Respiratory Health Surveillance & Spirometry for UK Workforces

Clarity Occupational Health delivers respiratory health surveillance and spirometry for workers exposed to dusts, fumes, vapours and other airborne hazards that can affect lung function. Our programmes help employers detect issues earlier, protect employees and demonstrate robust control of respiratory risk.

What is respiratory health surveillance?

Occupational health respiratory tests are medical assessments carried out on workers who are exposed to substances or environments that can damage their respiratory health. These tests are designed to assess lung function and identify any conditions or diseases that may have developed as a result of workplace exposure. Clarity uses respiratory surveillance to support your risk assessments: confirming that control measures are working, picking up early changes in lung function and giving you clearer evidence that respiratory hazards are being managed in line with COSHH and wider health and safety expectations.

Why employers choose Clarity

Risk‑led surveillance, not generic checks

We design respiratory surveillance around your actual hazards and exposure profile – not generic templates. That means targeting workers whose tasks, environments and materials genuinely put respiratory health at risk, and tailoring questionnaires and tests accordingly.

Operationally efficient delivery

We use on‑site clinics, mobile medical units and, where appropriate, clinic network access to minimise downtime, travel and disruption while maintaining coverage for exposed workers. Assessments are scheduled to fit around shifts and operations, not the other way round.

Actionable, audit‑ready reporting

Our reporting is clear, structured and designed to support follow‑up action. You receive outcomes that highlight any concerns, recommendations for adjustments or further investigation, and evidence to support internal governance and regulatory scrutiny.

Integrated with wider occupational health

Respiratory surveillance can be integrated with other services such as health surveillance for noise or vibration, safety‑critical medicals and management referrals, creating a more coherent, cost‑effective occupational health programme.

Who needs respiratory health surveillance?

Respiratory health surveillance is typically required where risk assessments show that, even with control measures in place, workers may still be exposed to airborne substances that can cause asthma, lung damage or other respiratory disease.

Examples include:

  • Work with dusts (e.g. flour, wood, metal, silica)

  • Use of isocyanates, welding fumes, solvents or other sensitisers and irritants

  • Processes generating fumes, smoke or fine particulates

  • Work in environments with hazardous airborne contaminants despite controls

Clarity can help you review your risk profile and identify which roles should be included in respiratory health surveillance, and at what frequency.

What to Expect From Respiratory Health Surveillance

Respiratory health surveillance typically combines:

  • Respiratory questionnaires – to capture symptoms, work history and relevant medical background.

  • Spirometry (lung function testing) – measuring how much air the worker can inhale and exhale and how quickly, using a spirometer.

  • Clinical review – including a review of exposure and, where appropriate, a physical examination of the chest and lungs.

Spirometry is a key element for higher‑risk roles, as it provides an objective measure of lung function and can help identify early signs of work‑related respiratory problems before symptoms become obvious.

Our clinicians explain the process clearly, coach workers through each test and ensure results are interpreted in the context of their role, exposure and overall health.

Outcomes and follow‑up

Following respiratory health surveillance, Clarity provides:

  • A clear fitness‑for‑work judgement aligned to respiratory risk

  • Advice on any restrictions, adjustments or additional controls required

  • Recommendations for further investigation or referral where needed

  • Trend information over time to support continuous improvement

This gives you a defensible position on respiratory risk management and a practical basis for protecting workers whose lungs are exposed at work.

Our values in respiratory programmes

In respiratory health surveillance, employers need a partner who will challenge assumptions, innovate in delivery and stay accountable.

  • We challenge when surveillance is missing or mis‑focused, and help redesign it around real risk.

  • We innovate in how and where we deliver spirometry and assessments to reduce downtime.

  • We grow by helping clients build healthier, more resilient workforces over time.

  • We are driven to deliver – responsive with scheduling, clear in our communication and precise in our reporting.

  • Collaboration drives us forward as we work with H&S, HR and line managers to make programmes workable.

  • We are energised by health and accountable to each other, which shows in the care we take with every assessment.

Request a tailored proposal

Make Respiratory Risk Easier to Control

If your people work with respiratory hazards, Clarity can help you design and deliver a surveillance programme that protects lung health, supports compliance and fits the way your business really operates.