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I'd recommend a thorough assessment of nature, triggers and stability of his asthma and have a decent chat with his manager about the nature of the confined space work, risk to the worker and others in the event of an untoward incident etc. We've cleared some asthmatics for confined space work because the risk assessment process has shown a low risk to the employee, plant and others (ie potential rescuers) but in other areas not passed some due to increased risk Paul D'Arcy Clinical Nurse Leader Occupational Health Imperial College Healthcare NHS Trust 2nd Floor Hammersmith House Hammersmith Hospital Du Cane Road London W12 0HS Tel 020 8383 3063 ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of OccHealth Sent: 08 January 2009 11:28 To: [log in to unmask] Subject: [OCC-HEALTH] Asthma and confined space working Hi all I have a worker who is 19yo and asthmatic on becotide inhaler bd. Does this exclude him from working in confined spaces i.e. tunnelling/augerboring - laying sewage pipes. Many thanks Helen ~~~~~~~~~~~~~~~ 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 ---------------------------------------------------------------------- Imperial College Healthcare NHS Trust notice: The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Imperial College Healthcare NHS Trust on +44 (0)20 3311 3311 and ask for the person who sent you the email. Please also delete the message from your computer. [end] ~~~~~~~~~~~~~~~ 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