Professional Documents
Culture Documents
Contents
04
Science: a vital
component of
the regulatory craft
22 New good practice guidance for
managing metal working fluids
23 ‘Taking the pee’: practical
30 Summarising the evidence
on the effectiveness of
mental health first aid (MHFA)
39 Exhaled breath condensate:
a novel approach to assess
occupational exposure to
means of assessing worker training in the workplace respirable crystalline silica
05 The Discovering
Safety Programme
exposure to chemicals.
24 Worker exposure to diacetyl
in the coffee industry
31 Background levels of
microorganisms in public
transport hubs
40 Supporting the HSE management
standards on work-related stress
41 Reducing weight, hand-arm
06
The HSE science
and evidence cycle
in action: Reducing
Acting together
25 Setting fire to whisky spills: public
32 International modelling
of major hazard chlorine
dispersion experiments
vibration and noise health risk
factors in the rail industry
42 Hand-arm vibration syndrome -
work-related safety in the vicinity of distilleries 33 Health and safety in the waste a referral service for high level
mental ill health 26 Scientific investigation and recycling industry health surveillance and training
into a gas explosion that 34 Enhancing Forestry Commission centre for doctors and nurses
07 Events and
achievements
destroyed a bungalow.
27 Securing vehicle loads, fatal
incident investigation
Scotland’s approach to health
and safety guidance
43 Wellbeing at work: The
PEROSH Conference series
21 Case studies
(see right)
29 Construction industry ‘risk
profile’ interactive dashboard
in the UK food supply
37 Supporting effective natural
disaster risk management
distribution network
45 Health and safety implications of
developments in information and
49 References and
further reading
38 Enhancing occupational health
risk management at Heathrow
Airport engineering department
communications technologies
46 The Space Industry Act -
keeping people safe
47 Measuring and controlling
potentially harmful emissions
from desktop 3D printers
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HSE Annual Science Review 2019
Foreword
Andrew Curran at Yorkshire Water’s being a barrier to the investigation. Our scientific knowledge is being
Health and Safety Symposium Indeed, it is not uncommon for used to address increasingly
our physicians to be working with complex health and safety issues.
Our focus this year is on our engineers, or microbiologists working This includes using our understanding
contribution to HSE’s regulatory with human factors specialists. of the potential risks resulting from
activities. Critical to this area is the the interface between the working
technical and forensic support The insights provided by our environment and physical plant, and
we provide to the investigation of interdisciplinary approach for the people interacting with them. In
workplace fatalities and other serious investigations not only support the this review, we use the example of
incidents. Our scientists and engineers legal process, with our specialists mental ill health to illustrate how our
visit the incident site and collect a often acting as expert witnesses in science and evidence strategy works
range of on-site information: laser- court, but also provide knowledge to translate knowledge into action.
scans of the environment, photographs which can help to safeguard people This area is of concern since one
and video as well as securing any in future and support innovation to in four people in the UK will have a
physical materials for forensic enable the safe introduction of new mental health problem at some point
analysis back in the laboratory. The technologies (see HSE’s Innovation in and our own statistics suggest that
logistics for these activities can often Regulation1). Indeed, our understanding 15.4 million working days were lost in
be complex, as securing a chain of of ‘failure’ at a system level is proving Great Britain due to work-related stress,
WELCOME TO HSE’S Science Review for custody is critical and sometimes, to be very helpful to organisations who depression or anxiety in 2017/18.
2019. Once again, we are proud to for instance for major engineering are seeking to innovate in a range of
share with you some of the work that failures, the evidence collected areas including, for example, additive I hope that you enjoy the case studies
has been completed by HSE’s can run to many lorry loads. These manufacturing (including 3-D printing), that we have produced for this
scientists and engineers to support our investigation activities also require large infrastructure projects, and review to show how we use applied
policy and regulatory activities. In us to assemble inter-disciplinary energy storage and supply. By sharing science, engineering and analysis
addition, we have also included some teams of scientists, engineers, and the lessons learned from the past to make a difference to the world of
case studies where we have analysts at very short notice to through our investigation work, we can work. I also hope that the knowledge
supported other parts of Government enable the contributory factors for help to protect the future by designing that we produce will continue to
(both in the UK and overseas) and the incident to be determined. This out potential health and safety issues. enable a better working world.
commercial clients. In all cases, the approach to technical problem We are particularly pleased that our
knowledge we provide helps to solving is a particular strength partnership with the Lloyds Register Professor Andrew Curran
reduce workplace risks and, of our technical capability, with Foundation (see p5) will help us to Chief Scientific Adviser and
ultimately, to protect people. traditional discipline boundaries not achieve this ambition on a global scale. Director of Research
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HSE Annual Science Review 2019
OUR MISSION, AS A REGULATOR is to Other examples in this report show just If used inappropriately exposure to
reduce work-related death, injury, ill a selection of the excellent work carried MWF mist can cause serious long-term
health and hold people to account. out by our staff, often collaborating with lung disease and it was recognised
Our risk-based approach to regulation, others, which contributes to improving that users needed help to control
means we direct attention to those how we regulate health and safety this risk. HSE scientists and regulators
workplaces and hazards where we risks proportionately and effectively. worked with industry stakeholders
need to act to remove risk and prevent to produce new, free, guidance
workers being harmed. Our scientific One of HSEs key priorities is to prevent which reflects changes in scientific
work, supported by regulatory and future cases of occupational lung understanding in a practical easy to
policy colleagues, is vital in enabling disease by improving the management use guide. As well as enabling users
us to understand risks better so that and control of hazardous substances. to better manage the risks, and as
we can intervene in the right way, at The case study on measuring a bonus likely save money, it has
the right place and at the right time. Respirable Crystalline Silica exposure assisted regulation by providing clear
contributes to this, and to recognise benchmarks for all to judge control
Having a robust evidence base developing and future issues, such against. An excellent example of
enables us to tackle real issues as the work on diacetyl in the coffee science contributing to controlling
causing pain and suffering in the industry (see p24 and p39). This type serious health risks (see p22).
workplace. Critically, it enables us to of scientific investigation gives our
better understand developing issues regulators good, trusted, information These case studies are excellent
and ways of working to ensure that enabling critical decisions on the examples of how science contributes to
we support innovation, rather than actions needed to protect workers. reducing risk. Hopefully they will inspire
stifle it through lack of knowledge. you to think about how risk in your
For example, the work on the use of 3D The case study on publishing new workplace could be improved and
printers in schools demonstrates HSE’s guidance on the use of Metalworking where further work might be needed.
ability to engage and understand the Fluids (MWF) demonstrates the
risks to encourage safe innovation important contribution of collaborative Phillip White
in a developing area (see p47). science to improving regulation. Head of Regulation
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HSE Annual Science Review 2019
prevented.
SAFETY For more information please see the Thomas Ashton Institute
website2 and the The Lloyd’s Register Foundation website3.
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HSE Annual Science Review 2019
The HSE science and evidence cycle in action4 : reducing work-related mental ill health
›› Our psychologists offer training courses 24 ›› HSE’s Foresight Centre identifies potential
and consultancy on reducing work-related future mental ill health challenges:
stress: 400 delegates have been trained Paris Helsinki –– 2019 Annual Foresight Report18 :
on 30 courses. Our specialists contributed occupational safety & health; and
to developing and delivering HSE 2017 We catalyse engagement We anticipate new
challenges through foresight
–– 2019 Foresight Report: Information
‘Stress Summit’23 - over 200 delegates. Communication Technology (ICT) 17
by others and improve
performance and synthesis of
existing evidence
›› Our statisticians publish details on work- ›› Evidence synthesis by HSE Workplace Health Expert
related stress, including infographic poster, Committee (WHEC). Reviews published on ‘work-
used to make the case for improvements 5–7. related stress and psychological health’ and ‘work-
›› We use knowledge shared through the PEROSH We protect workers
and safeguard
We provide evidence to
associated musculoskeletal pain’ which considers
pscychological distress and poor mental health8, 9.
the public
Wellbeing and Work conferences to engage with ensure risks resulting
from work activities
are effectively controlled
stakeholders, for instance article on the PEROSH Further reviews underway on work-related stress
‘Wellbeing Tree’ in Safety Health Practitioner21. interventions to improve health outcomes.
We underpin operational
and policy activities
We protect workers and safeguard the public We provide evidence to ensure risks from
work activities are effectively controlled
›› HSE’s guidance ‘ Management Standards 2016 2012
for Work-Related Stress’ used in GB for over Conference Conference ›› Through ‘PEROSH’ Wellbeing and Work
a decade10. First published in 2004, its conferences, HSE scientists and physicians
development included using applied research
2014 work with European counterparts
and knowledge synthesis by our psychologists
Conference to stimulate knowledge generation
and analysts11–15. This guidance was used as Amsterdam Manchester and sharing internationally20.
the basis for 2018 Italian national guidance16. ›› Our specialists publish evidence on wellbeing
and work including psychosocial risk factors.
We underpin operational and policy activities
Copenhagen
›› HSE scientists and analysts develop evidence that rapid scoping evidence on Mental Health Further information
informed development of HSE Work and Health First Aid Training19 (published 2018)
Strategy: work-related stress made a priority4 . ›› HSE statisticians support policymakers in See case studies on pages 30, 40 43 and 45, and
›› HSE statisticians provide annual statistics on development of case studies on reducing references 4-32 which include research25-32 on
work-related stress, depression or anxiety. work-related stress (three published wider aspects of mental health and wellbeing.
