The Control of Asbestos Regulations 2012 require medical surveillance for employees carrying out licensed asbestos work. Medical surveillance should consist of initial and periodic medical examinations. The first medical examination for licensed work must be conducted no more than two years before beginning exposure to asbestos. Periodic medical examinations must be conducted at intervals of not more than two years while exposure continues. This interval may be shortened at the discretion of the appointed doctor. The findings can be recorded on the health surveillance record form (FODMS100). The purposes of medical surveillance are to advise employees about fitness for work with asbestos, to provide workers with objective information about their current state of health, to alert workers to any early indications of asbestos-related disease and to advise them on whether or not they should continue working with asbestos, to warn employees of the increased risk of lung cancer from the combined exposure of smoking and asbestos and to alert management to any particular problems which may require the provision of a special respirator; and emphasise the need for employees to use available control measures and follow good working practices. 
 

Under the Ionising Readiation Regulations 1999 the employer must ensure that each of his employees to whom this regulation relates is under adequate medical surveillance by an appointed doctor for the purpose of determining the fitness of each employee for the work with ionising radiation which he is to carry out. Adequate medical surveillance should include: a medical examination before first being designated as a classified person in a post involving work with ionising radiations, periodic reviews of health at least once every year; special medical surveillance of an employee when a relevant dose limit has been exceeded, determining whether specific conditions are necessary and a review of health after cessation of work where this is necessary to safeguard the health of the individual. The nature of the medical surveillance for each individual should take account of the nature of the work with ionising radiation and that individual’s state of health. The main purpose of medical surveillance is to determine an individual’s fitness or continuing fitness for the intended work with ionising radiation. In this context fitness of the person is not restricted to possible health effects from exposure to ionising radiation. The appointed doctor will need to take account of specific features of the work with ionising radiation, such as the fitness of the individual. 

Working with lead can put your health at risk, causing diseases including headaches, stomach pains and anaemia. Other serious symptoms include kidney damage, nerve and brain damage and infertility. The Control of Lead at Work Regulations 2002 require employers to control worker exposure to lead. Every employer shall ensure that each of his employees who is or is liable to be exposed to lead is under suitable medical surveillance by a relevant doctor where the exposure of the employee to lead is, or is liable to be, significant;  the blood-lead concentration or urinary lead concentration of the employee is measured and equals or exceeds the levels detailed in the regulations or a relevant doctor certifies that the employee should be under such medical surveillance.