For employees showing signs of Hand-Arm Vibration Syndrome or at higher risk, Tier 3 & Tier 4 assessments provide detailed clinical evaluation and formal diagnosis. These assessments are essential for accurate staging of HAVS and to guide workplace management and treatment.
What Are Tier 3 & 4 Assessments?
| Tier | Purpose |
|---|---|
| Tier 3 – Clinical Assessment | In-depth examination by an occupational health physician or specialist. Includes neurovascular tests, grip and dexterity evaluation, and symptom documentation. |
| Tier 4 – Formal HAVS Diagnosis & Staging | Comprehensive clinical investigation to establish severity and progression of HAVS. Generates a formal medical report suitable for legal, insurance, or regulatory purposes. |
HAVS Tier 3 and 4 assessments are recommended for employees who:
- Report persistent numbness, tingling, or pain in fingers and hands
- Show signs of white finger/blanching
- Have long-term exposure to vibrating tools
- Need formal documentation for compensation claims, workplace adjustments, or health surveillance records
What’s Included in Tier 3 & 4 Assessments
- Detailed clinical history and examination
- Neurovascular testing including cold provocation or capillary refill
- Grip strength and manual dexterity evaluation
- Staging of HAVS according to HSE guidelines
- Comprehensive written report with recommendations for work adjustments
- Referral for specialist treatment if required
Why Choose ARC Medicals for Tier 3 & 4 Assessments?
- Experienced occupational health physicians and nurses
- Fully HSE-aligned assessment protocols
- Confidential and professional reporting
- Flexible clinic-based
- Clear guidance for employers on health surveillance compliance and risk management
Who Needs Tier 3 & 4 Assessments?
Employees with:
- Persistent or severe symptoms of HAVS
- Prior Tier 1/2 screening indicating concern
- Long-term high exposure to vibrating tools
- Legal, insurance, or regulatory requirements for HAVS documentation
Benefits of Early Clinical Assessment
- Confirm diagnosis and stage HAVS accurately
- Guide workplace adjustments and exposure controls
- Reduce risk of permanent damage and lost productivity
- Meet HSE and DVSA compliance obligations
- Provide medico-legal evidence if required
Book a Tier 3/4 Assessment
ARC Medicals delivers reliable Tier 3 & 4 HAVS assessments across South Wales for employers and individual workers.
Contact us today to arrange an appointment:
📧 medicals@thearcgroup.co.uk
📞 01443 303003
