Knowella

Occupational Hygiene Programme Review

A hygiene programme review most often confirms that monitoring, controls and surveillance each exist, and stops there. Its recurring failure is verifying presence rather than connection: each runs, and none has ever changed the other two, so a rising exposure result never reaches the control and a surveillance finding never reaches the monitoring plan.

KnowHealthReviewHLT-05648 fields across 6 sectionsFull researchSee the form

Reviewed by Siddarth SinghCSPLast reviewed 16 August 2026

Basis
ISO 45001 cl.9.1
Workspace
KnowHealth
Form type
Review
Review trigger
Annual interval, and after a material change to the exposure profile
Feeds
Exposure monitoring plan revisions, control decisions, management review

The short version

  • The central test is whether monitoring, controls and surveillance inform each other, not whether each runs in isolation. A site can score well on coverage and still fail the programme if a rising result never changes a control.
  • Similar exposure groups have to be defined before monitoring coverage means anything. A plan built against the wrong groupings produces a complete-looking record that measures the wrong population.
  • The hierarchy of controls applies to the whole programme: PPE used as a first response rather than a last resort is a programme-level finding, not an incidental one.
  • Local exhaust ventilation examinations sit inside this review as evidence, not as the review itself; a lapsed statutory examination is a control-verification failure this review is meant to catch.
  • A completeness percentage below the score percentage is a warning on its own. A high score on a half-answered form describes confidence in the parts that were easy, not the programme.

What this is

What is an occupational hygiene programme review?

What is an occupational hygiene programme review?

An occupational hygiene programme review evaluates whether the whole monitoring and control programme is adequate: whether similar exposure groups are correctly defined, monitoring is completed against plan, results are compared against limits and trends analysed, and controls are reviewed and verified in response.

How is this different from a health surveillance compliance review?

This review judges whether the programme design is scientifically sound: sampling strategy, exposure limits used, and whether control decisions respond to results. It does not track which workers attended checks; that narrower count assumes the programme behind it is already adequate.

Who carries out the programme review?

An occupational or industrial hygienist, since the questions concern sampling adequacy, control effectiveness and limit comparison. Involving the hygienist is a scored field; a review without one is judged incomplete regardless of other answers.

Scope

When is an occupational hygiene programme review required?

This review is one step in a larger programme. Using it for work belonging to a neighbouring template produces records that are hard to report on later.

Use this template when

  • The annual interval for this review has arrived
  • A material change to the exposure profile, process, or substance list needs the whole programme re-checked
  • Monitoring results have shown a sustained trend and the review needs to confirm the control response actually happened
  • A linked exposure monitoring or surveillance record needs this review to exist as the programme-level check behind it
  • Certification or a customer audit needs evidence that monitoring, controls and surveillance are managed as one system

Do not use it for

  • Local Exhaust Ventilation Examination, which records the statutory examination of one extraction system, not the programme's overall control adequacy.
  • Ventilation Performance Check, a routine indicator check on one hood, feeding into this review as evidence rather than replacing it.
  • Health Surveillance Compliance Review, which tracks whether workers attended scheduled assessments, not whether the schedule behind it is adequate.
  • Exposure Result Review, which examines one set of sampling results against limits, feeding this broader review rather than standing in for it.
  • Similar Exposure Group Register, where the groups this review checks for coverage are actually defined and maintained.

Compliance mapping

Which ISO 45001 cl.9.1 requirements does this satisfy?

ISO 45001 does not prescribe a hygiene monitoring method, but requires OH&S performance to be monitored and evaluated as a connected activity, with the hierarchy of controls governing the response.

