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HAVS Tier 4 Assessments in London and the Home Counties
Employers have a legal duty under the Control of Vibration at Work Regulations 2005 to protect workers from hand-arm vibration syndrome. Where health surveillance identifies abnormal findings, a Tier 4 specialist medical assessment by an occupational health physician is required.
Artensia Medical Services provides HAVS Tier 4 assessments for employers, HR teams and occupational health providers across London, Surrey, Kent, Essex, Hertfordshire, Berkshire and the Home Counties. Assessments are carried out by Dr Christopher Levy, a GMC-registered occupational health physician, and provide a definitive clinical opinion on diagnosis, severity and fitness for work.
Appointments are available at short notice. Reports are issued promptly to support your legal compliance and workforce management.
A Tier 4 HAVS assessment is a specialist medical assessment undertaken when an employee has abnormal findings on health surveillance or symptoms suggestive of hand-arm vibration syndrome.
The purpose of the assessment is to:
• confirm or exclude a diagnosis of HAVS
• assess severity using the Stockholm classification
• provide clear advice on fitness for work
• guide future management and exposure to vibration
A referral for a Tier 4 HAVS assessment is typically made when:
• Tier 3 health surveillance identifies abnormal findings
• an employee reports symptoms such as tingling, numbness or blanching
• there is concern regarding progression of symptoms
• a definitive diagnosis is required for management or legal purposes
Early referral allows for timely diagnosis and appropriate management.
The assessment is carried out by an occupational health physician and includes:
• a detailed occupational and exposure history
• review of symptoms and progression
• clinical examination of the upper limbs
• assessment of vascular and neurological features
Where appropriate, previous health surveillance results are reviewed.
Following the assessment, a structured report is provided to the employer.
This will include:
• diagnosis (or exclusion) of HAVS
• grading using the Stockholm classification
• advice on fitness for work
• recommendations regarding vibration exposure
• guidance on workplace adjustments or restrictions
Reports are written in a clear and practical format to support management decisions.
Artensia provides a physician-led HAVS assessment service focused on clarity, responsiveness and practical advice.
Employers and occupational health providers benefit from:
• direct access to an occupational health physician
• prompt appointment availability
• clear, defensible reports
• support with complex or borderline cases
This approach supports effective management of HAVS within the workplace.
• grading using the Stockholm classification
• advice on fitness for work
• recommendations regarding vibration exposure
• guidance on workplace adjustments or restrictions
Reports are written in a clear and practical format to support management decisions.
Artensia supports:
• employers in construction, manufacturing and engineering
• occupational health providers requiring Tier 4 assessments
• organisations managing HAVS health surveillance programmes
If you would like to arrange a HAVS assessment or discuss a case, please contact Artensia Medical Services.
Appointments are typically available within a short timeframe.
Scheduling your Occupational Health appointment with us is quick and easy. Simply reach out to us via the contact information below, and we will get back to you shortly.
