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

FIRMS FINED £2M OVER FALLING PIPE FATALITY

Incorrect stacking of pipes triggered fall and crushing of workman

Read the rest of this article »

Posted on 20th April 2018

DOMESTIC PROJECT PC HANDED JAIL TERM

Workman fell from unprotected roof edge on dormer extension

Read the rest of this article »

Posted on 20th April 2018

MAJOR CONTRACTOR ERRED ON FRAGILE ROOF RISK

Firms fine £965,000 after painter fell through waiting room roof

Read the rest of this article »

Posted on 19th April 2018

HSE ENFORCEMENT UPDATE 19th APRIL 2018

hselogo1Prosecutions and enforcement notices update and analysis

Read the rest of this article »

Posted on 19th April 2018

STRUCTURAL SAFETY BODY LATEST NEWSLETTER

CROSS publishes reports and expert comment on a range of issues

Read the rest of this article »

Posted on 18th April 2018

NEW BIM SPEC FOR SHARING H&S INFORMATION

Specification for sharing health and safety info during construction projects

Read the rest of this article »

Posted on 17th April 2018

MANAGERS FORGED ASBESTOS DOCUMENTATION

Removal licence obtained using fake training and medical certificates

Read the rest of this article »

Posted on 17th April 2018

FINE OVER INCORRECT AND MISLEADING SURVEY

Specialist asbestos company failed to detect AIB on demolition project

Read the rest of this article »

Posted on 17th April 2018

IGNORING HSE ADVICE PENALISED BY LARGE FINE

Contractor fined over £50k for persistent WAH and welfare failings

Read the rest of this article »

Posted on 17th April 2018

PRISON OVER BASEMENT EXCAVATION AND COLLAPSE

Building contractor jailed after house collapsed in Brighton

Read the rest of this article »

Posted on 17th April 2018

DEFEATING POWER INTERLOCK CAUSED FLASHOVER

Systems for managing electrical safety found to be inadequate

Read the rest of this article »

Posted on 17th April 2018

LADDER SAFETY FAILURES ATTRACT MASSIVE FINE

National window firm left workers to ‘own devices’

Read the rest of this article »

Posted on 12th April 2018

FALLING MATERIAL STRUCK WORKMAN IN EXCAVATION

Risks of working in and near excavations highlighted by incident

Read the rest of this article »

Posted on 4th April 2018

HSE ENFORCEMENT WEEKLY UPDATE 4th APRIL 2018

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 4th April 2018

HOUSING ASSOCIATION FAILED ON VIBRATION RISK

Assessment, management and health surveillance all found wanting

Read the rest of this article »

Posted on 3rd April 2018

OCCUPIER AND CONTRACTOR FINED OVER FALL

Employee assisting contractor fell through roof during re-roofing project

Read the rest of this article »

Posted on 3rd April 2018

HSE FEARFUL OF GROWING ’BLUE TAPE’ BURDEN

hselogo1ISO 45001 could generate fresh business to business demands

Read the rest of this article »

Posted on 3rd April 2018

HSE ENFORCEMENT WEEKLY UPDATE 21st MAR 2018

hselogo1Prosecutions and enforcement notices weekly update and analysis

Read the rest of this article »

Posted on 28th March 2018

INCIDENTS: PASSER-BY STRUCK BY BRICKS

Pack of bricks appear to have fallen from crane

Read the rest of this article »

Posted on 28th March 2018

HSE RECONSIDER HOW TO INFLUENCE SMALLER FIRMS

hselogo1Regulator advice and messages are failing to chime with the SME businesses

Read the rest of this article »

Posted on 27th March 2018

DANGEROUS REMOVAL OF ASBESTOS CEMENT

Workers smashed asbestos sheets with crowbars whilst at risk of falling

Read the rest of this article »

Posted on 27th March 2018

HSE LAUNCH CONIAN SHARING AND SUPPORT PLATFORM

hselogo1New HSE web community now open to the public

Read the rest of this article »

Posted on 27th March 2018

FIRM FAILING ON HAVS SURVEILLANCE FINED £50,000

Door manufacturer failed to manage sanding and buffing tool vibration

Read the rest of this article »

Posted on 27th March 2018

PRE-CAST FIRM FINED OVER FINGER AMPUTATION

Lack of guarding and training triggered table saw injury

Read the rest of this article »

Posted on 26th March 2018

HSE STRIKE BEFORE A FALL ON SOLAR PANEL PROJECT

Director and company pay price for lack of fall prevention precautions

Read the rest of this article »

Posted on 26th March 2018
Turner Access Chipmunk Data
Total Access Ethentic
Higher Safety Turner Access