Welcome Guest! The IOSH forums are a free resource to both members and non-members. Login or register to use them

Postings made by forum users are personal opinions. IOSH is not responsible for the content or accuracy of any of the information contained in forum postings. Please carefully consider any advice you receive.

Notification

Icon
Error

Options
Go to last post Go to first unread
FlashingBlade  
#1 Posted : 22 November 2022 16:50:38(UTC)
Rank: Forum user
FlashingBlade

We have a worker who is refusing to undertake statutory health surveillance due to a fear of doctors and medical environments. We've explained that the health surveillance will take place on site (not in a medical setting), with people in 'normal' clothing etc but they are still refusing to go on the basis of its still a medical procedure and they have a phobia. To be fair, the person did seemed distressed at the prospect so I dont believe they're just using this as an excuse to avoid undertaking the screening. 

Has anyone experienced anything similar and how did you deal with it? My obvious concern is that in failing to undergo the screening we wouldnt identify any potential health effects due to the workplace and obviously we wouldnt be meeting our obligation to undertake such screening. Would it be an adequate defence that we'd offered the screening but it was declined? 

Roundtuit  
#2 Posted : 22 November 2022 19:22:49(UTC)
Rank: Super forum user
Roundtuit

Statutory Health Surveillance - for? Is this a "new" to the business employee, someone new to the surveilled activity or a new (previously overlooked) business requirement?

Merely allowing a free pass is never a good idea as it could be used against the employer, however there are also contractual terms to be tread carefully around.

Roundtuit  
#3 Posted : 22 November 2022 19:22:49(UTC)
Rank: Super forum user
Roundtuit

Statutory Health Surveillance - for? Is this a "new" to the business employee, someone new to the surveilled activity or a new (previously overlooked) business requirement?

Merely allowing a free pass is never a good idea as it could be used against the employer, however there are also contractual terms to be tread carefully around.

antbruce001  
#4 Posted : 23 November 2022 07:44:00(UTC)
Rank: Forum user
antbruce001

We can all find the legal reason why the employee should submit to HS but unless it is related to Regs that specifically require employees to submit to HS (like Asbestos) then it does give you a bit of wiggle-room to be compassionate. 

It must be remembered what the main purpose for the HS is. It is not intended to look for health issues caused by work to specific individuals. It is intended to look for patterns within the workforce. HS results are covered by medical confidentially. The person tested has to give their express permission for their results to be presented in such a way that it can be directly linked back to them.  The real intent is that sufficient people are tested so that a 'general observation' as to the present or absence of specific work related health condition/s within the workforce in specific areas of the site, or department etc. can be provided and allow for an assessment as to the adequacy of existing controls.

As such, a single person not wishing to take part should not really influence the overall outcome of the HS program. Based on that, I would be minded to allow them to be excluded from the HS. You may want your legal people to draw up a non-consent form for them to sign to help minimise any civil liability should illness present itself in the future.

Hope it helps,

Tony.

thanks 2 users thanked antbruce001 for this useful post.
HSSnail on 23/11/2022(UTC), A Kurdziel on 23/11/2022(UTC)
HSSnail  
#5 Posted : 23 November 2022 08:00:30(UTC)
Rank: Super forum user
HSSnail

As Bruce says (from memory without checking the regs) the requirement is toi OFFER health survalance not that people have to have the survalance. If someone is refusing just make sure you have the reasons well documented.

As an aside (i dont know much about white coat syndrome) depending on teh test its not always a doctor or nurse that has to do teh tests - would this person feel the same with a technician?

antbruce001  
#6 Posted : 24 November 2022 07:52:29(UTC)
Rank: Forum user
antbruce001

Brian,

I've checked the COSHH Regs, and Reg 11 states;

11(1) Where it is appropriate for the protection of the health of his employees who are, or are liable to be, exposed to a substance hazardous to health, the employer shall ensure that such employees are under suitable health surveillance.

As such, it is more than to just offer HS.

But I was incorrect in my statement regarding employees not being required to submit to it

11(8) An employee to whom this regulation applies shall, when required by his employer and at the cost of the employer, present himself during his working hours for such health surveillance procedures as may be required for the purposes of paragraph (1) and, in the case of an employee who is subject to medical surveillance in accordance with paragraph (5), shall furnish the relevant doctor with such information concerning his health as the relevant doctor may reasonably require.

However, I still stand by my original post above, regarding the best way to deal with this.

Tony.

