HSE Asbestos Medicals

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At Caer Health we have full time Asbestos HSE appointed physician’s who undertake asbestos medicals, so we are able to provide and run regular asbestos medical clinics.

Asbestos work is categorized into to areas, licensed work and Notifiable Non licensed work:

Licensed asbestos work is carried out by HSE licensed contractors and they must have a medical assessment with an HSE Appointed Physician. These companies and self-employed individuals are subject to regulation and inspection by the HSE – this direct work, building demolition, asbestos removal, asbestos coatings, asbestos insulation and asbestos insulating boards,
Involves greater potential for exposure to asbestos.

Work with asbestos is regulated by the Control of Asbestos Regulations 2012 (CAR) that came into play on the 6th April 2012; this places a duty of care on employers to maintain a health record for employees who are involved in “licensed work” with asbestos.

If you are self-employed and work directly with asbestos, you are responsible for organising your own asbestos medical.

Please remember that every medical examination for licensed asbestos work, must be undertaken by a physician who has been appointed by the HSE and must be carried out every 2 years.

Examples of notifiable non-licensed work are the removal and or maintenance of asbestos cement products on roof sheeting, tiles and rainwater goods, drilling of textured decorative coatings for installation of fixtures/fittings and painting/repainting AIB that is in good condition – more info can be found here:


From 2015, any new workers carrying out notifiable non-licensed work for the first time are required to have a medical examination before they can start their work, and then every 3 years there after.


Asbestos-related diseases:

Asbestos exposure can be responsible for a number of conditions that can be severe and even fatal. The 4 main diseases are:

– Mesothelioma, a form of cancer mainly affecting the lining of the lungs.
– Asbestos related lung cancer
– Asbestosis, a non malignant scarring of the lung tissue
– Non-malignant pleural disease affecting the outer lining of the lung.


Should these conditions be reported under RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations)?

“Exposure to asbestos is reportable under RIDDOR when a work activity causes the accidental release or escape of asbestos fibers into the air in a quantity sufficient to cause damage to the health of any person.” Source HSE.


Medical surveillance

Employees doing licensed asbestos work must have a medical no more than two years before starting work with asbestos and every two years after this if they continue to work with asbestos.

We get asked all the time, what will the medical consist of? And how long will the medical last for?

The medical will take 45 minutes and consists of a medical questionnaire and a lung function test by an approved HSE physician.

We are often asked if a chest x-ray is needed, these are very rarely done during medical surveillance. If symptoms or signs were suggestive of lung disease the appointed doctor would almost certainly refer the employee back to their own GP or to a chest specialist.

At the end of the examination two copies of an original HSC certificate will be issued, one copy will be given to the employee and one copy will be sent to the employer. The employer will not be sent any confidential details of the employee’s medical record. Health records must be kept for at least 40 years.

For further FAQ’s on Asbestos Medicals please visit here: Asbestos Medicals FAQ