• NHS Trust fined £40,000 after several employees developed serious and irreversible hand-arm vibration-related conditions.
• The court heard how failures to assess and control vibration exposure left staff at risk of lifelong ill health.
• One long-serving employee described losing her career, independence and financial security as a result.

An NHS Trust has been fined £40,000 after several employees were diagnosed with Hand Arm Vibration Syndrome (HAVS) and Carpal Tunnel Syndrome (CTS), following prolonged exposure to vibration from work equipment.

The Health and Safety Executive (HSE) began an investigation into Chesterfield Royal Hospital NHS Foundation Trust after an employee was diagnosed with HAVS – a serious, lifelong condition characterised by persistent numbness and tingling in the fingers, reduced sensory perception and impaired manual dexterity.

The investigation found the Trust failed to carry out a suitable and sufficient assessment of the risks posed by the use of vibrating tools. There were no records to demonstrate the level of vibration exposure employees faced, and the Trust also failed to eliminate exposure or reduce it to as low as reasonably practicable.

Furthermore, it became clear that employees had not been provided with suitable and sufficient information, instruction or training about the risks associated with vibration exposure.

HSE also identified that the Trust had failed to report that two other employees had been diagnosed with HAVS and that one employee had been diagnosed with Carpal Tunnel Syndrome (CTS).

One affected employee, Sally Elliott, who worked in the plaster-cast department for more than 25 years, described how she was never warned about the risks of vibration exposure.

“I never, for one minute, suspected that the issues I was experiencing were being caused by the tools I used in my workplace,” she said.

“I was never given any information on the risks of HAVS and I knew nothing about the potential symptoms.”

She went on to explain how her symptoms gradually worsened, affecting both her work and everyday life:

“Every aspect of daily life is impacted due to the numbness, weakness, pins-and-needles in my fingers and hands. From getting up to going to bed anything that I need to do with my hands is affected.”

After being diagnosed with advanced stage 3 vascular and sensorineural HAVS, she was no longer able to continue in her role and has remained off work since October 2023.

“I gave my all to Chesterfield Royal Hospital and enjoyed my job,” she added.

“I took seriously my duty of care to patients, and I feel the Trust failed in their duty of care to me. I feel let down and I am suffering the consequences through no fault of my own.”

The HSE investigation concluded that Chesterfield Royal Hospital NHS Foundation Trust failed to properly assess the risks associated with hand-arm vibration and failed to adequately control employees’ exposure.

HSE guidance clearly sets out the measures employers must take to assess and control vibration risks. Exposure should be eliminated where reasonably practicable or otherwise reduced to as low as reasonably practicable. Further guidance is available on the HSE website found here: Advice for employers: Overview – HSE

Chesterfield Royal Hospital NHS Foundation Trust, of Chesterfield Road, Calow, Chesterfield, Derbyshire, pleaded guilty to breaching Section 2(1) of the Health and Safety at Work etc. Act 1974. The Trust was fined £40,000 and ordered to pay full prosecution costs of £4,911 at Chesterfield Magistrates’ Court on 12 January 2026

HSE Inspector Muir Finlay said: “The fine imposed on the Trust should underline to all employers that expose their workers to vibration that the courts and HSE take failures to follow the regulations extremely seriously.

“HSE will not hesitate to take action against those that do not do all that they should to keep people safe and healthy at work.”

The HSE prosecution was brought by HSE enforcement lawyer Samantha Crockett and paralegal officer Stephen Grabe.

Further information

1. The Health and Safety Executive (HSE) is Britain’s national regulator for workplace health and safety. We are dedicated to protecting people and places, and helping everyone lead safer and healthier lives.
2. More information about the legislation referred to in this case is available.
3. Further details on the latest HSE news releases is available.
4. Relevant guidance can be found here.
5. HSE does not pass sentences, set guidelines or collect any fines imposed. Relevant sentencing guidelines must be followed unless the court is satisfied that it would be contrary to the interests of justice to do so.  The sentencing guidelines for health and safety offences can be found here.

• Multiple workers exposed to vibration-related ill-health.
• Hand-Arm Vibration Syndrome can make everyday tasks impossible.
• HSE guidance is available.

An East Midlands social housing provider has been fined £32,000 after multiple workers were diagnosed with vibration related ill-health conditions such as Hand-Arm Vibration Syndrome (HAVS).

The Health and Safety Executive (HSE) launched an investigation after it received more than ten reports of vibration related ill-health in a short period of time. The workers affected had until recently been employed by Nottingham City Homes Limited, an arms-length management organisation that managed social housing on behalf of Nottingham City Council between 2005 and 2023.

The HSE investigation found a large number of the company’s employees were exposed to vibration in their day to day work.  These included bricklayers, joiners, electricians, plasterers, caretakers and others – while their work was varied, all included extensive use of power tools, ranging from drills and impact drivers to vibrating plates and road breakers, over an extended period of time.  Despite this, and the dangers exposure can cause, the company had not properly assessed or controlled worker’s exposure to vibration.

Prolonged and regular exposure to vibration can affect a worker’s health resulting in disorders of the nerves, blood supply, joints and muscles of the hands and arms. These disorders are collectively known as HAVS and symptoms can include pain, tingling, numbness and loss of strength.  HAVS can make everyday tasks such as fastening buttons or holding utensils difficult or impossible.

HSE guidance, available here, and in the HSE publication Hand-arm vibration – The Control of Vibration at Work Regulations 2005 (L140) (PDF), sets out practical guidance to help employers protect their employees and fulfil their legal obligation to control vibration risks. The guidance includes advice on the assessment of risk, ways to control exposure, and in-depth information about health surveillance.

The HSE investigation also found that the company had not undertaken a suitable and sufficient assessment of the risks posed by vibration. Control measures, such as removing the need to use vibrating tools, using lower vibration alternatives, or limiting exposure times, had not been properly implemented. Tool maintenance and health surveillance arrangements were inadequate, and employees had not received sufficient training on the risks that they faced.

Nottingham City Homes Limited, of Loxley House, Station Street, Nottingham, pleaded guilty to breaching Section 2(1) of the Health and Safety at Work etc. Act 1974. The company was fined £32,000 and ordered to pay £6,226 in costs at Nottingham Magistrates’ Court on 3 November 2025.

HSE inspector Tim Nicholson said: “Nottingham City Homes Limited exposed its employees to vibration through the use of power tools for a long period of time.

“The company failed to properly manage this risk which led to employees suffering ill-health – the effects of exposure to vibration can be debilitating and, once damage is done, it is irreversible.

“There is extensive guidance available that is straightforward to follow and includes calculation tools to assist in deciding what is needed to protect employees.

“Employers should take this case as a reminder that HSE will not hesitate to act against companies which do not do all that they should to keep employees safe.”

The prosecution was brought by HSE enforcement lawyer Neenu Bains, and paralegal officer Jorge Kemp.

Further information:

1. The Health and Safety Executive (HSE) is Britain’s national regulator for workplace health and safety. We are dedicated to protecting people and places, and helping everyone lead safer and healthier lives.
2. More information about the legislation referred to in this case is available.
3. Further details on the latest HSE news releases is available.
4. Guidance on assessing and controlling vibration risks can be found here.
5. HSE does not pass sentences, set guidelines or collect any fines imposed. Relevant sentencing guidelines must be followed unless the court is satisfied that it would be contrary to the interests of justice to do so. The sentencing guidelines for health and safety offences in England can be found here and those for Scotland here.