›› HSE scientists provide policymakers with 201822 , more planned for 2019)
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Events and
achievements
HSE Annual Science Review 2019
Visitors Events
08 / 67
HSE Annual Science Review 2019
›› PEROSH is the Partnership for autumn meeting was hosted at HSE’s range of activities throughout the
European Research in Occupational laboratory. The Group discussed year, to celebrate the great work of
Health and Safety (OSH). The new and emerging health and the profession and supporting the
partnership, whose aim is to strengthen safety challenges. This included a government’s ‘Industrial Strategy’ to
European research, comprises 13 presentation by HSE microbiologist boost engineering across the UK. An
national European institutes affiliated Brian Crook talking about his work important part of this is encouraging the
to government or social insurance during the Ebola crisis in Sierra Leone next generation to join the profession
systems. Members have a programme which can be seen on a video clip33. and make sure they have the skills
of joint research projects, promote needed to thrive in a modern economy.
researcher exchanges, and are ›› HSE was proud to support the UK
active in developing, sharing and government Year of Engineering ›› Professor David Fishwick,
disseminating new OSH knowledge. 2018. HSE helped to publicise the Chief Medical Adviser for HSE,
The Scientific Steering Group is chaired critical role engineers play in making has been awarded an Honorary
by Dr Mary Trainor, HSE’s Head of sure workplaces are healthy and Fellowship by the Irish Faculty of
Science Impact and Quality, and its safe. The campaign, which ran a Occupational Medicine in their
annual award ceremony.
Chris Keen
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HSE Annual Science Review 2019
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HSE Annual Science Review 2019
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HSE Annual Science Review 2019
›› The Biological Monitoring Team the opening address and led the HSE ›› Dr Steve Forman, Principal
had a significant presence at the 10th team - Jackie Morten, Craig Sams, Medical Adviser, was an
International Symposium on Biological Laura Kenny and John Cocker – which invited speaker at the Society
Monitoring (ISBM) 2017 conference. presented 6 talks and 3 posters 37–45. of Occupational Medicine 2018
The conference was jointly organised Occupational Health Conference. His
by Kate Jones, Technical Team Lead ›› Amy Gyte, biohazards specialist, talk urging organisations to review
Biological Monitoring in her capacity and Ed Robinson, workplace health their health surveillance programmes
as chair of the Scientific Committee specialist, have been invited to join for workers who have a high risk of
of Occupational Toxicology of a ‘task and finish’ group to review developing respiratory diseases to
the International Commission on and re-write the NHS Standards ensure that screening is sufficient,
Occupational Health (ICOH), and for Cleanliness - the guidance was profiled in the ‘Occupational
the University of Naples. Kate gave document used by all NHS England Health and Wellbeing’ online
Trusts (see Meet the staff, p15). newsletter47 (see Meet the staff, p18). ›› Work by HSEs Scientists was
also well represented at the 9th
›› Phil Beards, human reliability ›› Sam Hall and Rhiannon Mogridge, International Conference on the
specialist, led work on the newly exposure assessment and control Science of Exposure Assessment
published Research Report Common specialists, were praised for their (X2018), also jointly organised
human factors underlying worker presentation at the Association by Kate Jones, where 5 HSE
fatalities in the waste and recycling for Innovation, Research and presentations were given60–64 .
industry46. This has been profiled on Technology Organisations Health
website of the Chartered Institute of and Safety Group meeting: ‘... the
Waste Management, the professional glove experience was brilliant please
body for resource and waste thank [them] for their knowledge
management and the Cleaning and time’. Ray Jeffery, Health
Matters industry magazine. ‘This Safety and Environment Manager,
welcome report will help to focus our Building Research Establishment.
attention on the areas where real
improvement is needed.’ Dr Colin ›› Work by HSE’s Scientists was
Church, CEO, CIWM (see Meet the well represented at the British
Staff p16 and case study p33). Occupational Hygiene Society
(BOHS) Conference, where 12 HSE
presentations were given48–59.
Kate Jones
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Meet
the staff
We employ over 850 scientists,
engineers, analysts and medical
staff, many hold PhDs or Masters
level qualifications and Chartered
status within their professional
bodies. This section introduces
some of our specialist staff.
HSE Annual Science Review 2019 Meet the staff
GARETH AND JACK both work at JACK JOINED HSE straight from Buxton
HSE’s laboratory in Buxton. Community School Sixth Form in 2015.
As a member of the Health Scientific
Gareth joined in 2002 as Head of Support Team at HSE’s laboratory in
Health Exposures. He was previously Buxton, Jack undertakes a wide variety
a lecturer and worked at the Medical of activities in scientific disciplines
School in the University of Sheffield as diverse as analytical chemistry
Medical School, as a tenured lecturer and personal protective equipment.
and post graduate tutor, leading Jack is accredited to carry out face
a research team investigating fit-testing of respiratory protective
virus- related respiratory diseases equipment (RPE), which he does
in children. At HSE, Gareth provides to support operational staff across
technical leadership for research HSE who wear RPE. He particularly
into the causation and prevention of enjoys the analytical aspects of
occupational disease such as the GB the work, especially practical
Occupational Cancer Burden project, applications in workplace exposure
asthma in bakers, and dermatitis in assessment. It is this variety of work
hairdressers. He works in partnerships that has given him the opportunity
with industries, trade bodies, to decide on his future career path.
practitioners and experts, whose aim Gareth Evans (left) and Jack Mellor
includes identifying and challenging HSE is supporting Jack’s study for a BSc
working practices that expose workers and safety challenges by informing good practice guide by CLEAPPS on (Hons) degree in Chemical Science
to substances that cause ill-health. safe design and promoting good safe use in schools (see p47). He also at Manchester Metropolitan University.
working practices at the technology contributed to a recent evidence review This is a degree apprenticeship which
Recent research by Gareth and development phase. He is currently led by HSE psychologist Nikki Bell on allows students to also develop all the
colleagues on exposure of machinists involved in research that is informing the evidence on ‘mental health first practical laboratory skills required to
to metal-working fluids informed an the development by industry of a good aid training’ in workplaces (see p30). work in a chemical industry or scientific
industry-led good practice guide to practice guide for safe use of metal research environment. All the course
reduce risks for skin and lung disease; powders in additive manufacturing. Gareth reflects that: ‘HSE’s continued students are in full-time employment
the guide is used by engineering success in protecting the health and within the chemical science sector.
companies in GB and across Europe Gareth thrives in interdisciplinary safety of workers in GB depends on Jack says ‘I enjoy the fact that the
(see p22). Gareth is working with teams. He provided the health input nurturing effective partnership work course requires a lot of self-discipline
two Catapult Technology Centres, for recent research led by HSE physicist with industry and other experts to and enables me to immediately
and their manufacturing partners, to Sam Hall on controlling emissions from develop practical, evidence-based apply the newly acquired knowledge
address future manufacturing health desktop 3D printers which informed a solutions for health and safety.’ and skills to my current work’.
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HSE Annual Science Review 2019 Meet the staff
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HSE Annual Science Review 2019 Meet the staff
PHIL FIRST JOINED HSE in 2011, on a JIM JOINED HSE in 1996 and has
student placement for 6 months. worked in various statistics teams.
He returned to HSE in 2013, as an He is currently part of the Statistical
employee and has spent the past 5 Data Science and Processing Team
years working with the Human Factors based in Bootle and Buxton.
Team at the Buxton laboratory.
Alongside a data management
Phil’s role at HSE has seen him role for the Reporting of Injuries,
administer the HSE Safety Climate Tool Diseases and Dangerous Occurrences
to global organisations looking to Regulations (RIDDOR) notifications
understand their safety culture; assist in system, Jim is responsible for a range
the post implementation review of both of European and international work,
Asbestos and Sharps regulations and, involving collaboration with other
with the Chartered Institute for Waste UK regulators, including HSE’s liaison
Management, identify those common with the Government Statistical
human factors prevalent in waste Service and the delivery of data to
and recycling fatalities (see p33). the EU Statistical Office. He is actively
involved in development work for
Phil’s recent work has seen him take the Lloyds’ Register Foundation’s Jim says, ‘In my career I’ve worked
on a shared research project74 Discovering Safety Programme in lots of different roles and enjoy
with national retail and travel (see p5). He is responsible for several the variety – but for me it’s the
organisations within the UK, identifying areas of the HSE annual ‘Health people that are most important, I’m
the human factors associated and Safety Statistics’, including the fortunate to work with great people
with incidents on escalators. HSE ‘Historical Picture’ page75, which that are incredibly talented, across a
is supporting Phil in undertaking tracks improvements in GB health range of disciplines: administration,
a PhD on this work in conjunction and safety performance since the policy, scientific and operational.
with the University of Portsmouth. introduction of the Health and Safety I’m passionate about ensuring that
at Work Act in 1974. These outputs everyone is consulted and listened
Phil says, ‘The project has had its up are used regularly by HSE senior to effectively, and I am active in
and downs but the enthusiasm of management in key communications several working groups to improve our
the stakeholders and working with including strategy documents. communications, culture and identity.’
Portsmouth University is rewarding
knowing the work we are doing has
an impact on everyone’s daily lives.’