ClauseRequirementWhere it lands
ISO 45001 cl.9.1.1Monitoring, measurement, analysis and evaluation of OH&S performance, with results compared against criteriaResults and controls
ISO 45001 cl.8.1.2Elimination of hazards and reduction of risk through the hierarchy of controls, PPE as a last resortResults and controls
ISO 45001 cl.6.1.2.1Hazard identification proactive and ongoing, capturing new substances, processes and contractor groupsCoverage
ISO 45001 cl.7.4Internal communication relevant to the OH&S system, including to affected workersIntegration
ISO 45001 cl.9.3Management review at planned intervals, informed by monitoring and measurement resultsOutcome
ISO 45001 cl.7.2Determination of necessary competence and evidence competent advice is available where requiredIntegration
ISO 45001 cl.6.1.2.2Assessment methodology and criteria defined, applied and maintained across the exposure groups coveredCoverage

What it does not cover

  • Local Exhaust Ventilation Examination, the statutory thorough examination and test of one extraction system, with its own airflow measurements against design.
  • Ventilation Performance Check, the routine gauge, damper and capture check between statutory examinations, feeding this review as evidence rather than replacing it.
  • Health Surveillance Compliance Review, which tracks individual worker attendance against a schedule, not whether the schedule itself is scientifically adequate.
  • Exposure Result Review, where one set of sampling results is examined against limits in detail, ahead of being summarised into this review.
  • Exposure Control Plan, where the control response to a specific exposure group is actually designed and documented, rather than merely confirmed here.

Global

Occupational Hygiene Programme Review requirements by country

ISO 45001 treats hygiene monitoring as one strand of a system reviewed as a whole. National regimes regulate the individual pieces, limits, examinations, surveillance, more tightly than the programme as a system.

International

ISO 45001 cl.9.1 and cl.8.1.2

Requires OH&S performance to be monitored and evaluated, and hazards addressed through the hierarchy of controls, as part of a certifiable system.

Certification auditors probe whether monitoring results changed a control decision, treating an unconnected programme as a nonconformity even where each component looks compliant alone.

United Kingdom

COSHH Regulations 2002, regs.6, 9 and 10

Requires exposure to be adequately controlled, control measures maintained and examined, monitoring carried out where health effects could occur.

HSE inspectors expect monitoring and examination records linked to the controls they justify, not held as separate paperwork trails.

United States

OSHA substance-specific PELs under 29 CFR 1910.1000 and related standards

Sets permissible exposure limits per substance, with monitoring and control obligations tied to each standard individually.

No general programme-review requirement exists; connecting monitoring, control and surveillance is an ISO 45001 expectation, not an OSHA mandate.

How to complete it

How to complete an occupational hygiene programme review, step by step

The template checks whether each component exists. The judgement calls are whether the programme behaves like one system, not three unconnected records.

Test the feedback loops directly, not the components either side of them

Confirming that monitoring and surveillance each run says nothing about whether either changed the other. The two integration answers are the real evidence the programme is connected, and a reviewer should point to a specific instance, not answer from habit.

Verify coverage claims for contractors and agency workers rather than accepting them

A yes against 'contractors included where exposed' is easy to give and easy to be wrong about, since contractor exposure often runs a different schedule to the site's own groups. Name which contractor group was checked, not just confirm the box exists.

Read the score against completeness, not instead of it

A score from a partially completed record describes confidence in the questions that were easy to answer. Completeness percent exists to stop a high score being read as a full picture when large parts, most often integration, were left blank.

Treat 'PPE as first response' as a programme finding, not a detail

Where PPE is used ahead of engineering or administrative controls across the programme, that is evidence the hierarchy is not governing decisions, and should drive the outcome rather than being absorbed into an otherwise positive review.

What auditors find

Most common occupational hygiene programme review findings

These reviews are usually completed on schedule and confirm each component is present. The findings concern whether the components were ever shown to affect one another.

FindingClauseWhat fixes it
Surveillance findings recorded but never traced to a monitoring plan change.ISO 45001 cl.9.1.1Require a specific example of a surveillance finding that changed a plan before marking the feedback loop working.
Similar exposure groups undefined or out of date, so coverage is measured against the wrong population.ISO 45001 cl.6.1.2.2Re-derive similar exposure groups from the current process and workforce before assessing coverage.
PPE used as the primary control with no record of why higher controls were rejected.ISO 45001 cl.8.1.2Record the reasoning against each higher control level before accepting PPE as the response.
Contractor or agency exposure groups excluded from the monitoring and surveillance count.ISO 45001 cl.6.1.2.1Name contractor and agency groups checked and confirm their schedule, rather than assuming parity with permanent staff.
Review completed with the integration section left blank or marked partly with no explanation.ISO 45001 cl.9.1.1Treat low completeness as grounds to reject the programme-effective score until gaps close.
Local exhaust ventilation examinations lapsed but not surfaced as a control-verification failure.ISO 45001 cl.8.1.2Cross-check LEV examination status against the related record before confirming controls verified.

