Health Surveillance Follow-up Assessment.

In some situations, routine health surveillance will identify results that need a closer look — whether that relates to hearing, respiratory health, skin concerns, musculoskeletal issues, or any other change that could affect someone’s wellbeing or safety at work. When this happens, OH One provides a focused follow-up assessment to review the findings in more detail, understand what may be driving the change, and offer clear, practical next steps for both you and your employee. This ensures every outcome is managed consistently, proportionately, and with the right level of clinical oversight.

Below is an example for employees experiencing changes in hearing.

Our Health Surveillance Follow-up Assessment offers a detailed review for staff who show repeated Category 3 hearing loss on workplace audiometry. Delivered remotely by an OH Nurse trained in audiometry, it explores the likely cause of the change, the implications for work and safety, and the practical steps employers can take. You’ll receive clear, proportionate guidance — including when medical escalation is appropriate — helping you meet your Health Surveillance responsibilities with confidence.

What this assessment is

This is a structured occupational health review carried out by a Specialist OH Nurse with accredited audiometry training. It’s used when an employee presents with consistent Category 3 hearing results, and you need clarity on risk, safety, and next steps. Consultations take place remotely (video or phone), making it easy to support multi-site or dispersed workforces.

When a Health Surveillance follow-up assessment is needed 

You should use this service when:

An employee has repeated Category 3 hearing loss results across 3–6 months.
The GP or audiology service has discharged the individual without further treatment.
You require clear guidance before involving an Occupational Health Physician.

This step ensures your decisions are safe, fair, and evidence-based.

Are you not sure if you need one? Get in touch and our team will guide you through.

What the assessment covers

The consultation focuses on three key areas:

1. Clinical and exposure review

We review audiograms, medical history, possible causes of hearing loss (occupational and non-occupational), and any GP/audiology reports.

2. Impact on work and safety

We explore day-to-day functioning, communication challenges, safety-critical tasks, alarm audibility, and the suitability and use of hearing protection. Wellbeing and psychological impact are also considered.

3. Practical action plan

You’ll receive a concise, work-focused summary covering workplace adjustments, PPE advice, noise control considerations, and the employee’s role in managing their hearing health.

When medical referral is recommended

If the review indicates possible noise-induced hearing loss, worsening thresholds, or ongoing safety concerns even after adjustments, we will recommend referral to an Occupational Health Physician. This ensures the right escalation at the right time.

Why employers choose OH One

Our follow-up process gives employers:

Clear, proportionate guidance that avoids unnecessary escalation
Consistent decision-making for Category 3 results
Evidence-based recommendations that protect both employee wellbeing and workplace safety
Support to meet your Health Surveillance obligations
A simple, remote service that slots easily into your existing surveillance programme

Tailored information for HR Managers

Repeated Category 3 results can raise practical HR questions around communication needs, reasonable adjustments, and how best to support the employee. This assessment provides the clarity you need. We review medical and audiology information, explore how the hearing loss affects work tasks, and outline fair, realistic adjustments. You’ll receive clear recommendations that help you make confident, consistent decisions centred on safety, wellbeing, and good employment practice.

If you’re not certain whether a follow-up is needed, we’re here to help. Our clinical team will walk you through it. Get in touch here

Tailored information for Health & Safety Managers

For H&S teams, this service supports robust noise-risk management. We review exposure history, audiometry trends, and task demands to identify whether hearing protection and control measures remain fit for purpose. You’ll receive practical recommendations on workplace controls, PPE suitability, risk assessment updates, and when further medical review is appropriate. This strengthens compliance and ensures Health Surveillance is both effective and proportionate.

Need clarity? We can help. No obligation, just guidance. Ask our team here

Add this to your Health Surveillance pathway

This follow-up step provides reassurance, clarity, and a clinically-led approach to managing hearing concerns at work. See how this follow-up assessment fits into your wider surveillance pathway -speak to our team.