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1 Hand Arm Vibration Syndrome (HAVS) Presented By- Robert Jones CMIOSH

Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Page 1: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

1

Hand Arm Vibration Syndrome

(HAVS)

Presented By-

Robert Jones CMIOSH

Page 2: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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• 1839 - Pneumatic tools were first used in French mines

• 1862 - Primary Raynaud's Phenomenon (Raynaud's Disease) identified.

• 1911 - Professor Loriga first described vascular spasm in the hands of

Italian miners using pneumatic tools.

• 1918 - Alice Hamilton studied miners using drills in limestone quarries

describing spastic anaemia of the hands.

• 1930-40s - Cases of white finger were identified studies in fettlers, riveters,

boot and shoe industry workers and users of electrical powered rotating

tools

• 1950s - Research links signs and symptoms in nerves, bones, joints and

muscles with vibrating tools.

• 1968-69 - After 12-14 years of continuous chain saw use widespread

complaints of VWF in operators.

• 1975 - Scale for assessing the extent of vascular injury associated with

vibration white finger published by Taylor-Pelmear

• 1985 - VWF becomes a prescribed disease for Industrial Injuries

Disablement Benefit purposes

A Short History of Occupational Vibration

Page 3: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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• 1987 - Stockholm scale for assessment of VWF published. Standard for

measurement of vibration published in BS 6842.

• 1988 – UK HSE research on exposure to HAV in a number of industries in

Great Britain published.

• 1989 - EC Machinery Directive adopted; includes requirements on HAV.

• 1992 – UK HSE produce guidance on VWF in Foundries

• 1994 – UK HSE publish generic guidance on HAV

• 1997 – UK HSE publish a book of vibration-reduction case studies.

• 30 September 1997 UK High Court awards £127,000 compensation for

VWF to 7 miners, 12,500 more cases in the pipeline

• 2002 - Directive 2002/44/EC on the minimum health and safety

requirements regarding the expo-sure of workers to the risks arising from

physical agents (vibration) was published in the Official Journal of the

European Communities. Member States have 3 Years from 6 July 2002 to

imple-ment the Directive.

• 2005- Introduction of The Control of Vibration at Work Regulations

A Short History of Occupational Vibration

Page 4: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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How Big a Problem is it?

• 5 million people exposed to Hand-Arm Vibration

at work

• 2 million people are exposed to levels of

vibration where there are clear risks of

developing disease.

• Hand Arm Vibration Syndrome is preventable,

but once the damage is done it is permanent.

Page 5: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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What is HAVS?

• HAVS affects the

nerves, blood vessels

muscles, bones and

joints of hand, arm or

wrist

• Severely disabling if

ignored.

• Primarily affects men

Page 6: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Three Components of HAV’S

• Vascular (blood Vessels)

• Sensorineural defects (Nerves)

• Musculoskeletal (general joint stiffness,

muscle fatigue)

Page 7: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Recap Control of Vibration at Work

Regulations

• Exposure action value: 2.5 m/s2 A(8)

• Exposure limit value: 5.0 m/s2 A(8)

• General principles

– Assess risks

– Reduce exposure

– Provide training

– Provide health surveillance

Page 8: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Exposure Action Value (EAV)

2.5 m/s2 A(8)

• Still not a “safe” level of exposure

• Reduce exposure to the lowest reasonably

practicable level; and

• Where exposure still remains above EAV,

implement health surveillance

Page 9: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Exposure Limit Value (ELV)

5 m/s2 A(8)

• Should prevent the worst exposures

• Ensure employees are not exposed above the

ELV

• If they are, take immediate action to prevent

recurrence

Page 10: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Company Policy

• Assess the risks

• Reduce exposure to vibration

• Buy “Smooth”

• No employee will be exposed above the daily

Exposure Limit Value (ELV).

• Information, Instruction and training

• Health surveillance

Page 11: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Assessing Risk

Magnitude of machine vibration .

– Machine inventory

– Manufactures data (be aware)

– Buy equipment data from consultants

– Own test data

Page 12: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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“It is not important to obtain a precise daily

exposure … You just need enough

information to establish whether it is likely

that the exposure action or limit value will

be exceeded”

• HSE L140 paragraph 113

Duration of exposure

Assessing Risk

Page 13: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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2005

• we started a trial of operators recording

exposure using HSE points system

– Operators exaggerated trigger/anger times

2008/2009

• We started calculating operators exposure

Assessing Risk

Page 14: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Assessing Risk

Calculation of exposure

‘a soundly based estimate of your employees’

exposures and a comparison with the

exposure action value and exposure limit

value’;

HSE L140 paragraph 28

Page 15: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Eliminate or Reduce Exposure

Change the process

– eliminating or reducing vibration exposure at source;

Select suitable (reduced-vibration) equipment

– 2008 OCS Horticulture Machinery committee developed

• Approved for use data base

• Approved for purchase data base

Operator training

Maintenance of equipment

Time limits, job rotation

Page 16: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Information, Instruction & Training

• Keep it simple

• HSE pocket cards

• Results of RA

• Record it

• Repeat it regularly

Page 17: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Information, Instruction & Training

• Tool tags

• Provide information

• HSE points system

• Traffic light’ systems

– Green <2.5m/s2

– Amber >2.5- <5.0m/s2

– Red > 5.0 m/s2

Page 18: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Information, Instruction & Training

• PPE

– Provide employees with protective clothing when necessary to keep them warm and dry. This will encourage good blood circulation which should help protect them from developing vibration white finger.

– Gloves can be used to keep hands warm, but should not be relied upon to provide protection from vibration

Page 19: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Health Surveillance

• Tiered system

• Initial questionnaire (Prior to exposure)

• Annual questionnaire (If no problem) – However HSE L140 paragraph 333 recommends that

after three years of reporting no symptoms the employee

should be referred for a consultation with the qualified

person

• Nurse (one or more yes responses)

• Doctor (positive response)

• Specialist tests

Page 20: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Employees’ Duties

Employees must

• Cooperate with the health surveillance

programme

Page 21: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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HSE

2009/2010 HSE interview operatives

Points raised

• Risk assessment as a start point

• Don’t over quantify

• Use good practice standards

• Evidence of control, not ‘how long to limit’

Page 22: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Guidance

www.operc.com

Page 23: Hand Arm Vibration Syndrome (HAVS)btckstorage.blob.core.windows.net/site987/HAVS.pdf · vibration white finger published by Taylor-Pelmear ... •Initial questionnaire (Prior to exposure)

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Any Questions?