Vibration White Finger (VWF) is a secondary form of Raynaud's disease, an industrial
injury triggered by continuous use of vibrating hand-held machinery – hence the
growth of vibration white finger claims. Vibration white finger is the vascular
component hand-arm vibration syndrome or HAVS.
Vibration White Finger is characterized by episodic blanching of the fingers in
response to cold. Other symptoms can include numbness, tingling (parasthesia) and
pain in the hands and fingers, but these are now believed to be a separate neurologic
component of HAVS.
The symptoms of vibration white finger and vibrating hand tools was discovered by
Alice Hamilton in 1918. She formed her theory through following the symptoms reported
by quarry cutters and carvers. She also discovered the link between an increase
in HAV symptoms and cold weather as 1918 was a particularly harsh winter.
The first scale for assessing the condition was published in 1975- the Taylor-Pelmear
scale, but it was not listed as a prescribed disease in the
United Kingdomuntil 1985, and the
Stockholm
scale introduced in 1987. In 1997 the Miners High Court awarded £127,000 in compensation
to seven coal miners for vibration white finger. A
UK
government fund set up to cover subsequent claims by ex-coalminers had exceeded
£100 million in payments by 2004.
The European Union passed Directive 2002/44/EC in 2002 on the minimum health and
safety requirements for workers exposed to vibrations, to be ratified by July 2005.
Good practice in industrial health and safety management requires that worker vibration
exposure is assessed in terms of acceleration amplitude and duration. Amplitudes
can vary significantly with tool design, condition and style of use, even for the
same type of tool. The UK HSE gives the example of a hammer drill which can vary
from 6 m/s² to 25 m/s². HSE publishes a list of typically observed vibration levels
for various tools, and graphs of how long each day a worker can be exposed to particular
vibration levels.
This makes managing the risk relatively straightforward. HSE gives
two figures for exposure duration, a limit to the daily trigger time for everyday
use, and a limit for the trigger time in one day for a one-off exposure. At 6 m/s²
these are 1 hour and 6 hours. At 25 m/s² these are zero and 15 minutes.
The effect of legislation on worker vibration limits is intended to drive employers
to provide better-designed, better-maintained tools, and to train workers appropriately.
It also drives tool designers to innovate to reduce vibration. One example is the
suspension mechanism designed into chainsaws.