HAVS Assessments in Birmingham & West Midlands – Hand Arm Vibration Syndrome Medicals

At Neptune Health, we provide Health Surveillance for Hand Arm Vibration Syndrome (HAVS) in Birmingham and across the West Midlands.
Our SEQOHS-accredited clinic performs face-to-face HAVS assessments for employees exposed to hand-held vibrating tools — ensuring early detection, compliance, and worker protection.

We also offer on-site workplace visits for group assessments, making HAVS surveillance convenient and compliant for employers.

What is Hand Arm Vibration Syndrome (HAVS)?

Hand Arm Vibration Syndrome (HAVS) is a preventable condition caused by prolonged exposure to vibrating hand tools or machinery.

Symptoms develop gradually and can affect nerves, blood vessels, joints, and muscles in the hands and arms.

Common HAVS symptoms include:

  • Tingling, numbness, or loss of sensation in the fingers or hands

  • Episodes of whiteness or blanching in the fingertips (known as Vibration White Finger)

  • Reduced grip strength or dexterity

  • Joint or muscle pain in the hands or arms

  • Difficulty handling small objects or performing fine tasks

Early detection through regular HAVS health surveillance is essential — untreated HAVS can lead to permanent disability and loss of hand function.

Early HAVS
Late HAVS

What is involved in a HAVS Medical Assessment?

We will ask you to fill out a questionnaire on your signs and symptoms. We are interested in symptoms such as numbness, blanching and tingling of your fingertips.

The examination involves measuring your blood pressure and heart rate. After that, we will assess your dexterity, sensation and grip strength using expert tools. We will also perform tests to rule out Carpal Tunnel Syndrome.

A report will be generated which is sent to the employer and employee. The report will contain medical advice on vibration exposure and advice with regards to further health surveillance. 

How can I prevent HAVS?

  • Use appropriate means to keep the hands warm. Wear gloves when outside and avoid cold, damp conditions.
  • Report any defective tools to your employer and use the right tools for the right job.
  • Ensure all equipment is balanced, serviced and maintained.
  • Stop smoking
  • Discuss any symptoms of blanching, numbness or tingling with your employer.
  • Reduce exposure to vibration at home such as DIY, lawnmower use, etc.

When is Health Surveillance for HAVS Required?

 

  • If individuals are likely to be regularly exposed above the action value of 2.5 m/s2.

    Visit the HSE Vibration Calculator to check your exposure levels https://www.hse.gov.uk/vibration/hav/calcinst.htm

  • If individuals are likely to be occasionally exposed above the action value and where the risk assessment identifies a risk to health.
  • Health Surveillance is also required for individuals who have a diagnosis of Hand Arm Vibration Syndrome.

Stages of Health Surveillance

Tier 1 involves a short questionnaire. It is for new employees that may work with vibrating tools.   

Tier 2 is an annual questionnaire for existing employees who use vibrating tools.

Tier 3 is a HAVS assessment by a qualified individual. It involves assessing escalated Tier 1 and Tier 2 cases.

Tier 4 involves a formal assessment by an Occupational Health Physician.

Neptune Health is able to assist your business from and can perform assessments from Tier 1 to Tier 4.

Click here to learn more about HAVS health Surveillance from the HSE Website. 

Contact us to discuss your requirements and needs.

When Is HAVS Health Surveillance Required?

Health surveillance is required when:

  • Employees are regularly exposed above 2.5 m/s² A(8)

  • Risk assessments indicate potential harm, even at intermittent exposure

  • A worker has existing HAVS symptoms or diagnosis

Use the official HSE Vibration Exposure Calculator to estimate your exposure levels.

Frequently Asked Questions (HAVS FAQ)

What does a HAVS assessment involve?

A HAVS assessment includes a health questionnaire, clinical examination, and specialist tests for sensation, dexterity and grip strength. We also check for other conditions such as Carpal Tunnel Syndrome to ensure accurate diagnosis.

How often do I need a HAVS medical?

Workers exposed to vibration should complete:

  • Tier 1 at recruitment

  • Tier 2 annually

  • Tier 3 if symptoms are reported

  • Tier 4 for diagnostic confirmation

How much does a HAVS assessment cost?

Our prices are based on the HSE tiered system:

  • Tier 1 Screening – £75

  • Tier 2 Symptom Questionnaire – £75

  • Tier 3 Clinical Assessment – £300

  • Tier 4 Diagnostic Assessment – £350

Can HAVS be reversed?

Early HAVS symptoms may improve once vibration exposure is reduced. However, advanced HAVS can cause permanent nerve and vascular damage, making early surveillance essential.

Is HAVS health surveillance mandatory?

Yes. Employers must carry out HAVS health surveillance when workers are regularly exposed to above 2.5 m/s² A(8), as required by the Control of Vibration at Work Regulations (2005).

Do you provide workplace visits?

Yes. Neptune Health offers on-site HAVS assessments across Birmingham and the West Midlands for businesses needing multiple assessments.

Book Your HAVS Assessment in Birmingham Today

Protect your workforce and ensure compliance with HSE regulations.
📞 Call 0121 221 2201
📧 admin@neptunehealth.co.uk