY UPDATE 8th NOV 2017

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 9th November 2017

RARE SUPPLIER PROSECUTION OVER FATAL CRUSHING

Vehicle manufacturer design and unsafe user practice caused death

Read the rest of this article »

Posted on 9th November 2017

ASBESTOS SURVEY FAILED TO COVER ALL WORK AREAS

Utilities firm fined after electricians exposed to drilled asbestos

Read the rest of this article »

Posted on 8th November 2017

METAL GRID FELL FROM FLT DURING PAINTING

Steel fabricator could have used sling to safely suspend grids

Read the rest of this article »

Posted on 7th November 2017

DRIVER ESCAPES WITH LIFE AFTER POWER STRIKE

Director given suspended sentence over lorry 132kV line contact

Read the rest of this article »

Posted on 7th November 2017

SCAFFOLDER FELL ON TEMPORARY ROOF WORKS

Injured workman lacked training and fall arrest equipment

Read the rest of this article »

Posted on 7th November 2017

FALLING CONTROL PANEL CRUSHED WORKMAN

Planning lacking on how to safely move heavy electrical equipment

Read the rest of this article »

Posted on 7th November 2017

POWER DOOR INSTALLER JAILED FOR THREE YEARS

Falling electrically powered gate claimed life of resident

Read the rest of this article »

Posted on 3rd November 2017

HSE ENFORCEMENT WEEKLY UPDATE 2nd NOV 2017

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 2nd November 2017

STEEL FIRM REMOVED BAND SAW SAFETY GUARD

Leg of worker crushed in the vice of an industrial band saw

Read the rest of this article »

Posted on 2nd November 2017

WORKMAN FELL AFTER RAIL REMOVED FOR ACCESS

Small builder failed to allow for missing guard-rail

Read the rest of this article »

Posted on 2nd November 2017

FINES RISE RAPIDLY ALONGSIDE HARM TO HEALTH

hselogo1HSE confirm lowest number of construction fatalities on record

Read the rest of this article »

Posted on 2nd November 2017

HSE ENFORCEMENT WEEKLY UPDATE OCT 25th 2017

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 25th October 2017
Turner Access Chipmunk Data
Total Access Ethentic
Higher Safety Turner Access