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Dear Clare, My first thoughts are similar to yours, that his seizure may have been stress induced. However, I would still write to his Specialist, enclosing the information of the ear defenders you provide and ask him for his expertise, assuming you get consent from the client. Is there a reason why it is mandatory to wear the ear muff defenders you routinely provide? a reasonable adjustment in light of DDA may be for him to be provided with other suitable ear protection. If not, then as per many other emails on health surveillance, this may become an manager/HR issue, for non compliance of H&S legislation. Good luck Suzanne -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Clare Atkinson Sent: 02 June 2008 15:34 To: [log in to unmask] Subject: [OCC-HEALTH] epilepsy and earmuffs Hi all Opinions please: employee with epilepsy working in food production factory. Factory policy now to wear mandatory ear muff style defenders. He came to me saying that he has worn his earmuffs with a gap at the bottom and has now been told to wear them covering his ears and he felt that this would cause him to have a seizure as he has been feeling dizzy. I explained that I thought this was unlikely and his symptoms are more likely to be caused by the incorrect positioning of the earmuffs. I provided him with a different set to try, educated him on the correct wearing position and gave him a leaflet to take away (which I saw him put in the bin outside my office) Taht afternoon he had a seizure on the factory floor including loss of bladder function! I have seen him today and he is saying it is because he couldn't wear the earmuffs with a gap and it is mine and the managers fault for making him do this and watching him. I explained that I thought the fact that he got stressed and worked up about the issue was more of a trigger than the earmuffs. Your thoughts?? Clare ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: 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 ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: 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