What is Health Surveillance?
Health Surveillance is a system of ongoing health monitoring. In the workplace, this is undertaken with workers who have exposures that have known or suspected health risks. This is sometimes also referred to as Biological Monitoring. Health surveillance is one of the last components of hazardous substance management. It is designed to detect ill health effects in workers at an early stage and allow employers to better control and prevent the development of disease. In short, it demonstrates whether the health substance management process is working. It can also provide data to employers to evaluate workplace health risks.
Specific Health Surveillance Services
Resile regularly provides health surveillance services for a range of substances including:
It is a legal requirement for employees who are exposed to specific hazardous substances to undergo health surveillance. There are a number of substances requiring health surveillance under various state legislation. To better understand the risks and requirements for health surveillance for your organisation, contact Resile on 1300 737 453.
Crystalline Silica
Crystalline silica is one of the most abundant minerals in the earth’s crust. It is found in sand, clay, gravel, and almost all types of rock including marble and granite. It is a major constituent of bricks, tiles, granite, grout, mortar, bitumen and concrete and is found in high concentrations in engineered stone used to fabricate kitchen and bathroom benchtops. So when a worker is involved in cutting, grinding, sanding or polishing these materials there is a high risk of exposure to crystalline silica.
Respirable crystalline silica particles are so small they cannot be seen by the naked eye and are therefore easily inhaled deep into the lungs. Respirable crystalline silica particles also stay airborne long after larger dust particles have settled to the ground. There can be serious health consequences from exposure to respirable crystalline silica – Silicosis is an incurable lung disease caused by inhaling respirable crystalline silica. It results in the formation of scar tissue in the lung, leading to a loss of lung function and sometimes eventually to lung cancer.
The recent resurgence of Silicosis cases is a serious concern for all workers and employers. Strict workplace safety processes, using the best health controls available, and proactive health monitoring are required to prevent or reduce workers’ risks.
Exposed workers should undergo respiratory function testing, and radiological assessments need to be performed to meet evidence-based standards.
Let Resile help you navigate this rapidly changing regulatory environment and ensure you have robust workplace practices in place to protect your workers from silica dust.
Risk Assessment
Health surveillance should be provided if the risk assessment shows that the level of exposure is significant for employees. Not all exposures are at significant levels, and can be managed with other controls such as substitution, isolation, administration and Personal Protective Equipment (PPE). The determination of whether an exposure is significant and warrants health surveillance is the first step, and our Occupational Physicians have the expertise required to assess your risk.
We only recommend health surveillance after we have discussed with you a range of factors that have been identified by risk assessment as having the potential to cause adverse health outcomes.
Occupational Hygiene
Environmental monitoring may be required if the airborne concentration of a chemical is not certain, or assess the effectiveness of existing control measures.
At Resile our Occupational Hygienists and Occupational Physicians work closely on projects to ensure your organisation has the full picture. We are the only occupational medicine company with full time Occupational Hygienists on staff.
Customised Health Surveillance
Health surveillance may include a history, a physical examination, and often assessment of tests such as blood or urine samples, spirometry, or Xrays. These tests are only performed where there is an indication for them. In Resile, we use the expertise of our Occupational Physicians to ensure that only the right test, for the right person, occurs at the right time, ensuring the best protection for the worker, their families, and their employer.
Also, health surveillance is only useful for hazardous substances that have established procedures, and specific markers that can be tested. Often, when we assess the health surveillance protocols of an organisation, we find that workers are undergoing unnecessary or incorrect tests for the exposures that they have in the workplace. These tests have the potential to miss any changes in the body from their exposures, or show unrelated changes. This can lead to the individual becoming ill from continued exposure, or delay investigation and treatment for a condition that is not related to work, but wrongly assumed to be. Both of these outcomes have serious negative outcomes, and should be avoided. Before commencing monitoring of employees speak to us first to ensure you get the right advice first time.
A: No. The Commonwealth and Stated Workplace Health legislation outlines the mandatory substances only, and the number of substances are about to increase. There are also a number of other substances that have an effect on health that should be monitored for. Additionally, new substances are being created as industry evolves, and we continue to learn more about the effects that other substances have on our bodies that we did not know before. Our occupational physicians can provide specific advice on the health risks posed by the exposures in your workplace, the controls that can be put in place to minimise the exposure, and the best surveillance procedure.
A: The person conducting the business or undertaking who engages the worker.
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