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HSE Annual Science Review 2019 Meet the staff
ANTONIA JOINED HSE in 2017, she to workers using both laboratory- JAKI JOINED HSE in 2015 working as
has a degree in geophysics from based research as well as workplace part of a team of occupational health
University College London and an MSc site visits. Her recent work has inspectors. Her background is in
by research in astrophysics from the included assessment of noise and nursing, and after completing nurse
Jodrell Bank Centre for Astrophysics vibration emissions from chainsaws training in mental health (RMN) and
at the University of Manchester. and the evaluation and assessment general nursing (RGN) she worked
of timing devices for exposure to in the acute mental health sector
Antonia’s research at HSE is primarily hand-arm vibration. Companies both in NHS and private settings.
on improving technology for the have begun to rely on technology Looking for new challenges where
assessment and control of noise such as these devices in order to she could use her skills she took a
and vibration hazard. This involves quantify workers exposure to hand- trainee occupational health advisor
investigating and evaluating the risk arm vibration. This work has recently post in the automotive industry. She
been presented at a conference76. provided occupational health support
in a variety of settings including
Antonia has also been involved manufacturing, mines, quarries and
with collaborative projects in the warehouse/distribution, specialising
field of nanotechnology, including in return to work interventions for
assessment of exposure risks to workers with mental health problems.
nanoparticles in fumes from lasers in In addition to qualifications in nursing,
the beauty and medical industries, Jaki has a degree in Specialist
and what control measures would Community Public Health Nursing
protect worker and patient health. (occupational health) and an MA
in psychology and social policy.
Antonia says, ‘I enjoy the diverse
nature of projects that are available Since joining HSE she has completed Jaki says ‘the varied nature of the work
to get involved with, giving me the HSE’s regulatory training programme I am involved in at the HSE allows me
opportunity to work with a wide range and is now based in Birmingham. Her to use my skills to look at all aspects
of specialists to develop my skills’. HSE work has included inspections and of the impact of work on health’.
investigations relating to health issues
which can range from respiratory
and skin problems to violence and
aggression. Jaki has recently been
working with colleagues in looking at
risks to healthcare workers in prisons
from violence and aggression.
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HSE Annual Science Review 2019 Meet the staff
countries to implement basic AFTER GRADUATING FROM Leeds ionising radiation. He is also regularly
concepts in biological safety Medical School and working as a involved in investigations undertaken
and to develop national General Practitioner, Steve retrained by HSE’s diving inspectorate.
codes of practice for the and is now an accredited specialist
safe handling of pathogenic and consultant in occupational Steve also advises stakeholders,
microorganisms. Since the medicine with experience of physical both internal to HSE and externally,
third edition, technologies and mental illness across a wide including other government
have and continue to evolve breadth of occupational sectors. departments on occupational
and with them changes in health issues. He provides the
associated risks. Therefore, Steve joined HSE as a Medical clinical oversight for HSE’s Approved
the fourth edition of the LBM Adviser in 2014 and became Principal and Appointed Doctor systems
proposes a shift in focus from Medical Adviser in 2015. He is the for statutory medical surveillance
a prescriptive guidance lead on regulatory matters within and fitness to work assessments.
CATHERINE (CAT) IS PART of the document to a risk- and evidence- the Centre for Workplace Health.
Biohazards Team at HSE’s Buxton based approach to biosafety. It also Steve is regularly involved in training
laboratory. She joined HSE in 2004 and aims to have a technology-neutral, One of Steve’s main roles is to delivery at HSE and is an Honorary
has been involved in a wide range of cost-effective approach ensuring provide medical expertise to HSE’s Lecturer at Manchester University.
projects with other specialist teams laboratory facilities, safety equipment investigations and support to
across HSE. These include training, and work practices are proportionate Occupational Health Inspectors. This Steve says, ‘I really enjoy being part of
guidance writing, environmental and sustainable around the world. most commonly involves investigating HSE. The variety of occupational health
sample analysis, disinfection testing, This strategy has been published79. where workers have been found issues that we get involved in not only
fluorescence visualisation to identify to have high blood lead levels or makes for a very interesting role, but
the spread and cross contamination Cat says ‘I’ve learnt that politics and may have been over-exposed to also demonstrates the extent to which
of microorganisms. HSE supported international relations are a very HSE can positively influence on health
Cat to do a professional doctorate in important aspect of UN organisations and safety issues. The current focus
biomedical sciences on: Survival and like the WHO. Consequently, such a on health as part of HSE’s strategy is
spread of norovirus through vomiting big change to the LBM requires careful extremely important and plays a key
and toilet flushing, as part of which writing and sensitive persuasion of role in ensuring that occupational
she invented ‘vomiting Larry’77, 78. many different parties. This has been health risks are adequately managed,
one of the most challenging and irrespective of business size. The
Recently, Cat has been seconded to perhaps one of the most important opportunity that HSE provides to work
the World Health Organisation (WHO), projects of my career to date. It is with policy, regulatory and science
helping to revise their Laboratory thanks to years of working for HSE and colleagues is one that is unique and
Biosafety Manual (LBM). The purpose supportive colleagues that I have been provides excellent scope for learning
of this manual is to encourage privileged to realise this opportunity’. and personal development.’
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HSE Annual Science Review 2019 Meet the staff
ED IS A PRINCIPAL scientist of human learning that can be applied to JOHN IS A REGULATORY specialist, team
factors and occupational psychology. organisational development by leader and assessment manager in
He re-joined HSE in 2015, returning extracting lessons from research the Pesticide Active Substance and
from working in the offshore oil and on dysfunctional organisations. Operational Policy Section. The Section
gas, and maritime sectors on risk is part of the UK’s Competent Authority
management including working Ed works in many areas with different (CA) for Pesticides, based in HSE’s
with engineering teams to improve specialist teams including: incident Chemicals Regulation Division, York.
human performance in the design investigation; work-related stress;
of plant and user interfaces. and work-related musculoskeletal John has an agricultural science
disorder. He has been involved in HSE’s degree and previously worked as
Ed has worked extensively with guidance and tools for work-related an agronomist, advising farmers
organisations on organisational stress since 2004, and continues to on the use of pesticides, and a
culture, and leadership. He deliver training on HSE’s Management Regulatory Manager for a global
has a strong interest in the Standards, and developing high agrochemical company.
performing teams. He also works with
the major hazard sectors, including Now at HSE, John coordinates
reviews to help organisations reduce pesticide assessments, liaising
the likelihood of low frequency high across 7 specialist discipline teams,
consequence events. Recently, Ed has evaluating different aspects of
contributed to developing a joint HSE/ the active substance, to ensure
NEBOSH qualification on health and the pesticide can be used safely,
safety leadership80 aligned with HSE’s without unacceptable effects on European Member State CAs, and
Energy and Chemical, Explosives and the environment, and that it works! the Organisation for Economic
Microbiological Hazards Divisions. Co-operation and Development
Using his scientific expertise, he e.g. regarding the regulation of
Ed says, ‘I really enjoy working in the works with policy colleagues on Biopesticides (pheromones, plant
field of leadership development. It’s novel issues and represents the UK’s extracts and micro-organisms
incredibly rewarding when CEOs, MDs, evidence-based approach in various used for pest control).
and other senior managers adjust their international fora; assessing possible
business strategy based on our input. new active substances or evaluating John says: ‘I really enjoy the diverse
It’s also great to know that this work fits existing chemistry. This involves nature of my role and feel fortunate to
well with our mission as HSE and has significant international engagement work with such a range of international
an impact on those who can really for example working closely with experts both within HSE and externally.’
instigate the changes that are needed’.
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HSE Annual Science Review 2019 Meet the staff
Women In Engineering
HSE WAS PROUD to support the UK government Year of Engineering 2018, as part of which some of our
women engineers celebrated the International Day of Women in Engineering #INWED18.
Rebecca Lisseman is a Anna Martinez is a Sammantha Dennis is Berdine Clews is an Ju Lynne Saw is a Chemical
Mechanical Engineer Chemical Engineer in an Explosives Engineer in Explosives Engineer in Engineer in HSE’s Risk and
in HSE’s Mechanical HSE’s Hazardous Materials HSE’S Hazardous Materials HSE’S Hazardous Materials Process Safety Team.
Engineering Team. and Explosives Team. and Explosives Team. and Explosives Team.
‘Armed with a BEng and PhD
‘As a child I would design and ‘When I was at school I used ‘I re-trained into a science ‘I’ve worked for HSE Science in Chemical Engineering
build models from Lego; as a to define ‘science subjects’ discipline and now use Division for 10 years and no and registration with the UK
mechanical engineer I get to as funny and interesting. 15 this in an engineering day has been the same! I’m Engineering Council as a
use this creativity to design years later, I can add I believe environment to test and a member of the Institute chartered engineer, I am
and construct things for real. science can be found and assess explosive materials of Explosives Engineers. My very proud of myself for
My natural curiosity means applied everywhere, giving for safety, use, handling, engineering skills allow me to having carved a challenging
that I have always been all of us the opportunity to storage and transportation test fireworks and explosives yet exciting career within a
interested in why things fail, interact, learn from each to exacting standards.’ to precise standards and also niche where women have
at work I investigate causes other and help to create use mathematical modelling historically been woefully
of failure and help prevent an including, sustainable, to assess risks around major under-represented. I am
accidents in the future.’ safer and happier world.’ hazards sites across the UK.’ honoured to be able to play
my small part in helping to
protect lives and livelihoods.’
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Case studies
Supporting Acting Managing Sharing Tackling Keeping pace
small employers together risk well our success ill health with change
These case studies A series of case studies Our science is being The case studies in this These case studies A selection of case
demonstrate how which demonstrate used to simplify risk strategy theme show illustrate how our studies which show how
we are supporting how our science and management and help how our specialists science is contributing our science is being
simple advice for SMEs evidence is being used businesses to grow: are using science to to action to improve used to anticipate and
so they know what to promote broader the case studies in this promote the benefits health outcomes. tackle new health and
they have to do. ownership of health and section show how. of Great Britain’s safety challenges.
safety in Great Britain. world-class health
and safety system.