Edited by user 24 November 2022 07:55:09(UTC)  | Reason: Clarification made.

thanks 1 user thanked antbruce001 for this useful post.
HSSnail on 24/11/2022(UTC)
Roundtuit  
#7 Posted : 24 November 2022 08:35:29(UTC)
Rank: Super forum user
Roundtuit

Of course there are regulations other than COSHH where health surveillance may apply - noise / vibration exposure, radioactive / electro-magnetic sources - the OP hasn't been specific.

thanks 2 users thanked Roundtuit for this useful post.
HSSnail on 24/11/2022(UTC), HSSnail on 24/11/2022(UTC)
Roundtuit  
#8 Posted : 24 November 2022 08:35:29(UTC)
Rank: Super forum user
Roundtuit

Of course there are regulations other than COSHH where health surveillance may apply - noise / vibration exposure, radioactive / electro-magnetic sources - the OP hasn't been specific.

thanks 2 users thanked Roundtuit for this useful post.
HSSnail on 24/11/2022(UTC), HSSnail on 24/11/2022(UTC)
Alan Haynes  
#9 Posted : 24 November 2022 08:47:11(UTC)
Rank: Super forum user
Alan Haynes

I have White Coat syndrome, and when working I had a note from my Doctor so my emoyer understood the problem - with me it was just that my Blood Pressure shot up when it was being taken, and several tests were needed as it slowly returned to normal. ( I was tested annually by my employer as I needed to work "trackside" on the Railways). Does the worker have anything from his Doctor to prove his/herself WCS? (I was aware of workers saying they had WCS because they didn't want the employer to be aware of medical conditio s that might affect their employment). (Or drink or drug problems) Irrespective of Health Surveillance, is the worker happy to be attended by a First Aider if there was an accidents? Also, will the worker allow themself to be put in an ambulance and sent to hospital. Processes need to be in place.

Edited by user 24 November 2022 08:48:36(UTC)  | Reason: Not specified

thanks 2 users thanked Alan Haynes for this useful post.
HSSnail on 24/11/2022(UTC), peter gotch on 24/11/2022(UTC)
HSSnail  
#10 Posted : 24 November 2022 09:12:19(UTC)
Rank: Super forum user
HSSnail

Originally Posted by: antbruce001 Go to Quoted Post

Brian,

I've checked the COSHH Regs,

I had a quick look again at noise at work (never had anyone on our survalance programe refuse the tests) and that has a similar requirement - so i was wronge as well it is more than just an offer! 

I accept agree with your comments about the overall measure of the effectivness - but an individual refuses the survalance and is not using the control measures  especialy any last resourt PPE im not sure what good a certificate would be - have always been told that most disclamers are not worth the papaer they are written on. Very tricky one.

FlashingBlade  
#11 Posted : 24 November 2022 11:59:55(UTC)
Rank: Forum user
FlashingBlade

Hi, 

Sorry for the delayed response. The person was due to receive audiometry due to working in an area above the upper exposure action value. As stated above, the legislation states that the employer SHALL ensure that such employees are placed under suitable health surveillance, not offered. 

Roundtuit  
#12 Posted : 24 November 2022 13:44:03(UTC)
Rank: Super forum user
Roundtuit

Back when the regulations first appeared I was lucky enough to work for an employer who invested in an audiometric booth as well as the test equipment.

We found a number of staff uncomfortable with the booth in designed operation (door closed) as the absence of background noise is quite unnerving. For those persons we merely recorded that at test the door was open (not that it made significant impact on the test results just that it was outside our documented procedure).

Other employments it has been the test equipment in a "quiet" room (or the back of an occupational health van). If this is the first time this particular employee is being asked to undertake the test let them see what happens (so much easier than trying to explain) with others before subjecting them to test.

Other options could include paying for the results of a private hearing test (certain high street eyewear suppliers offer such services) before considering redeployment.

Roundtuit  
#13 Posted : 24 November 2022 13:44:03(UTC)
Rank: Super forum user
Roundtuit

Back when the regulations first appeared I was lucky enough to work for an employer who invested in an audiometric booth as well as the test equipment.

We found a number of staff uncomfortable with the booth in designed operation (door closed) as the absence of background noise is quite unnerving. For those persons we merely recorded that at test the door was open (not that it made significant impact on the test results just that it was outside our documented procedure).

Other employments it has been the test equipment in a "quiet" room (or the back of an occupational health van). If this is the first time this particular employee is being asked to undertake the test let them see what happens (so much easier than trying to explain) with others before subjecting them to test.

Other options could include paying for the results of a private hearing test (certain high street eyewear suppliers offer such services) before considering redeployment.

Users browsing this topic
Guest
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.