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Health surveillance

A systematic programme of checks on the health of employees who are exposed to defined workplace hazards, intended to detect work-related ill health at an early stage. Required where there is a link between exposure and an identifiable disease or health effect.

Also known as

biological monitoringmedical surveillance

By jurisdiction

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UK HSE

“health surveillance”Exact equivalent

Regulation 6 of MHSWR 1999 requires employers to provide appropriate health surveillance for employees where an assessment shows they are exposed to risk from identified hazards. COSHH 2002 (regulation 11) and the Control of Noise at Work Regulations 2005 (regulation 9) impose specific health surveillance duties for chemical exposure and noise-induced hearing loss respectively.

RegulatoryManagement of Health and Safety at Work Regulations 1999, regulation 6; COSHH 2002, regulation 11Source
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Irish HSA

“health surveillance”Close equivalent

The Safety, Health and Welfare at Work (General Application) Regulations 2007 and the Chemical Agents Regulations 2001 require health surveillance where employees are exposed to hazards that may cause identifiable disease or adverse health effects. The employer must arrange for a competent medical practitioner to carry out the surveillance.

Jurisdiction note: Irish health surveillance requirements arise from the chemical agents and other specific regulations rather than from a single general duty in the Act.
RegulatorySafety, Health and Welfare at Work (Chemical Agents) Regulations 2001; General Application Regulations 2007Source
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US OSHA

“medical surveillance”Partial equivalent

OSHA uses medical surveillance as the equivalent term. It is required by specific substance standards rather than a general duty: for example, 29 CFR 1910.1020 (access to medical records), 29 CFR 1910.1030 (bloodborne pathogens), and substance-specific standards for asbestos, lead, and benzene. There is no general OSHA medical surveillance requirement equivalent to MHSWR regulation 6.

Jurisdiction note: OSHA uses medical surveillance rather than health surveillance, and it applies only where a specific standard requires it. There is no general equivalent to the GB and Irish health surveillance duty.
Regulatory29 CFR 1910.1020; substance-specific standardsSource

Practitioner note: Required where a link between exposure and identifiable disease is established and there is a valid detection technique. COSHH reg 11, Noise at Work Regs reg 9 (GB). OSHA requires medical surveillance under substance-specific standards.

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