Hand-Arm Vibration Syndrome (HAV’s) Testing from £95 ( Tier 3 & Tier 4)

(Tier 1 & Tier 2 assessments from £40)

An important health and safety issue facing many heavy-industry and construction workers is the risk of vibration injury from certain handheld tools that leads to a condition called hand-arm vibration syndrome (HAV’S).

We provide HAV’s testing as part of our comprehensive Health Surveillance programme. Tools that are most likely to create risk include chainsaws, grinders, jack-hammers, floor polishers and impact drills. The occupations that involve regular and frequent exposure to vibration include but are not limited to:

  • Construction
  • Forestry
  • Automotive industry
  • Ship building and repair
  • Foundries

HAV’S is often a painful medical condition that can impact on the everyday lives of those affected by it. HAV’S symptoms include:

  • Numbness and tingling in the fingers
  • Reduced sense of touch and temperature
  • Blanching of the fingers, sometimes known as vibration white finger

The objective of health surveillance for HAV’S is to safeguard the health of employees and ensure the effectiveness of a company’s existing control measures.

Health surveillance must take place when:

  • Employees are regularly exposed to hand transmitted vibration (HTV) above the action value of 2.5 minutes over a standard 8 hour day.
  • If an employee is occasionally exposed to HTV above the action value and the risk assessment identifies that this exposure may pose a risk to health
  • If an employee has a previous diagnosis of HAVS.

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  • No. There is no legal requirement for continual monitoring and recording of vibration exposure. To do
    so is probably not a good use of your or your employees’ time, unless there are very specific
    circumstances (see below).
    What you must do is decide what workers’ exposure is likely to be, as part of a vibration risk
    assessment. So a period of monitoring to understand how long workers use particular tools in a
    typical day or week may be necessary – if it helps you to do your risk assessment. Once you know
    enough about the work to say what the exposure is likely to be (and whether it is likely to exceed
    either the Exposure Action or Exposure Limit Value) your focus can shift to investigating, and taking,
    practical steps to reduce the exposure and the risks.

It’s likely that you can put your monitoring data to some use. It may give you enough information to
decide what individuals or groups of workers are at risk from vibration, either routinely or on an
intermittent basis. Please refer to webpage www.hse.gov.uk/vibration for guidance. Take positive
action to reduce the exposure and the risks – eg change the work process to avoid the need to use
hand tools, modify the work to improve ergonomics, change to better tools with lower vibration and
good ergonomic design, maintain and look after the tools and consumables and train your workers.
Make sure the action you take results in real changes – monitor your systems and make sure work
instructions are being followed. Don’t forget health surveillance for workers at risk, to pick up early
signs of ill-health.

Just because your workers’ exposure is below the Limit, it doesn’t mean you have complied with the
law, or done enough to protect workers’ health. A fundamental requirement under the regulations is
that exposure is reduced to ‘as low as reasonably practicable’.
If your workers’ exposure is regularly reaching the Exposure Limit Value, then you should be looking
at doing the work in a different way. Restricting exposure to just below the Exposure Limit Value will
still result in many workers developing hand-arm vibration syndrome (HAVS).

If there are particular workers who, following medical advice, have restrictions placed on their
vibration exposure, then it would be sensible to have a system in place to make sure that that
restricted level was not being exceeded, although this does not have to be through on-going
monitoring. Another example might be for emergency work involving vibration exposure.

Your insurance company should be able to tell you why it expects you to make and keep these
records. As noted above, there is no legal requirement on continual monitoring, and HSE does not
advise it on a routine basis. Your insurance company will rightly be concerned about its liability should
your workers develop ill-health; you can identify your steps taken to minimise risks and prevent illhealth by means of your risk assessment and evidence of the practical actions you are taking.

D4 Medical Reviews – Rated 4.8 based on 4932 reviews

Dennis E. – 5 Star – “I had a fantastic experience with excellent customer service” – D4 Medical 7/3/23

Wayne J. – 5 Star – “Great all round very polite and professional.” – Lorry Driver Medical 26/2/23

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Ian H. – 5 Star – “Arrived early, was seen immediately…, health check was efficient, quick, and informative…. what’s not to like” – C1 Driver Medical 5/2/23

At Just Health, Our Team of Doctors have Completed Medicals for Many Satisfied Customers including Individuals, Businesses and Organisations

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Just Health Customer Feedback & Reviews

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Stephen, England

Very nice doctor very helpful happy with the service will use again thanks a lot best wishes.

Mervyn Obrien, Lancashire

Really professional place and all was done quickly and efficiently. The doctor explained everything and was very patient, helpful and caring. Highly recommended

O Jugoo

Very good and efficient service. Highly Recommend.

Nathan Estall, Romford

First class service

Simon Collier, Warrington

Very impressed, process was quick and professional the doctor and her aide’s we’re both polite and professional even double checking the form was all filled in correctly before I left. I can definitely recommend and will use next time.

Ady Wood, Yorkshire

Great location fast medical thank you

Hannah, England

1st review Fantastico 2nd review Fantastico

Giancarlo De Canio, Crawley
A great service no hassle or waiting around, very friendly Dr.
Tim Roper, Staffordshire

Very helpful and friendly staff. Quick ,professional service. would recommend to anyone

Wayne George, LIverpool

Quick service, will use again

Charlesworth, J, England

Easy to book and great to do it on a Sunday Quick and simple

D Goodwin

Third time I’ve used the service and been good every time. Recommended

Maurice Sharp, Yorkshire

Very good and weekend appointments

P Woodward, Cheshire

Absolutely superb , very quick and same day appointment higher recommended.

