Hi Lisah

Some good information here:

https://www.hse.gov.uk/waste/health.htm

https://www.hse.gov.uk/research/rrpdf/rr977.pdf - Occupational Hygiene implications of processing waste at Materials Recycling Facilities (MRFs) Exposure to bioaerosol and dust

Don't overlook what the ACoP for COSHH (6th edition) states. Note particularly the third condition which suggests that even if you believe you have all risks adequately covered skin health surveillance may still be required.

Examples where health surveillance is appropriate under the criteria in regulation 11(2)(b) are:

where there have been previous cases of work-related ill health in the workforce/place;

where there is reliance on PPE, eg gloves or respirators, as an exposure control measure; eg printers wearing gloves to protect against solvents used during press cleaning, or paint sprayers using two-pack paints wearing respirators to prevent asthma. Even with the closest supervision there is no guarantee that PPE will be effective at all times;

where there is evidence of ill health in jobs within the industry; eg frequent or prolonged contact with water (termed ‘wet-working’) causing dermatitis in hairdressers and healthcare workers, or breathing in mists from chrome plating baths causing chrome ulcers in platers.

Paragraph 238 amplifies this:

This is not a definitive or exhaustive list and there will be many other instances where health surveillance is required. Employers will need to seek information or advice on the specific health risks identified in the risk assessment, or through any topic-specific HSE guidance, trade associations or other professional sources.