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With regard to health surveillance perhaps you should consider what the latest version of the ACoP for COSHH states: where there have been previous cases of work-related ill health in the workforce/place; where there is reliance on PPE, eg gloves or respirators, as an exposure control measure; eg printers wearing gloves to protect against solvents used during press cleaning, or paint sprayers using two-pack paints wearing respirators to prevent asthma. Even with the closest supervision there is no guarantee that PPE will be effective at all times; where there is evidence of ill health in jobs within the industry; eg frequent or prolonged contact with water (termed 'wet working') causing dermatitis in hairdressers and health care workers, or breathing in mists from chrome plating baths causing chrome ulcers in platers. The objectives of health surveillance are to: check the health of individual employees by detecting, as early as possible, adverse changes which may be caused by exposure to substances hazardous to health; collect, keep up-to-date and use data and information for determining and evaluating hazards to health so that action can be taken to prevent more serious disease from developing check control measures are working effectively by providing feedback on the accuracy of the risk assessment and the effectiveness of control measures to identify where further steps to manage risk are needed. This is substantially different from what was stated in previous versions of the ACoP Chris Chris Packham FRSPH, FIIRSM, FInstSMM, MCMI, RSP, MBICSc EnviroDerm Services Unit 10, Building 11, The Mews, Mitcheldean, GL17 0SN Tel: 01386 832 311 Mobile: 07818 035 898 www.enviroderm.co.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