Questions answered
Clear answers for employers and employees.
Practical guidance without overclaiming what a single test can determine.
For employers
Planning and responsibilities.
When is respiratory health surveillance required?
Under COSHH it is appropriate in defined circumstances, including where an identifiable adverse health effect may be linked to exposure, is reasonably likely under the work conditions and can be detected using a valid low-risk technique. It should be based on the risk assessment and competent advice.
Can we book spirometry without a COSHH assessment?
A provider can discuss your needs, but the programme should be linked to a clear understanding of substances, processes, exposure groups and controls. Spirometry should not be used as a substitute for assessing and controlling risk.
Can testing be delivered onsite?
Onsite is included as an enquiry preference, subject to business availability and a suitable private testing environment. Confirm coverage, capacity and room requirements during quotation.
What should an employer receive after testing?
Appropriate outcome information for the health record, advice relevant to continued exposure or restrictions, recall information and any workplace actions. Confidential clinical detail should not routinely be disclosed.
How long are COSHH health records kept?
COSHH requires relevant employer health records to be maintained for at least 40 years from the date of the last entry. This is separate from the confidential medical record.
Does a normal test prove controls are adequate?
No. Surveillance can provide feedback, but one normal test does not validate exposure controls. Employers still need effective prevention, engineering controls, maintenance, training and monitoring where appropriate.
For employees
Preparation and privacy.
How long does a spirometry assessment take?
The breathing test itself is often brief, but the appointment also needs check-in, questions, safety screening, coaching, repeated attempts and recovery. The programme provider should confirm the booked duration.
Is the test painful?
Spirometry is not usually painful, but the forceful effort can be tiring and may cause temporary light-headedness. Tell the assessor immediately if you feel unwell or experience pain.
Should I stop an inhaler?
Not unless the healthcare professional responsible for the appointment specifically instructs you to. Follow your appointment information and bring medication details.
What happens if my result changes?
A change does not diagnose a condition by itself. The occupational-health professional may review test quality, symptoms, exposure and previous results, repeat the test or recommend further clinical assessment.
Can my employer see my medical history?
Not routinely. Medical history, detailed results and clinical notes are confidential. Employers should receive only the work-related outcome information they need, unless you give appropriate written consent.
Employer enquiry
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