Posted By Gary L Hi Paul Unless your workers are exposed to vibration levels in excess of the Action Level of 2.5m2 health surveillance isn't really necessary if you have provided training & awareness to the workers. For the majority of time our workers are below this action level but on occassions are exposed to levels approaching the Limit Value of 5ms2. For the workers involved in these tasks we issue a questionnaire which are then passed to our Occ Health provider. One thing I would do is issue pre-employment medical questionnaires to prospective employees using vibrating tools to identify problems such as Cold/blue fingers, Numbness of finger tips, Tingling in Fingers, Reynauds Disease etc. Hope this helps, Gary