Ethentic Ethentic Higher Safety Higher Safety Chipmunk Data Chipmunk Data
  • Higher Safety Higher Safety Chipmunk Data Chipmunk Data Ethentic 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

    CONCRETE EJECTED BY PUMPING UNIT CLAIMED LIFE

    Company and director failed to train and supervise pumping operations

    Read the rest of this article »

    Posted on 5th December 2018

    HSE ENFORCEMENT WEEKLY UPDATE 5th DEC 2018

    hselogo1Prosecutions and enforcement notices register latest version

    Read the rest of this article »

    Posted on 5th December 2018

    REFRESHED GUIDANCE ON FITNESS TO OPERATE PLANT

    Construction plant medical fitness Good Practice Guide

    Read the rest of this article »

    Posted on 4th December 2018

    MAJOR CONTRACTOR & LUL USED UNSAFE SYSTEM

    Work method to eliminate moving vehicle hazard not adopted

    Read the rest of this article »

    Posted on 4th December 2018

    OVERTURNING LORRY CAUSED DEATH OF DRIVER

    Groundworks project stockpiling arrangements not properly managed

    Read the rest of this article »

    Posted on 3rd December 2018

    FORTH BRIDGE LIFTING OPERATION NOT PLANNED

    Major project PC failed to plan, supervise and carry out lift safely

    Read the rest of this article »

    Posted on 3rd December 2018

    DEVELOPER FAILED ON ASBESTOS ASSESSMENT

    HSE inspection revealed refurb works without asbestos survey

    Read the rest of this article »

    Posted on 28th November 2018

    POST DRIVER HAMMER CRUSHED HAND OF WORKMAN

    Unsafe system of work for vehicle crash barrier installation

    Read the rest of this article »

    Posted on 28th November 2018

    WORKER FELL FROM LOFT THROUGH CEILING

    Major house builder lacked understanding of loft fragile surfaces risk

    Read the rest of this article »

    Posted on 28th November 2018

    NEW SITE DUMPER SAFETY GUIDANCE ISSUED

    Construction plant sector concerns prompts CPA consults on draft

    Read the rest of this article »

    Posted on 28th November 2018

    CCTV INSTALLER FELL THROUGH FRAGILE ROOFLIGHT

    Contractor failed to properly plan and control the risks

    Read the rest of this article »

    Posted on 28th November 2018

    VISITOR DIED FALLING INTO CONCEALED BASEMENT

    Contractor failed to protect basement void on domestic project

    Read the rest of this article »

    Posted on 28th November 2018

    RACKING FALL REVEALED UNSAFE SYSTEM OF WORK

    European firm fined £300,000 after UK sub-contractor employee fell

    Read the rest of this article »

    Posted on 18th November 2018

    FAILURE TO ACT ON VIBRATION AND SILICA HAZARDS

    Worker health put at risk during stripping of furnace lining

    Read the rest of this article »

    Posted on 18th November 2018

    MAJOR FM FIRM FAILED TO MAINTAIN BACK-UP POWER

    Power loss at laboratory site created potential risk from biological agents

    Read the rest of this article »

    Posted on 18th November 2018

    IGNORING HSE PROHIBITIONS COST FIRM £250,000

    CDM 2015 and work at height requirements repeatedly breached

    Read the rest of this article »

    Posted on 16th November 2018

    ROOF COLLAPSED UNDER EXCESS LOADING

    Director and company fined over roof design failures

    Read the rest of this article »

    Posted on 11th November 2018

    FORK LIFT OVERTURNED IN SCAFFOLDING YARD

    Untrained operator suffered life changing crush injuries

    Read the rest of this article »

    Posted on 10th November 2018

    STRUCTURAL SAFETY ALERT: EFFECTS OF SCALE

    SCOSS issues alert after concerns disclosed over ‘large structures’

    Read the rest of this article »

    Posted on 7th November 2018

    ASBESTOS EXPOSED BY UNTRAINED WORKERS

    Contractor failed to act properly despite HSE intervention

    Read the rest of this article »

    Posted on 7th November 2018

    GAS MAIN STRIKE REPAIR CAUSED SEVERE BURNS

    Contractor excavator damage to gas pipe ends in £1.2m fine

    Read the rest of this article »

    Posted on 7th November 2018

    REBAR FELL FROM FLT IN UNSAFE LIFTING OPERATION

    Multiple fractures caused by inappropriate use of fork lift

    Read the rest of this article »

    Posted on 7th November 2018

    POORLY PLANNED LIFT DISMANTLE INJURED WORKMAN

    Counterweight or suspension rope struck worker in lift shaft

    Read the rest of this article »

    Posted on 1st November 2018

    CONSTRUCTION INJURY AND ILL-HEALTH 2017/18

    hselogo1Fatal injury rate in long term decline whilst ill-health trend flat lining

    Read the rest of this article »

    Posted on 1st November 2018

    DUMPER DRIVEN INTO OPEN UNGUARDED EXCAVATION

    Contractor fined over absence of suitable excavation / dumper precautions

    Read the rest of this article »

    Posted on 1st November 2018
    Ethentic Ethentic Higher Safety Higher Safety Chipmunk Data Chipmunk Data
  • Higher Safety Higher Safety Chipmunk Data Chipmunk Data Ethentic Ethentic