medical practitioner who may train people, for example a nurse or first aider, to help with

the administration of the programme. Non-clinical information can be fed back to you so

that you can check whether your control measures continue to be effective.

The health surveillance programme can include pre-employment and regular health checks

vibration);

Regularly questioning your employees about symptoms will let you know if there are still

problems (see page 9 `How do I know if my employees are at risk?'). If you arrange health

surveillance the occupational physician will also advise whether your controls are working

If you receive written confirmation from a doctor that an employee has hand-arm

vibration syndrome, you should notify the relevant enforcing authority as required by the

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995.You will also

need to take action to reduce the exposure of injured people to vibration to avoid

worsening their symptoms.