Pre-Employment & Annual Screening
Employees complete straightforward questionnaires before they begin working with vibrating tools and then as part of annual surveillance.
Occupational Health.
Occupational health surveillance built around HAVS, vibration white finger risk, and respiratory exposure, with clear escalation from questionnaires to clinical review.
Surveillance
Framework.
Employers must identify and assess HAVS risks, then establish suitable health surveillance. RailMed manages that process from questionnaire review through to referral planning and reporting.
- front_hand HAVS / Vibration White Finger Surveillance
- respiratory_rate Spirometry Surveillance
- partner_exchange Questionnaire Review to Referral Management
3-Yearly HAVS Consultation
After three years of reporting no symptoms, RailMed recommends consultation with a qualified professional to explore any HAVS issues that may have remained undetected.
Clinical Assessment
A more detailed questionnaire is completed with one of our trained nurses, including examination of the hands before review by an occupational physician.
Formal Diagnosis & Staging
Where required, an occupational physician reviews the findings, makes a formal diagnosis, and stages the condition to support practical next steps.
Managed End-to-End
RailMed manages the surveillance pathway for customers, from evaluating questionnaires to organising referrals and providing practical advice that helps employers reduce risk and respond early.
Hand Arm Vibration Syndrome and Vibration White Finger
Hand Arm Vibration Syndrome, often referred to as HAVS or vibration white finger, may be caused by prolonged use of vibrating tools and remains one of the most commonly recorded work-related conditions.
Early detection is important for the long-term health and wellbeing of employees and helps employers reduce exposure to avoidable health claims by acting before symptoms progress.
Respiratory surveillance with spirometry
Long-term exposure to fumes, dust, and other workplace substances can contribute to serious respiratory illness, including asthma, bronchitis, and chronic obstructive pulmonary disease.
RailMed can provide respiratory surveillance programmes using spirometry screening, which measures expiration and inspiration flow rates to indicate how well the respiratory tract is functioning.
Programme Detail
Structured occupational health surveillance without unnecessary repetition or admin friction.
Early Detection
Early identification of symptoms supports long-term employee wellbeing and helps reduce exposure to avoidable claims.
Risk Assessment Support
Programmes are built around the employer duty to identify, assess, and manage HAVS risks in exposed workforces.
Questionnaire Review
RailMed evaluates surveillance questionnaires and manages the next steps when symptoms or concerns are identified.
Referral Coordination
We organise escalation to occupational health professionals so employees and employers receive clear advice promptly.
Spirometry Screening
Lung function testing measures expiration and inspiration flow rates to highlight potential respiratory health concerns.
End-to-End Management
From initial questionnaire through to referral, reporting, and follow-up, the full surveillance pathway is coordinated by RailMed.
health_metrics
Programme Reporting & Action
Outcomes are reported in a practical format so employers can respond early, manage exposure, and maintain safer workforce deployment across HAVS and respiratory risk areas.