HSE Annual Science Review 2019 Case studies | Supporting small employers
EXPOSURE TO MIST from metal working HSE and the United Kingdom ‘The United Kingdom Lubricants
fluid (MWF) continues to be among Lubricants Association (UKLA) have Association’s Metalworking Fluid What were the benefits
the most commonly cited causes of develop a practical guide, for Product Stewardship Group are proud
cases of extrinsic allergic alveolitis supervisors and those responsible to have worked with our partners in the Close collaborative working
and occupational asthma reported for managing MWF, it addresses Health & Safety Executive in developing between industry experts and HSE
by doctors in the SWORD scheme81 concerns about lung and skin disease a ground-breaking guide on the best medical and health specialists to
and accounts for significant numbers in operators who are exposed to MWF practice in the safe handling and produce new practical guidance
of annual cases of contact dermatitis either by inhalation or through direct disposal of metalworking fluids. Not only on managing metal working fluids
as reported by dermatologists skin contact. The guide is easy to follow does the guide help to deliver the HSE’s
within the EPIDERM scheme82 . and can also be used for training. strategy of improving employee’s health The development of a life cycle
in the workplace but the expertise and guide to managing work with
A joint HSE and UKLA advisory professionalism of HSE colleagues has lubricants that has provided
panel took advice from medical helped to deliver a world-first for the the industry with a benchmark
experts, experienced machine sector which is rightly recognised by for good working practices
shop supervisors, and other industry international associations as effectively
experts. The panel looked at the capturing best practice in the sector.’ A guide that provided advice
reasons for concern about risks to for workshop supervisors,
health and set out good practice David Wright that can be used for training
for the lifecycle of preparing, Director General UKLA purposes, and which is equally
maintaining and disposing of MWFs. applicable in small, medium and
large machining workshops
The guidance identifies what
monitoring checks should be Further information can be found
undertaken for testing MWF quality, on the UKLA website83 and
the recommended frequency of The Good Practice Guide84 .
testing and how checks should be
recorded. It contains links to relevant
HSE guidance and industry good
practice. The Guide was launched
in 2018 at a stakeholder event.
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HSE Annual Science Review 2019 Case studies | Supporting small employers
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HSE Annual Science Review 2019 Case studies | Supporting small employers
WORKER EXPOSURES TO diacetyl, a methods are not sensitive at the new short term sampling, by pumping HSE’s scientists used their new sampling
naturally occurring substance used in limits. Exposure studies have looked air through the samplers, or, for long method at workplaces where workers
food flavouring and naturally occurring at food and flavouring manufacturing term passive sampling, by allowing are potentially exposed to diacetyl
in coffee, may cause decreased lung but there is little information on the air to diffuse into the sampler from coffee, ranging from small
function and the serious lung disease coffee workers’ exposure. - a method particularly useful for cafes to large scale manufacturing
obliterative bronchiolitis. A new, lower, personal exposure monitoring. The and processing factories.
UK 8-hour exposure limit of 20 parts HSE scientists developed a new US National Institute for Occupational
per billion (ppb) and a 15-minute sensitive measurement method, Health and Safety (NIOSH), has
limit of 100 ppb were introduced in using well-proven sorbent tube and requested permission to include
August 2018 to better protect workers. thermal desorption technology. HSE’s new method in their handbook
However, most exposure measurement This method can either be used for of measurement methods.
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HSE Annual Science Review 2019 Case studies | Acting together
LARGE QUANTITIES OF whisky, or similar of assessing the potential risks to spills covering an area of less than
flammable spirits, stored at major the public. This is used, for example, 0.25 m². Our specialists carried out What were the benefits
distilleries or bonded warehouses when HSE provides public safety large pool fire tests with up to 16 m² of
can potentially create large spills advice to planning authorities on the various ethanol/water mixtures and The experiments by HSE’s fire
and significant pool fires. Where risks associated with proposed new waste whisky, which was supplied specialists have demonstrated
the quantities are high enough building developments in the vicinity. by the industry. These experiments that the fire risks from whisky
to bring a site under the COMAH showed that whisky fires produce and similar flammable spirits are
(Control of major accident hazards) HSE fire specialists found that HSE’s conical flames with little smoke, lower than for most flammable
Regulations, HSE calculates the current fire risk calculations are based unlike the cylindrical plume of smoke materials at major hazard sites.
magnitude of potential fires, as part on very small scale experiments on and flame from pool fires of most This new evidence is being used
other major hazard sites. This results to develop new models of heat
in a lower fire risk in the vicinity. emission to inform HSE’s public
safety planning advice and
ensure there are no unnecessary
restrictions on proposed new
building developments.
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HSE Annual Science Review 2019 Case studies | Acting together
AN EXPLOSION OCCURRED at a
bungalow, in which the two occupants, What were the benefits
in their mid-seventies, were buried.
They were rescued by the Fire & Rescue HSE forensic specialists identified
Service. One of them was detained in the likely cause of the gas
hospital with a back injury and burns. explosion and gave impartial
expert evidence in court during
An HSE gas engineer and an the successful prosecution of the
image specialist sifted through the plumber who installed the boiler.
rubble to identify the cause of the
explosion, collected evidence and For more information see
photographed the scene. During HSE publication Safety in the
the on-site investigation a joint installation and use of gas
between the gas supply and the systems and appliances 91.
boiler was found to have separated.
This leak source matched the pattern
of damage to the bungalow.
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HSE Annual Science Review 2019 Case studies | Acting together
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HSE Annual Science Review 2019 Case studies | Acting together
ON 5TH MARCH 2010, a reactor vessel if the wind had been blowing in the timing of the incident relative to the
at the Millennium Inorganic Chemical opposite direction the incident ‘could changeover of the pump, it appears What were the benefits
works at Stallingborough suffered a also have caused a local disaster’. that titanium tetrachloride had built
catastrophic failure, releasing its liquid up, and that starting the reserve The experimental work by HSE
contents and creating a large dense HSE scientists investigated the pump had restarted effective mixing/ scientists provided robust
white cloud of corrosive and toxic likely scenarios that could contact between this and aqueous scientific evidence to the court
gas. One worker died and three were have led to the incident. hydrochloric acid solution, resulting that demonstrated how the violent
injured leaving one with irreversible in a violent chemical reaction. Our chemical reaction had occurred.
lung damage. The cloud blew across The catastrophic rupture of the scientists designed experiments to look Following the prosecution,
the Humber closing shipping routes vessel occurred immediately after at the characteristics and behaviour Millennium Inorganic Chemicals
for several hours. After the prosecution the changeover of a recirculation of these two reactive chemicals. were fined £2.4 million under the
hearing, the HSE inspector noted that, pump to a reserve pump. Given the These experiments demonstrated Health and Safety at Work Act.
the formation of a spongy barrier
layer (see image) which separated For more information see HSE’s
the two chemicals until the reserve press release96 and publication
pump restarting mixing. Their Chemical Incident Investigation,
impartial expert evidence was Millennium Inorganic Chemicals
provided for the court and proved (MIC), Stallingborough UK, 2010 97.
vital to the HSE prosecution case.
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HSE Annual Science Review 2019 Case studies | Acting together
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HSE Annual Science Review 2019 Case studies | Managing risk well
A MENTAL HEALTH First Aid (MHFA) occupational studies and these have evidence that the introduction of MHFA
training programme was first provided more consistent evidence training in workplaces has resulted in What were the benefits
developed in Australia to train the that MHFA training raises employees’ sustained actions by trainees, or that
public in providing help to adults awareness of other colleagues with it has improved the organisational A key priority in HSE’s Health and
with mental ill-health problems. mental ill-health conditions. There is no management of mental ill-health. Work Strategy is work-related
Subsequently MHFA training has been stress and related mental ill-
taken up by other countries including health issues. This review by HSE
Great Britain. Recently there has been scientists has provided regulatory
an increase in undertaking MHFA colleagues with the knowledge
training in workplace settings. As the research questions that at the present time there
regulator for workplace health and is no evidence to state that
impact
safety, HSE wished to understand MHFA improves organisational
the strength of the available management of mental-ill health.
evidence on the effectiveness
application
uncertainty
of MHFA in the workplace to For further information see: HSE
improve the organisational Research Report Summary of the
management of evidence on the effectiveness of
mental-ill health. Mental Health First Aid (MHFA)
training in the workplace99,
HSE scientists undertook which describes this review; HSE’s
a review of published published Health and Work Strategy100 ;
evidence that considered studies and HSE’s information on
three research questions on the mental health conditions,
impact, influence and application
of MHFA training in workplaces.
influence work and the workplace101.
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HSE Annual Science Review 2019 Case studies | Managing risk well
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HSE Annual Science Review 2019 Case studies | Managing risk well
HSE IS THE STATUTORY authority in Involving Flammables or Toxics’, to Defense Threat Reduction Agency
Great Britain responsible for providing quantify the potential hazard. It is (DTRA) to help design dispersion What were the benefits
public safety advice to local important for DRIFT to be based on experiments with the toxic gas
planning authorities on the risks sound scientific principles with robust chlorine and analyse the data. HSE mathematical modellers
associated with proposed new verification and validation against In 2015 and 2016, the US Army participation in the international
developments, such as housing, experimental data to ensure that the conducted these chlorine dispersion working group on the US chlorine
schools and hospitals, near major model produces realistic predictions. experiments – the largest ever done dispersion trials has provided a
hazard sites and major accident globally - at its Dugway test site in unique opportunity to validate our
hazard pipelines. For major hazard HSE mathematical modelling Utah. Known as the ‘Jack Rabbit II’ computerised dispersion model
sites and pipelines where there is specialists were invited to participate trials, these experiments included DRIFT against the best dataset
the potential for a release of toxic in an international modellers working the full discharge of a 20 ton road available from new scientific
or flammable substances, HSE group, coordinated and principally tanker and dispersion measurements experimental trials. This modelling
uses the computerised dispersion funded by the US Department of using several hundred sensors to work ensures that HSE’s public
model DRIFT, ‘Dispersion of Releases Homeland Security (DHS) and a distance of 11 km downwind. safety land-use planning advice
is informed by best available
robust scientific evidence.
Aerial photograph of Jack Rabbit II Trial 7 (© Utah Valley University) HSE simulation of the experiment
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HSE Annual Science Review 2019 Case studies | Managing risk well
IN 2017/18 THERE were 12 fatal injuries a better understanding of the issues design, use and maintenance,
to workers in the waste and recycling and help the industry with solutions to and, safety management systems. What were the benefits
sector. In addition, each year around reduce worker ill-health and injury. They presented options to tackle
5,000 workers sustain a non-fatal injury. these issues and support dialogue HSE research in three health and
HSE human factors specialists between the industry and safety priorities within the waste
Improvement in the health and safety researched human factors associated regulators on practical solutions. and recycling industry, preventing
performance of the rapidly expanding with fatal incidents in the industry. fatalities, controlling manual
waste and recycling industry is They identified two priority areas to HSE occupational health specialists handling risks and preventing
a priority for HSE. HSE specialists tackle to reduce worker fatalities; reviewed the published evidence occupational illness, has helped
researched three areas in order to gain equipment factors, including of occupational ill-health in the identify key issues to be addressed
industry. They observed an increase to tackle the poor health and
in the prevalence of respiratory, safety performance in this sector.
gastro-intestinal and skin complaints The scientific evidence will help
in green waste workers. Exposure to the industry to implement practical
heavy metals was a risk for workers solutions to improve the health
recycling batteries, cables and and safety of their workforce.
fluorescent lights. They concluded
that targeted health surveillance may For further information see HSE
be necessary to assess exposure to Research Report Common human
hazards and to identify occupational factors underlying worker fatalities
illnesses and their prevalence. in the waste and recycling
industry46 and visit the waste
HSE’s ergonomists focused on and recycling section105 of the
improving manual handling to reduce HSE website and HSE’s Waste
musculoskeletal disorders. Six cases Statistics in Great Britain 2018106 .
of different collection systems were
investigated and recommendations
were made to help the industry in
identifying and implementing effective
solutions to control risks during waste
collection, sorting and recycling.
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HSE Annual Science Review 2019 Case studies | Managing risk well
THE FORESTRY INDUSTRY is one of the HSE experts reviewed a sample of FCS’ forest management and observation
most dangerous sectors in which operational guidance, interviewed forest of operations ‘in action’; provided What were the benefits?
to work in the UK. Over the last five operatives and managers and observed valuable insight into understanding
years in Great Britain six workers were operations on a visit to a harvesting the key factors of behaviour and HSEs Specialists identified
killed at work in the sector, giving site. HSE’s three stage approach to the work practice that could improve practical recommendations
rise to a fatal injury rate around assessment of; operational guidance the effectiveness of health and designed to improve the
10 times as high as the average ‘on paper’, worker perceptions of safety guidance and training. effectiveness of FCS’ guidance,
across all industries107. Tree site work and measures they could put in
involves significant hazards including place to support the guidance.
vehicles, machine-assisted felling and The recommendations were
chainsaws. Management of risk during underpinned by HSE expertise
such operations can be complex. in how to influence behaviour.
Funding source
Forestry Commission
Scotland
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HSE Annual Science Review 2019 Case studies | Sharing our success
THE AIR ACCIDENT Investigation Acting on the AAIB recommendations, behaviour is used in a similar setting,
Branch (AAIB) identified human the Civil Aviation Authority (CAA) but with key differences that could What were the benefits?
factors issues as key contributory asked HSE specialists to assist them impact performance and safety.
factors in the crash of a jet aircraft with understanding the error paths HSE’s research identified practical
at the Shoreham Airshow in that lead to flying display accidents, HSE human factors specialists recommendations that the
August 2015. The crash resulted including the potential for negative carried out 3 phases of work: Civil Aviation Authority and the
in the death of 11 people and 16 transfer of behaviours, by pilots, display community can take to
people were injured. (See p49 of between different types of aircraft. ›› A review of relevant research improve air display safety. HSE’s
2018 Annual Science Review) Negative transfer is when a learned theory, industry guidance and report has been made publicly
air display accident reports. available enabling sharing of
›› Consultation with experts from experience and knowledge of
across the display community human factors associated with
to identify the potential for air displays. The human factors
error during display flying. This training programme, for the
included interviewing display air display community, will be
pilots about the potential for rolled out over the next three
transferring learned behaviours years with the aim of raising
between different types of aircraft. awareness of negative transfer and
Drawing out and sharing expertise reducing the associated errors.
from the display community
was a key part of this work. For more information see the
›› The findings were published in a report Human Factors in Air
publicly available report and have Displays: Transfer of Behaviours
been used to develop a human and Error Path Study109, and the
factors training programme for HSE website for Organisational
the air display community. culture110 and How to change
health and safety behaviour111.
Funding source
Civil Aviation Authority
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HSE Annual Science Review 2019 Case studies | Sharing our success
Funding source
Defra and HSE
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HSE Annual Science Review 2019 Case studies | Sharing our success
Funding source
UK Government
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HSE Annual Science Review 2019 Case studies | Sharing our success
THE HEATHROW AIRPORT Limited these services involves a diverse range handling. Other issues such as heat
(HAL) Engineering department are of activities which carry associated stress and solar radiation exposure What were the benefits?
responsible for essential services to health risks. The main health hazards were considered where relevant.
maintain continued operation of covered were hazardous substances, The health and safety management Our scientists provided an expert,
Europe’s busiest airport. Delivery of noise, vibration and manual team of HAL contracted HSE to work independent review of health risks
alongside their teams to review the across a broad range of work
health risk management measures activities. This enabled an action
in place across their operations. plan to be developed to enhance
risk management, whilst providing
HSE’s occupational hygienists assurance that in the main, a high
conducted assessments in 7 business standard was being achieved.
units of the airport’s engineering The work also supported the
department. These included a review sharing of good practice across
of documentation (risk assessments, the areas included in the review.
safe systems of work etc), discussions
with operational managers and For other examples of our
front-line staff, and an observational occupational hygienists
assessment of work areas and work please see our report
facilities. Feedback was provided for and papers115–117.
each work area which highlighted
situations where the current risk
controls could be enhanced. These
were prioritised to help formulate
an action plan. In addition, the
findings were grouped together to
identify common themes for a site
wide approach to improvement.
Funding source
Heathrow Airport Limited
Commercial Service:
Health Risk Management
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HSE Annual Science Review 2019 Case studies | Tackling ill health
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HSE Annual Science Review 2019 Case studies | Tackling ill health
WORK-RELATED STRESS is the second duty holders, and providing training stress experts, an HSE workshop
most commonly reported cause of courses. The first Management of Stress highlighting top tips on running the What were the benefits
occupational ill health in Great Britain course ran in 2003, and since then over MS process as well as case study
and is one of HSE’s 3 health priorities 30 stress related training courses have presentations from business leaders. Organisations that have run
in it’s Health and Work Strategy100. trained more then 450 delegates. the process have reported
Over 11 million days are lost at work We are also training a significant the following benefits:
a year because of stress at work. The We have been working to strengthen number of organisations in Health and
HSE Management Standards (MS) for our support on managing WRS. Safety Leadership, placing greater ›› Reduced sickness absence,
Work Related Stress (WRS) provide a This includes continuing to support emphasis on the typically silent and savings in salary costs
structured approach to understanding duty holders to implement the MS, health part of health and safety. ›› Signs of cultural change, including:
the causes of WRS, and guide producing a new fully automated –– clearer communication
employers through a risk assessment Stress Indicator Tool, and developing We recognise there is still a long way between managers and staff;
process to make improvements. HSE’s and delivering training courses in to go on workplace improvements –– greater ownership of change;
work, over 15 years, has included proactively tackling the causes of to prevent WRS and identify it early, –– increased recognition of
the training of regulatory inspectors, WRS. We ran a Stress Summit in 2017, the HSE MS for WRS will be part of a the need to encourage
implementing the approach with incorporating presentations from future solution. Challenges we have peer support;
observed across industry are: –– improved communication
within the organisation.
›› Focusing on the risk assessment
process, particularly the Ed Corbett says: ‘Fundamentally,
collection of data, with little managing work-related stress and
emphasis on application of providing appropriate support for
interventions/controls. mental health conditions starts with
›› Senior leadership not fully senior leadership and management
considering organisational factors showing genuine care and
and shifting more towards fixes compassion for their employees.’
such as individual ‘resilience’.
›› Focusing too heavily on reactive, For further information on
with little consideration of HSE’s Management Standards
preventative, measures. for Work Related Stress and
›› Underestimating the importance associated workbook, indicator
of good line management. tool, and guides see What are
the Management Standards
HSE’s Psychologist Victoria Whitehouse available on the HSE website10 .
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HSE Annual Science Review 2019 Case studies | Tackling ill health
Reducing weight, hand-arm vibration and noise health risk factors in the rail industry
HSE SCIENTISTS HAVE worked on the Hand held power tools are widely It is important to have robust data
debilitating ‘Hand Arm Vibration used in the rail industry. The tools on tools to underpin the rating What were the benefits?
Syndrome’ (HAVs) for many years have 3 characteristics that present scheme. It is therefore important
building up a body of evidence that quite different health risks to the to critically review weight, The new combined Weight, hand-
is used in informing guidance and user; weight, hand-arm vibration vibration and noise data before arm Vibration and Noise (WVN)
supporting workers. HAVs and carpal (HAV) emission and noise emission. applying it to a rating scheme. indicator could help managers and
tunnel syndrome associated with These can cause hearing loss, HAVs; users select lower-risk machines or
vibrating tools, were responsible for and musculoskeletal disorders. The risk of using a combined rating tools for specific tasks, enabling
88% of all health-related Reporting is that it may give a false impression them to take into account the
of Injuries, Diseases and Disabling The rail industry would like a single tool of a machine being safe to use. It is relevant risks associated with
Occurrences Regulations (RIDDOR) risk rating to quickly highlight tools therefore important to keep sight of WVN emissions. This could help
in the rail industry in 2017-18107. likely to have lower combined risks the individual hazard information. reduce hearing loss, HAVs and
A possible format for presenting risk musculoskeletal disorders in
HSE specialists have developed a information is shown below; it includes industry from power tool use.
Weight, hand arm Vibration and Noise the combined rating ‘WVN Class’
‘WVN’ classification method, based alongside data for individual hazards For more information see Suitability
on emission data which enables a of using combined weight, hand-
simple comparison of machines of arm vibration and noise health
similar type or equivalent function. risk factors in the rail industry119.
D
Weight Hand-arm Noise B
D Funding source
Rail Safety and
Example of a possible format for presentation of risk information Standards Board
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HSE Annual Science Review 2019 Case studies | Tackling ill health
THE USE OF POWERED hand tools for in 2017 for HAVS and carpal tunnel 20 years. A HAVS assessment can
prolonged periods of time can lead syndrome. By law, employers must involve a medical examination What were the benefits?
to hand-arm vibration syndrome assess and identify measures to and quantitative tests of thermal
(HAVS), a painful disabling disease eliminate or reduce risks from and vibration perception in the HSE’s Centre for Workplace Heath
of the hands affecting blood vessels, exposures to harmful vibration, and hands. CWH links with the NHS in has over 20 years of experience
nerves and joints. Each year there are where required, to provide appropriate Sheffield, for specialised tests of nerve in this difficult area of medical
around 600-900 cases of HAVS reported training and health surveillance. conduction and vascular imaging. practice including research,
to the HSE under the Reporting of diagnosis and training for
Injuries, Diseases and Dangerous HSE’s Centre for Workplace Health CWH runs training courses on how to Hand-Arm Vibration Syndrome:
Occurrences Regulations (RIDDOR), (CWH) has been providing a diagnose, stage and manage cases ›› Accurate diagnosis
and there were over 400 new Industrial consultancy service, teaching and of HAVS. Recent research from the and staging of HAVS for
Injuries Disablement Benefit cases researching about HAVS for over centre includes publications on the workers and employers
value of quantitative sensory tests; the ›› Professional training courses
use of magnetic resonance imaging for 1800 doctors and nurses.
of the blood vessels in the hands
and a new classification for HAVS. This will lead to better and
earlier workplace identification
and management of these
potentially disabling conditions.
Funding source
Commercial service
and HSE (research)
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HSE Annual Science Review 2019 Case studies | Tackling ill health
with ill-health to stay at work, and for have created the Wellbeing Tree, a
rehabilitating people who are not at model illustrating the complexities of
work following ill-health or injury. workplace WB. Topics such as physical
activity at work, job satisfaction, work-
Led by HSE health specialists, the group life balance and good jobs have been
has been successful in improving the published and presented by the group
understanding of wellbeing at work and shared at a conference series
and together with experts in the field that sees its 5th event in Paris in 2019.
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HSE Annual Science Review 2019 Case studies | Keeping pace with change
INTRODUCING THE ‘hydrogen As part of the scientific evidence base and specify safety systems for a
economy’ is an important step in support of this pilot, HSE specialists polyethylene pipe and jointed pipe What were the benefits?
towards reducing the CO2 emissions have been commissioned to provide longevity test. This test is equivalent
that contribute to climate change. As evidence on the suitability of to those performed as standard for The output from this work will
part of the decarbonisation of the UK polyethylene pipes, fitting and jointing current methane gas pipelines. Due provide robust scientific evidence
gas network the Scottish Gas Network techniques, including determining to the additional considerations of the to Scottish Gas Network (SGN) to
(SGN) aims to determine the technical the performance criteria and Dangerous Substances and Explosive use in their Safety Management
and economic viability of constructing integrity of the polyethylene system Atmospheres Regulations (DSEAR), a System for the proposed 100%
the first 100% hydrogen gas delivery when used with 100% hydrogen. new pipe testing facility is currently hydrogen trial. The use of 100%
network. SGN plan to construct a pilot under construction at Radius Systems. hydrogen in the gas network has
scale gas network to demonstrate the HSE major hazards specialists are huge potential to support the
safe, secure and reliable distribution working in partnership with Radius On another part of the project HSE’s challenge of de-carbonising
of 100% hydrogen in the gas grid. Systems to design, test, evaluate explosive atmospheres specialists energy in the UK.
have also developed and built a
facility at HSE’s laboratory, Buxton, to For more information see
test excess control valves with 100% Scottish Gas Networks,
hydrogen. These valves are usually innovation projects, H100129.
used on natural gas networks to cut
gas flow in the event of pipe failure.
Funding source
Scottish Gas Network
The HSE Excess flow valve facility at the Buxton laboratory
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HSE Annual Science Review 2019 Case studies | Keeping pace with change
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HSE Annual Science Review 2019 Case studies | Keeping pace with change
Funding source
Image courtesy of the UK Space Agency UK Space Agency
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HSE Annual Science Review 2019 Case studies | Keeping pace with change
LOWER COST DESKTOP 3-Dimensional The research found that the heated exposures are significantly reduced
printers are becoming widely used filaments emitted small particles by: (1) setting a lower printer nozzle What were the benefits
in businesses and schools to build and vapours containing hazardous temperature; (2) using a filament with
3D objects. As the printers are not substances. It is not known if in real- a lower emission rate; (3) placing the The HSE scientific research into
generally enclosed there are concerns use conditions the concentrations of printer in an enclosing hood fitted emissions from desktop 3D
regarding the exposure to potentially the substances released from these with an extraction fan and particulate printers helped inform the new
harmful fume and particle emissions, printers are sufficient to cause harm if filter and (4) maintaining a hood good practice guide published
and potential health endpoints, breathed in. The research identified that ‘clearance time’ of about 20 minutes. by CLEAPSS (the advisory service
when filament material is deposited supporting science and technology
through a heated nozzle. A scientific teaching for a consortium of local
evidence base is being developed authorities and their schools)
internationally, with HSE forming on the health and safety risks of
a working group of experienced using 3D printers in schools.
individuals from the education sector,
3D printer manufacturing and HSE For further information see the
scientific and regulatory colleagues CLEAPPS good practice guide134
to share knowledge and experience. and HSE’s Research Report135.
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HSE Annual Science Review 2019
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References and
publications
HSE Annual Science Review 2019
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2018 publications by our scientists of respondents’ experiences and uk/research/rrhtm/rr1125.htm HSE, 2018 (RR1137) http://www.hse.
are listed below. This covers: views of COSHH, CLAW and DSEAR. gov.uk/research/rrhtm/rr1137.htm
publications in research reports; HSE, 2018. (RR1124) http://www.hse. Gorce, J.P., Aldridge, T., Forder, K.,
peer-reviewed journals; papers in gov.uk/research/rrhtm/rr1124.htm Holmes, W., McManus, H. and Purdy, Pengelly, I. Validation of a
conference proceedings; conference K. The National Population Database: measurement method for
abstracts; and articles in trade Bell, N., Evans, G., Beswick, A. overview and developments. HSE, diacetyl using sorbent tubes and
and professional magazines. and Moore, A. Summary of the 2018 (RR1130) http://www.hse.gov. thermal desorption. HSE, 2018
evidence on the effectiveness uk/research/rrhtm/rr1130.htm (RR1138) http://www.hse.gov.uk/
For a full list of details from previous of Mental Health First Aid (MHFA) research/rrhtm/rr1138.htm
years see http://www.hsl.gov. training in the workplace. HSE, HSE Workplace Health Expert
uk/resources/publications. HSE 2018 (RR1135) http://www.hse.gov. Committee (WHEC). Annual report Thorpe, A., Gervais, R., Saunders,
also commissions reports from uk/research/rrhtm/rr1135.htm 2017. TSO, 2018, ISBN 9780717666898 J., Baldwin, P. and Stagg, S. In-
researchers in other institutes, for a https://www.hsl.gov.uk/resources/ cab air filtration in plant vehicles
full list of research reports published Bishop, B., Burger, M., Beards, P., publications/hse-science-and- to control exposure to hazardous
by HSE see http://www.hse.gov. Frost, G., Hassall, D. and Holmes, W. research-publications-2018/ dust: quarry industry example. HSE,
uk/research/rrhtm/index.htm Stakeholder evidence to inform the whec-annual-report-2017 2018 (RR1126) http://www.hse.gov.
development of HSE’s Health and Work uk/research/rrhtm/rr1126.htm
Strategy. HSE, 2018 (RR1136) http://www. Jones, A. Manual handling risks to
hse.gov.uk/research/rrhtm/rr1136.htm midwives associated with birthing
pools: literature review and incident
analysis. HSE, 2018 (RR1132) http://www.
hse.gov.uk/research/rrhtm/rr1132.htm
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Publications in peer- Bradshaw, L., Sumner, J., Delic, J., Connolly, A., Basinas, I., Jones, K., Entwistle, J., Amaibi, P., Dean, J.,
reviewed journals Henneberger, P. and Fishwick, D. Galea, K., Kenny, L., McGowan, P. Deary, M., Medock, D., Morton, J.,
(2018) Work aggravated asthma and Coggins, M. (2018) Characterizing Rodushkin, I. and Bramwell, L. (2018)
Barber, C., Fishwick, D., Carder, in Great Britain: a cross-sectional glyphosate exposures among An apple a day? Assessing gardeners’
M. and Van Tongeren, M. (2018) postal survey. Primary Health Care amenity horticulturists using multiple lead exposure in urban agriculture
Epidemiology of silicosis: reports from Research and Development, spot urine samples. International sites to improve the derivation of soil
the SWORD scheme in the UK from 1996 19 (6), 561-569, http://dx.doi. Journal of Hygiene and Environmental assessment criteria. Environment
to 2017. Occupational and Environmental org/10.1017/S1463423618000063 Health, 221 (7), 1012-1022, https:// International, 122, 130-141, https://
Medicine, 76 (1), 17-21, http://dx.doi. doi.org/10.1016/j.ijheh.2018.06.007 doi.org/10.1016/j.envint.2018.10.054
org/10.1136/oemed-2018-105337 Butler, O., Cairns, W., Cook, J.,
Davidson, C. and Mertz-Kraus, R. Crook, B., Makison Booth, C. Fishwick, D. and Warren, N. (2018)
Barber, C., Fishwick, D., Seed, M., (2018) Atomic spectrometry update - a and Hall, S. (2018) Fluorescence Asthma at work, Part 1: The nature,
Carder, M. and Van Tongeren, M. review of advances in environmental visualization as a training tool for extent and causes of occupational
(2018) Artificial stone-associated analysis. Journal of Analytical Atomic infection control. International asthma. Occupational Health
silicosis in the UK. Occupational Spectrometry, 33 (1), 8-56, http:// Journal of Public Health & Safety, 3 at Work, 15 (2), 25-30, http://
& Environmental Medicine, 75 (7), dx.doi.org/10.1039/C7JA90059G (2), 156, https://www.omicsonline. www.atworkpartnership.co.uk/
541, http://dx.doi.org/10.1136/ org/open-access/fluorescence- journal/issue/15_2/contents/
oemed-2018-105028 Cockayne, S., Fairhurst, C., Frost, visualization-as-a-training-tool- asthma-at-work-part-1
G., Hewitt, C., Liddle, M., Zand, for-infection-control-101572.html
Basu, S., Poole, J., Frost, G. and M., Illes-Smith, H., Green, L., Fishwick, D. and Forman, S. (2018)
Fox, D. (2018) Developing a Cunningham-Burley, R., Torgerson, Crook, B., Hall, S., Makison Booth, Health surveillance for occupational
questionnaire to assess the health D. and on behalf of the SSHeW Study C. and Poran, V. (2018) Ensuring asthma. Current Opinion in Allergy
effects of bioaersols. Occupational (2018) The SSHeW study protocol: worker safety during an Ebola and Clinical Immunology, 18 (2),
Medicine, 68 (7), 448-453, http:// does slip resistant footwear reduce virus disease outbreak. Virology 80-86, http://dx.doi.org/10.1097/
dx.doi.org/10.1093/occmed/kqy094 slips among healthcare workers? and Retrovirology Journal, 2 (1), ACI.0000000000000424
A randomised controlled trial. BMJ 114, https://scientificliterature.org/
Batt, R., Gant, S., Lacome, J. M., Open, 8 (11), e026023, http://dx.doi. Virology/Virology-18-114.pdf Gant, S. and Tucker, H. (2018)
Truchot, B. and Tucker, H. (2018) org/10.1136/bmjopen-2018-026023 Computational fluid dynamics (CFD)
CFD modelling of dispersion in modelling of atmospheric dispersion
neutrally and stably-stratified Connolly, A., Leahy, M., Jones, for land-use planning around major
atmospheric boundary layers: results K., Kenny, L. and Coggins, M. hazards sites in Great Britain. Journal
for Prairie Grass and Thorney Island. (2018) Glyphosate in Irish adults - a of Loss Prevention in the Process
International Journal of Environment pilot study in 2017. Environmental Industries, 54, 340-345, https://
and Pollution, 63 (1-2), 1-18, https:// Research, 165, 235-236, https://doi. doi.org/10.1016/j.jlp.2018.03.015
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Gant, S., Weil, J., Monache, L. Hemingway, R. and Gunawan, O. Koller, D., Bramhall, P., Devoy, J., MeElvenny, D., Mueller, W., Ritchie,
D., Mckenna, B., Garcia, M., (2018) The Natural Hazards Partnership: Goenaga-Infante, H., Harrington, P., Cherrie, J., Hidajat, M., Darton,
Tickle, G., Tucker, H., Stewart, J., a public-sector collaboration across C., Leese, E., Morton, J., Cuello, A., Agius, R. and Vocht De, F. (2018)
Kelsey, A., McGillivray, A., Batt, the UK for natural hazard disaster risk S., Rogers, J., Sampson, B. and British rubber and cable industry
R., Witlox, H. and Wardman, M. reduction. International Journal of Powell, J. (2018) Analysis of soluble cohort: 49-year mortality follow-
(2018) Dense gas dispersion model Disaster Risk Reduction, 27, 499-511, or titanium dioxide derived from up. Occupational & Environmental
development and testing for the https://doi.org/10.1016/j.ijdrr.2017.11.014 titanium levels in human whole blood: Medicine, 75 (12), 848-855, http://
Jack Rabbit II Phase 1 chlorine consensus from an inter-laboratory dx.doi.org/10.1136/oemed-2017-104834
release experiments. Atmospheric James, P., Cannon, J., Barber, C., comparison. Analyst, 143, 5520-5529,
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org/10.1016/j.atmosenv.2018.08.009 M., Szram, J., Cookson, W., Moffatt, G. (2018) A Computational workflow
M. and Cullinan, P. (2018) Metal Lee, T., Thorpe, A., Cauda, E., for probabilistic quantitative in Vitro
Gilham, C., Rake, C., Hodgson, worker’s lung: spatial association Tipton, L., Sanderson, W. and Echt, to in Vivo extrapolation. Frontiers
J., Darnton, A., Burdett, G., Peto with mycobacterium avium. A. (2018) Laboratory comparison in Pharmacology, 9 (508), http://
Wild, J., Newton, M., Nicholson, A., Thorax, 73 (2), 151-156, http://dx.doi. of new high flow rate respirable dx.doi.org/10.3389/fphar.2018.00508
Davidson, L., Shires, M., Treasure, org/10.1136/thoraxjnl-2017-210226 size-selective sampler. Journal of
T., Peto , J. and TIPS Collaboration Occupational and Environmental Mogridge, R., Bowry, A. and Clayton,
(2018) Past and current asbestos Khodadadyan, A., Mythen, G., Assa, Hygiene, 15 (10), 755-765, https://doi. M. (2018) Evaluation of a shortened
exposure and future mesothelioma H. and Bishop, B. (2018) Tools and org/10.1080/15459624.2018.1503670 qualitative fit test method for filtering
risks in Britain: The Inhaled Particles techniques in risk assessment in public facepiece respirators. Journal of the
Study (TIPS). International Journal risk management organisations. Makarov, D., Hooker, P., Kuznetsov, International Society for Respiratory
of Epidemiology, 47 (6), 1745-1756, International Journal of Economics M. and Molkov, V. (2018) Deflagrations Protection, 35 (1), 47-64, https://
https://doi.org/10.1093/ije/dyx276 and Management Engineering of localised homogeneous and www.isrp.com/the-isrp-journal/
12 (10), 1277-1283, https://waset. inhomogeneous hydrogen-air journal-public-abstracts/881-vol-35-
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S., Clark, R., Roberts, P., Tunbrigde, and-Management-Engineering Journal of Hydrogen Energy,
A., Poran, V., Evans, C. and Crook, B. 43 (20), 9848-9869, https://doi.
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based simulation in evaluation of Summermatter, K., Bennett,
personal protective equipment worn for A., Heisz, M., Blacksell, S. and
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with suspected high consequence reboot for global lab biosafety.
infectious disease. The Journal of Science 360 (6386), 260-262, https://
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Paini, A., Leonard, J., Joossens, Poller, B., Hall, S., Bailey, C., Gregory, Snodgrass, R. (2018) Ageing assets Van Der Vlugt, C., Brown, D.,
E., Bessems, J., Desalegn, A., S., Clark, R., Roberts, P., Tunbrigde, - workers get old too! Safety and Lehmann, K., Leunda, A. and
Dorne, J., Gosling, J., Heringa, A., Poran, V., Crook, B. and Evans, Reliability, 37 (2-3), 94-105, https://doi. Willemarck, N. (2018) A framework
M., Klaric, M., Kliment, T., Kramer, C. (2018) ‘VIOLET’: a fluorescence- org/10.1080/09617353.2018.1468658 for the risk assessment and
N., Loizou, G., Louisse, J., Lumen, based simulation exercise for management of gene drive
A., Madden, J., Patterson, E., training healthcare workers in Stacey, P., Thorpe, A., Roberts, P. technology in contained use. Applied
Proenca, S., Punt, A., Setzer, R. W., the use of personal protective and Butler, O. (2018) Determination Biosafety, 23 (1), 25-31, http://dx.doi.
Troutman, J., Yoon, M., Worth, A. equipment. Journal of Hospital of respirable-sized crystalline silica org/10.1177/1535676018755117
and Tan, Y. (2018) Next generation Infection, 99 (2), 229-235, http:// in different ambient environments in
physiologically based kinetic (NG- dx.doi.org/10.1016/j.jhin.2018.01.021 the United Kingdom with a mobile Wilkinson, A., Allwood, M., Morris, C.,
PBK) models in support of regulatory high flow rate sampler utilising Wallace, A., Finnis, R., Kaminska, E.,
decision making. Computational Poller, B., Tunbrigde, A., Hall, S., porous foams to achieve the required Stonkute, D., Szramowska, M., Miller,
Toxicology, 9, 61-72, https://doi. Beadsworth, M., Jacobs, M., Peters, particle size selection. Atmospheric J., Pengelly, I. and Hemingway, M.
org/10.1016/j.comtox.2018.11.002 E., Schmid, M. L., Sykes, A., Poran, Environment, 182, 51-57, http://dx.doi. (2018) Performance testing protocol for
V., Gent, N., Evans, C., Crook, B. and org/10.1016/j.atmosenv.2018.03.032 closed-system transfer devices used
Patel, K., Bailey, C., Harding, A.- on behalf of The High Consequence during pharmacy compounding and
H., Biggin, M. and Crook, B. (2018) Infectious Diseases Project Working Sumner, J., Robinson, E., Bradshaw, administration of hazardous drugs.
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hubs. Applied and Environmental clinical response to possible high of spirometry in the workplace if
Microbiology, 125 (5), 1541-1551, consequence infectious diseases: recommended testing guidance Willerton, L. and Mason, H. (2018)
https://doi.org/10.1111/jam.14063 a consensus document on behalf is not followed. Occupational The development of methods to
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New Zealand Asthma And Allergy M., Willoughby, D. and Sathiah, J., Molkov, V. and Venetsanos,
Cohort Study Group (2018) Hair P. (2018) Effects of congestion A. (2018) Numerical simulations of
nicotine at 15 months old, tobacco and confining walls on turbulent vented hydrogen deflagrations in a
exposure and wheeze or asthma from deflagrations in a hydrogen storage medium-scale enclosure. Journal
15 months to 6 years old. Pediatric facility- part 1: Experimental study. of Loss Prevention in the Process
Pulmonology, 53 (4), 433-451, http:// International Journal of Hydrogen Industries, 52, 125-139, https://doi.
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Conference Presentations McNally, K., Fahad, M., Hall, G. Stacey, N., Bradbrook, S., Ellwood, Published Conference
and Warren, N. Calibration with- P., Reynolds, J., Williams, A., Ravetz, Abstracts & Posters
Dazon, C., Witschger, O., Bau, S., and against-grain dimensional J., Lye, D., Brun, E., Starren, A. and
Payet, R., Fierro, V., Jensen, K., change using AGR moderator brick Palmer, K. Foresight of new and Baldwin, P. and Forder, J. Exposure
Jankowska, E., Bard, D., Tuinman, measurements. 6th EDF-Energy emerging occupational safety measurement of diesel engine exhaust
I. and Llewellyn, D. Dustiness de Nuclear Graphite Conference, and health risks associated with emissions (DEEE) in mines. Midland
nanomateriaux en poudre: proposition Kendal, UK, 15-18 Oct 2018 information and communications Institute of Mining Engineers’ 13th
d’un nouvel indice relatif a la metrique technologies. SIAS 2018. 9th Safety Seminar, Sheffield, UK, 20th
surface (Dustiness of nanaomaterial McNally, K., Gorce, J.-P., Goede, H., International Conference on Safety April 2018, http://www.themime.org.
in powder form: proposal of a new Schinkel, J. and Warren, N. Dermal of Industrial Automated Systems, uk/wp-content/uploads/2017/02/
surface-based dustiness index). Advanced Reach Tool (dART): a Nancy, France, 10-12 October 2018, Programme-2018-for-web.pdf
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sur les Aerosols 2018 Paris, France, assessment. 9th International of%20Abstracts%20SIAS%202018.pdf Clayton, M., Roberts, P., Wade, M.
30-31 January 2018, http://dx.doi. Conference on the Science of and Angear, F. Improving the use
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24-26 Sept 2018, https://www.x2018.org/ deflagrations: the influence of user OH2018, Stratford upon Avon, UK,
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W., Tischer, M. and Schinkel, J. The of Warwick, UK, 26th April 2018, 7b-Clayton-18.04.18-09.45.pdf
development of the mechanistic Pitts, P. The development of a tool http://ukelg.ps.ic.ac.uk/59JS.pdf
model underpinning the dermal for the initial assessment of back Coldrick, S. Modelling for the
Advanced REACH Tool (dART). 9th injury risks in driving: an introduction underground storage of explosives.
International Conference on the to the “BIRD” tool. 53rd Conference Midland Institute of Mining Engineers’
Science of Exposure Assessment, on Human Responses to Vibration, 13th Safety Seminar, Sheffield, UK, 20th
Manchester, UK, 24-26 Sept 2018, Ascot, UK, 11-13 Sept 2018 April 2018, http://www.themime.org.
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noise health risk factors in the rail
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of the effectiveness of tool timers Human Responses to Vibration,
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Connolly, A., Jones, K., Galea, K., Fishwick, D., Matthews, S., Kamil, M. Fishwick, D., Robinson, E., Wiezer, Galea, K., Basinas, I., Cherrie,
Basinas, I., Kenny, L., McGowan, and Barber, C. 433 GB silicosis bases N., Mockallo, Z., Grosjean, V. and J., Vermeulen, R., Kromhout, H.,
P. and Coggins, M. 452 A pesticide following a recent guidance update. Andersen, L. 430 Wellbeing at work; Jones, K., Harding, A.-H., Van
exposure study using 24-hour Occupational & Environmental a European PEROSH perspective Tongeren, M. and Povey, A. 1280
biomonitoring and dermal sampling Medicine, Apr 2018, A441 Abstract and wellbeing tree. Occupational Improving exposure assessment
to determine total uptake and the presented at 32nd Triennial Congress & Environmental Medicine, Apr methodologies for epidemiological
routes of exposure. Occupational & of the International Commission 2018, A586. Abstract presented studies on pesticides. Occupational
Environmental Medicine, Apr 2018, on Occupational Health (ICOH), at 32nd Triennial Congress of the & Environmental Medicine, 2018,
A467 Abstract presented at 32nd Dublin, Ireland 29th April- 4th May International Commission on A464-A470 Abstract presented at 32nd
Triennial Congress of the International 2018, http://dx.doi.org/10.1136/ Occupational Health (ICOH), Dublin, Triennial Congress of the International
Commission on Occupational Health oemed-2018-ICOHabstracts.1257 Ireland, 29th April -4th May 2018, Commission on Occupational Health
(ICOH), Dublin, Ireland 29th April- 4th http://oem.bmj.com/content/75/ (ICOH), Dublin, Ireland, 29th April -4th
May 2018, http://dx.doi.org/10.1136/ Fishwick, D., Robinson, E., Wiezer, Suppl_2/A586.1.citation-tools May 2018, http://dx.doi.org/10.1136/
oemed-2018-ICOHabstracts.1327 N., Mockalo, Z., Grosjean, V. and oemed-2018-ICOHabstracts.1321
Andersen, L. 505 What are good jobs? Gagliardi, D., Rondinone, B., Mirabile,
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Dublin, Ireland, 29th April -4th May Dublin, Ireland, 29th April -4th May A76, Abstract presented at 32nd
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oemed-2018-ICOHabstracts.1302 oemed-2018-ICOHabstracts.1657 Commission on Occupational Health farming tasks where exposure to
(ICOH), Dublin, Ireland, 29th April -4th organic dusts and bioaerosols
Fishwick, D., Barber, C. and Kamil, May 2018 http://dx.doi.org/10.1136/ occur. OH2018, Stratford upon Avon,
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Jones, K. 1717c Biological monitoring Morton, J. 1646c Understanding Pickering, N., Williams, K. and Keen, Smpokou, E., La Rosa Garcia, B., Le
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presented at 32nd Triennial Congress Triennial Congress of the International 16th - 19th April 2018, https://www. urinary findings in young adults at
of the International Commission Commission on Occupational Health oh2019.com/files/2018/04/Session- risk of chronic kidney disease of
on Occupational Health (ICOH), (ICOH), Dublin, Ireland, 29th April -4th 5b-Pickering-17.04.18-16.10.pdf undetermined cause in Northwestern
Dublin, Ireland 29th April- 4th May May 2018, http://dx.doi.org/10.1136/ Nicaragua. Occupational and
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the role of biological monitoring of biological monitoring in optimised light for education and (ICOH), Dublin, Ireland, 29th April -4th
in assessing skin absorption. determining manganese exposure training (violet). BMJ Simulation & May 2018 http://dx.doi.org/10.1136/
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Mason, H. Measurement of Triennial Congress of the International Skills & Simulation Conference, cassettes when using the GK2.69
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processing. OH2018, Stratford upon (ICOH), Dublin, Ireland, 29th April -4th org/10.1136/bmjstel-2018-heeconf.11 filters and implications for the Health
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of flour dust in bakeries. OH2018, Pengelly, I., Smith, G. and Shah, P. of residual household waste Avon, UK, 16th - 19th April 2018, https://
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