Milad Kargar

very easy process. I was met by the doctor and treated professionally and would definitely be using again for any other medical needs. I highly recommend

Judie Hanlon, Solihull

Nice friendly service easy location

William Smith, Northamptonshire

Fantastic service, quick and easy. Highly recommended 👍

Dale May, Sheffield

I arrived early and got seen straight away. Doc was very professional and was extremely polite. Answered all my questions I had to ask about the forms. Will use again if she’s still doing it in 5 years.

Lee Ogaza, Harrow

Great service and lovely people.Would highly recommend.

Sue Royston

This is the second time I’ve been here for my medical, would highly recommend, quick professional service, at the right price..

Ilyas Khan, Bolton

Lovely doctor, very positive and pleasant experience. Late appointments available, which is very convenient to pop in after work

K Kaziliunas, Romford

Very friendly relaxed atmosphere a very nice doctor who completed my medical

Michael Wright, Kettering

Easy to book pleasant to attend first class service

Ian Goodchild, Burnley

Very easy Process from start to finish. Appointment times with immediate availability. Very nice doctor. Now my regular HGV medical centre.

Andy Lea, Essex

Very friendly service and great value for money, serving the UK In convenient ways – I would definitely recommend your service to anyone and use it again. Many thanks!

N Forrest, Northeast

This is an amazing service, I have used a few times . Very professional, friendly and fast. I Totally recommend

R Williams, Hyndburn Blackburn,

Very helpful and patient lady that helped me fill out my forms correctly before seeing the Doctor. Many thanks

Mr Blaney, England
very happy with the service. Felt comfortable and reassured throughout the procedure. We were issued with an aftercare leaflet and a phone number we could ring in case we had any concerns.
FAZ, Blackburn

Got my appointment early , the Dr & staff were great would recommend to all

Mr Stacey, East Riding

very quick and efficient service with courteous dr and staff would recommend.

P Dodd, Bolton

Fast and great service.

Pawel Adamski

Very polite, put at ease, friendly and professional thanks.

G Wilson, Scarborough

Very Good service could not fault.

J Reddy

Attended the clinic today, excellent and thorough service, thank you

Stephanie White, Merseyside

D4 medical. Professional, relaxed atmosphere, very happy

P Moretta, Chessington

Lovely receptionist very helpful and the doctor was very thorough with his examination

J A Kennedy-Millar, London

Very good experience with them, Doctor were very cooperative and friendly.

A I, Salford

very nice people there,friendly and nice. all perfect.

David Perez

Great people and great service

Joe Todd

Lot easier and cheaper than going to my doctors

Craig Scott

Great local location to me and everything went as planned.

John Birleson, Romford

Great service, an apology for being 5 mins late! Very smooth examination and completion of the D4. Will be back next year.

William Jones, England

The doctor who performed the medical was very polite and friendly and in a professional manner, would highly recommend him to others who need this type of medical

Keith Gatenby, Scarborough

The best clinic I have ever done medicals. Professionalism and approach to patient is exceptional. I truly recommend.

Piotr Piatczak, London Shepherds Bush

1st review All good. Parking on street opposite. Friendly doctor. 2nd Review All good thanks. Prompt service 

Jeff Cleveley, Rochdale

Fast friendly service, just what the doctor ordered!

K Calfos

Did not wait long all most straight in and out. My doctor had charges me £130 pounds last time. Saved £80 pounds. Result!

Ken Daniels, Orpington

Very friendly service fast and efficient with the added bonus I had my medical on a Saturday so didn’t have to take time off work! I’d definitely use again and recommend.

Anonymous, Liverpool

Professional, pleasant and convenient service. Everything from booking to the actual medical, was simple, well explained and there was always someone on hand and willing to answer any queries. Would definitely recommend .

Alan Downs, Lancaster

Very nice, very helpful, well informed

M I Khan, Slough Reading

Very professional service as usual would definitely recommend

Stephen A, Lancashire

Great doctor and knows exactly what he was doing. Made you feel comfortable and welcome. Great guy thanks and will definitely recommend others to use you.

Kenneth Menns, Essex

Had my HGV Drivers medical with Dr Khan this morning. Fast, friendly, efficient and helpful. Very happy to recommend.

Paul Farmer, Halifax

(D4 Medical) Appointment was booked the next day, receptionist staff friendly and helpful providing receipts on request, doctor was friendly and professional, overall brilliant service saving half price in comparison to NHS and a week early very pleased!

H Turner, London

This is the second time I have completed a Medical Assessment with Just Health, previously it was a Scuba Diving Medical, this time it was a D4 for my HGV Licence. Both times it has been hassel free and professional, really happy with the service and wouldn’t hesitate to reccommend them to anyone needing a Medical, great value for money, convenient location, out of hours appointments 🙂

David Hugill, Cheshire

Great experience, friendly staff. Will use next time

Julie Fisher, Rotherham

Very quick service seen on time

Michael Phelan

Very pleased with the Doctor relaxing attitude. He made me feel comfortable as I was a bit nervous at first. I will definitely recommend this Clinic to any Driver requiring Medical.

Francis Taty, Bromley