Table 2

Key elements of the occupational history for patients with suspected OA

ClinicalHistory of asthma prior to entering employment.
Presence of work-related asthmatic symptoms.
Any work processes that precipitate acute symptoms.
Co-existing nasal or ocular symptoms.
Duration, latency, and pattern of any reported symptoms.
Results of previous workplace spirometry (‘failed blowing tests’).
Symptomatic co-workers.
Constitutional symptoms, hoarseness, or loss of voice.
Workplace Name of employer (useful information may be available on website).
Size of workforce.
Layout of work site.
Shift pattern.
Exposure to airborne fumes, dusts, gases, vapours or mists.
Exposure to materials known to cause asthma.
Available Safety Data Sheets, COSHH assessments, or hygiene monitoring.
Control measures (eg, masks, enclosures or exhaust ventilation).
Occupational health provision.
Health surveillance or medical checks at work.
Photos/videos of workplace, work tasks or materials used.
Previous visits by the Health and Safety Executive.
  • COSHH, control of substances hazardous to health regulations; OA, occupational asthma.