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Dear all our employees use various various vibratory tools including dynabrade grinders, desoutter pneumatic sanders, angle grinders and spindle belt sanders. our guidelines are as follows: at early stage 2, employees should be reviewed on a six monthly basis. If there is no change in their condition after the second six monthly review, they should revert to annual review. Rapidly progressing or late stage 2 upward cases should be advised to cease vibration exposure. At late stage 2 the employee should be reviewed at 6 weeks from the last review to ensure that the recommendations on vibration exposure has been followed. Following annual HAVS surveillance the following criteria is used for deciding those individuals who should be considered for more detailed tests at the HAVS centre. All cases are first discussed by OH with the Occupational Physician. Suspected new cases Rapidly progressing symptoms or disability Upper stage 2 cases (sensorineural or vascular) All stage 3 cases. In my experience the employees perception on how long they use vibratory tools, and the actual time of vibration exposure vary considerably. When questioned on screening employees tend to state 8 hours a day, but on further questioning e.g. break times, job rotation etc the time spent using vibratory tools is much less. The use of tachometers as mentioned by Lindsey has left me intrigued, would love to try this in my workplace! [Smith, Pat] -----Original Message----- From: david mills [mailto:[log in to unmask]] Sent: 12 November 2003 08:44 To: [log in to unmask] Subject: HAVS Dear All Been to a medico-legal thing on HAVs in Liverpool recently. I wondered what other peoples practice is concerning employees who reach stage 2 in Stockholm. How many people restrict or remove from exposure at this stage? How many people routinely organise physiological testing, and if so what do they do with the results? How many people actually get accurate exposure details from the employers? General views would be very welcome Dr David MJ Mills [log in to unmask] _____ The data contained in, or attached to, this e-mail, may contain confidential information. If you have received it in error you should notify the sender immediately by reply e-mail, delete the message from your system and contact +44(0)1332 242424 (the Rolls-Royce IT Security Director) if you need assistance. Please do not copy it for any purpose, or disclose its contents to any other person. An e-mail response to this address may be subject to interception or monitoring for operational reasons or for lawful business practices. (c) 2003 Rolls-Royce plc Registered office: 65 Buckingham Gate, London SW1E 6AT Company number: 1003142. Registered in England.