HAVS T2 HS Employee

 

HAVS Tier 2 Health Surveillance

The Control of Vibration at Work Regulations 2005 

Introduction and Confidentiality Note

Working with vibrating tools can cause Hand-Arm Vibration Syndrome (HAVS), which damages blood vessels, nerves, muscles and joints in hands and fingers. Early signs include white finger attacks, tingling, numbness, and reduced grip strength. Without intervention, HAVS becomes severely disabling and irreversible.

Your employer must provide HAVS health surveillance under the Control of Vibration Regulations 2005 because you use vibrating tools. This assessment detects early HAVS symptoms, prevents progression, and ensures appropriate workplace controls.

Your clinical results remain confidential. Your employer receives only a fitness certificate with workplace recommendations. You may be referred to an occupational physician if needed.

By completing this form, you consent to this process.

 

Your personal information

 


Your current symptoms


Your history of vibrating tool use


Please attach photographs of a blanching episode at the end of this questionnaire.

Otherwise, take several hand photographs (holding hands next to your face) during a blanching episode and bring them to your next assessment.

Additional details


Declaration and consent


Some description about this section