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Respiratory Health Surveillance

If your employees are exposed to dusts, fumes, vapours, gases, fibres or respiratory sensitising agents, you have a legal duty to implement appropriate respiratory health surveillance.

Clarity Occupational Health delivers structured, HSE-aligned respiratory surveillance programmes nationwide — via onsite clinics, mobile medical units, or regional clinic appointments — ensuring compliance, early detection, and defensible documentation.

 

Fast onboarding. Clear reporting. Same-day certification where clinically appropriate.

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When Is Respiratory Health Surveillance Required?

Respiratory surveillance is typically required where there is exposure to:

  • Wood dust

  • Flour dust

  • Welding fumes

  • Silica

  • Isocyanates

  • Metalworking fluids

  • Industrial cleaning agents

  • Chemical vapours

  • Asbestos (where applicable to risk level)

 

Under the Control of Substances Hazardous to Health (COSHH) Regulations, employers must assess risk and implement health surveillance where there is a reasonable likelihood of occupational lung disease.

If exposure risk remains after control measures, surveillance becomes necessary.

What Does Respiratory Health Surveillance Involve?

Baseline Assessment

A structured respiratory questionnaire is completed alongside a detailed occupational exposure history, followed by baseline spirometry (lung function testing) to establish an accurate clinical starting point for ongoing surveillance and trend monitoring.
STEP1

Periodic Monitoring

Repeat lung function testing is carried out alongside a structured symptom review and exposure review, with results compared against previous assessments to enable accurate trend analysis over time.
STEP 2

Clinical Escalation

Where clinically indicated, cases are escalated for OHA or OHP review, with GP referral recommendations and workplace adjustment advice provided as appropriate. All results are reviewed and validated by qualified occupational health clinicians to ensure accuracy and defensible clinical governance.
STEP 3

Spirometry & Lung Function Testing: Clear Reporting & Employer Outcomes

This structured approach enables the early identification of occupational asthma, COPD-related changes, restrictive lung patterns, and declining lung capacity linked to workplace exposure. Ongoing trend analysis is critical, as early detection allows for timely intervention and helps prevent long-term, irreversible respiratory damage. Employers receive clear, defensible reporting including fitness certification outcomes (Fit, Fit with Restrictions, or Refer), defined recall intervals, and workforce trend visibility where applicable. Recommendations are aligned to identified exposure risks, with onward referral guidance provided where clinically indicated. We also support structured workforce-level reporting to strengthen audit readiness and ensure robust compliance documentation.

Delivered Nationwide – Onsite or Mobile Clinics

On-Site Clinics

Be it a regular fixed visit or ad-hoc services, our onsite provision integrates seamlessly into our client facilities, extending their internal departments to develop an occupational health provision.
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Mobile Clinics

Mobile Medical Units offer flexibility and space to carry out effective health screening in a range of locations, including clients business premises, without your employees having to take lengthy time off work.
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Healthcare Network

Clarity have built a national network of healthcare locations, offering a flexible and convenient solution where an onsite visit is not possible, ensuring total accessibility to our services.
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