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Isocyanate exposure — DOccMed MCQ

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HardHealth SurveillanceIsocyanate exposureDOccMed

A vehicle repair shop uses two-pack spray paints containing isocyanates. Employees wear tight-fitting respirators but there is no face-fit testing, no lung-function surveillance and no exposure monitoring. What is the most appropriate health surveillance?

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Correct answer: B — Baseline and periodic respiratory surveillance with symptom enquiry and spirometry

Isocyanates can cause occupational asthma, and residual risk remains even with RPE. Respiratory health surveillance should include symptom enquiry and lung function, with clear referral pathways for suggestive symptoms. It should be accompanied by effective exposure control, face-fit testing and monitoring where indicated.

Reference: COSHH Regulations; HSE Health Surveillance Guidance