Biological effect monitoring request form
Biological monitoring measures how much of a substance has entered the body. Biological Effect Monitoring is appropriate when you need to demonstrate that: - Compliance with a WEL (Workplace Exposure Limit) or BMGV ( Biological Monitoring Guidance Value) - Control equipment or personal protective equipment is working well enough By completing this form, you confirm that you are requesting biological monitoring for exposure assessment to evaluate and support measures taken under the COSHH Regulations, where ALL of the following apply: - The results will give you information in addition to that already available through complying with the COSHH Regulations; - The results will provide you with useful information on exposure assessment which will help in evaluating control measures; - There is an appropriate sampling strategy and analytical technique which preferably involves non-invasive sampling (ie urine or breath rather than blood); - You have clear criteria for interpreting the results or you agree to contracting Workability Solutions to interpret and advise you; - You have the relevant experience and knowledge to act on it; or you agree to appoint a suitably qualified and competent person to do so on your behalf; - You agree to Workability Solutions contracting the appropriate specialist expertise able to act on it; - Where blood samples are unavoidable you agree to Workability Solutions appointing an appropriately qualified person to take them
Tell us why you are requesting biological monitoring, e.g. COSHH assessment including hazards identified on product data sheets, Health surveillance results, HSE inspection, Occupational Hygiene report. This might include clusters of symptoms, ill-health trends and/or results of lung function tests and/or skin checks.
This should be the email of the budget holder to ensure swift processing of your request.
Check your material safety data sheets to find out how your employees may absorb chemicals and hazardous substances.
Select ALL the hazardous exposures in the workplace where your reason for biological monitoring applies.
Select ONLY the hazardous exposures in the workplace that you want to test for.
Use the text box above to tell us anonymised information about any clusters of symptoms or health trends and results of lung function tests and/or skin checks or that you are concerned about.