Occupational health glossary

Definitions of the occupational health terms that employers, HSE managers and occupational health teams in high-risk industries work with, from health surveillance to the OSHA 300 Log. Each entry opens with a one-sentence answer, then explains how it works in practice and what US, Great Britain and EU rules say, with links to the primary sources.

B

Baseline audiogram
A baseline audiogram is the reference hearing test of a noise-exposed worker, against which later audiograms are compared to detect a shift in hearing.

C

COSHH health record
A COSHH health record is the record COSHH requires in Great Britain for each worker under health surveillance, kept at least 40 years from the last entry.

E

Employee exposure record
Employee exposure record, under OSHA 29 CFR 1910.1020, means workplace or biological monitoring, safety data sheets or chemical inventories on toxic exposures.
Employee medical record
Employee medical record, under OSHA 29 CFR 1910.1020, means a record of an employee's health status made or kept by a physician, nurse or health care staff.

F

Fitness-to-work
Fitness-to-work is an assessment of whether a worker's health lets them do a specific job safely, without danger to their own health or that of others.

H

Health surveillance
Health surveillance is a program of repeated health assessments for workers still exposed to a hazard after controls, to identify ill health caused by work.

M

Medical surveillance
Medical surveillance is the program of medical exams and tests that specific OSHA standards require employers to offer workers exposed to certain hazards.

O

OSHA 300 Log
The OSHA 300 Log is the form on which US employers covered by 29 CFR Part 1904 record each work-related injury and illness that meets OSHA's recording criteria.

R

Return-to-work assessment
A return-to-work assessment reviews whether and how a worker can come back after sickness absence or injury, and which adjustments or phased return they need.

S

Similar exposure group (SEG)
A similar exposure group (SEG) is a group of workers expected to share the same exposure profile, used to plan monitoring and read surveillance results.
Spirometry surveillance
Spirometry surveillance is the repeated lung function testing of workers exposed to respiratory hazards, comparing results with each worker's own baseline.
Standard threshold shift (STS)
A standard threshold shift (STS) is a hearing change of 10 dB or more, averaged at 2,000, 3,000 and 4,000 Hz in either ear, against the baseline audiogram.

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