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Thanks for all the advice about health surveillance for employees exposed to Styrene. We undertake skin surveillance, respiratory questionnaire and spirometry, but did not know if we should be undertaking urine screening as well. Health and Safety chap wanting to know why we dont do dedicated 'styrene screening' in addition to our skin, respiratory and spirometry stuff!!?!! On another note, we have had an incident when OH advice has been challenged by a GP with a poor outcome. A chap had a CVA and recovered sufficiently to return to work. He was extremely emotional and appearred to have a poor concentration span, constantly flitting from topic to topic and outbursts of innappropriate emotion. Due to this the OH Advisor advised restriction upon him working with or around MHE, due to the concentration issue and he was allocated alternate duties, working with a colleague and never alone. His GP challenged the restriction directly to the employing company when the employee complained to him and stated that as his DVLA issued driving licence had not been withdrawn and he could continue to drive his car on the public highway, restricting his ability to use MHE was unwarrented, an infringment of his rights and was detrimental to his overall recovery due to the stress it was creating. As a result the company arranged an assesment with the MHE Trainer, allowed him to use MHE and he drove into stack of pallets on his 3rd shift, luckily no-one was injured although the MHE was badly damaged. When questionned about what had happened he stated his concentration had gone as he was so emotional!!! The long and short of it is....what advice could have been given? Was it unwarrented to intruduce restrictions on his MHE use when he was able to drive on the public highway? It some-one holds a DVLA licence does that superseed direct assessment of the employee and the neds / risks of the workplace? Any opinions greatly appreciated Elle ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk