Control of asbestos—medical examinations
Control of asbestos—medical examinations

The following Environment practice note provides comprehensive and up to date legal information covering:

  • Control of asbestos—medical examinations
  • Health records and medical surveillance
  • Licensable work
  • Notifiable non-licensed work (NNLW)
  • Work with asbestos that is exempt from the requirements for medical examinations
  • Details of the medical examination and health records

Health records and medical surveillance

The provisions relating to medical examinations are contained at SI 2012/632, reg 22 and the HSE Approved Code of Practice (ACOP) L143

There are different requirements depending on the type of asbestos work.

The previous regulations, the Control of Asbestos Regulations 2006, SI 2006/2739, exempted most ‘low risk’ work from being subject to worker medical examinations.

Following a complaint to the Commission that SI 2006/2739 did not correctly implement Directive 2003/18/EC, the UK government agreed to replace the 2006 regulations with the Control of Asbestos Regulations 2012 (CAR 2012), SI 2012/632. This resulted in a new category of asbestos work – notifiable non-licensed work.

Licensable work

Licensable work with asbestos is work:

  1. where the exposure to asbestos of employees is not sporadic and of low intensity

  2. in relation to which the risk assessment cannot clearly demonstrate that the control limit (0.1 f/cm3 airborne fibres averaged over a four-hour period) will not be exceeded

  3. on asbestos coating, or

  4. on asbestos insulating board or asbestos insulation for which the risk assessment:

    1. demonstrates that the work is not sporadic and of low intensity

    2. cannot clearly demonstrate that the control limit will not be exceeded, or

    3. demonstrates that the work is not short duration work

For licensable work with asbestos, every employer must ensure that:

  1. a health record is maintained for all employees who are exposed to asbestos

  2. a copy

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