Case in point

Case in point: three programmes that never met

A metal finishing site ran a hygiene programme review annually. Solvent air sampling was on schedule, hearing surveillance ran to plan, and LEV examinations were current. Each component scored well, signed off as effective for three years running.

A new hygienist, before signing the fourth review, asked for one example of a finding changing the monitoring plan, or a trend changing a control. Nobody could produce one. The solvent trend had worsened for eighteen months, visible if anyone had plotted the results together, but monitoring and occupational health reported to different managers and never compared notes. Three well-run components had never spoken to each other.

The template

The template, field by field

The form exactly as it installs. Every field, option, score and conditional rule is editable, and the links to other templates come with it.

48fields
6 sections
Reference
HLT-056
Archetype
Review
Record ID
OHR-2026-000
Scoring
Programme effective
Direction
High is good
Singleton
No
Basis
ISO 45001 cl.9.1
Links
Links Exposure monitoring, Surveillance
Tags
Hygiene, Review
Sections
6
Fields
48
Follow up fields
3
Repeating sections
0
Links out
3
Field typesOwn ID, generated on saveCase thread and parentPick list from a registryLinked to another templateFollow up, dashed outlineScored

Header

10 fields
Text

Review ID*

Generated on save

Auto sequence. Format OHR-2026-000.

The record's own ID. Other templates point at this value.

Single Choice

Status*

Scored

Drives who this goes to next.

  • Planned2 pts
  • In progress2 pts
  • Complete3 pts
  • Deferred0 pts
  • Open0 pts
  • Closed3 pts
  • Overdue0 pts
Date & Time

Date and Time*

Users

Completed By*

Pick List

Site*

From FDN-001 Site NameFilter: Status is Active
Text

Site ID*

Linked

Format SITE-000.

Links to FDN-001 Site ID

Text

Period Reviewed*

Users

Reviewed By*

Single Choice

Hygienist Involved*

Scored
  • Yes3 pts
  • No0 pts
Info

Monitoring, Controls And Surveillance Should Inform Each Other

Most sites run all three and connect none of them. A rising exposure result should change the control, and a surveillance finding should change the monitoring plan.

Coverage

6 fields
Single Choice

Similar Exposure Groups Defined*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

All Groups Have A Monitoring Plan*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Monitoring Completed As Planned*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

New Substances Or Processes Captured*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Contractors Included Where Exposed*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Agency Workers Included*

Scored
  • Yes3 pts
  • No0 pts

Results and controls

6 fields
Single Choice

Results Compared With Limits*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Trends Analysed Over Time*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Controls Reviewed After Results*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Control Effectiveness Verified*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Local Exhaust Ventilation Examinations Current*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

PPE Used Only As Last Resort*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts

Integration

6 fields
Single Choice

Surveillance Findings Fed Back To Monitoring*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Monitoring Results Fed To Surveillance*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Exposure Records Retained For Required Period*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator
Single Choice

Workers Told Their Own Results*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Programme Reported To Management Review*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Single Choice

Competent Advice Available*

Scored
  • Yes2 pts
  • No0 pts
  • N/Aexcluded from denominator

Related records

1 field
Text

LEV Examination ID

OptionalLinked

Examinations reviewed in this programme review.

Links to HLT-054 Examination ID

Outcome

19 fields
Single Choice

Programme Effective*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Text

Main Gap

Optional
Numeric Answer

Groups Without Current Data*

Scored
Single Choice

Plan Revised*

Scored
  • Yes3 pts
  • Not needed3 pts
  • No0 pts
Single Choice

Feeds Management Review*

Scored
  • Yes3 pts
  • Partly1 pt
  • No0 pts
Date & Time

Next Review Due*

Numeric Answer

Items Assessed*

Excludes anything marked N/A.

Numeric Answer

Items Failed*

Numeric Answer

Score Percent*

Scored

Calculated on submission. High is good. N/A items leave the denominator.

Single Choice

Result Band*

Scored
  • Pass3 pts
  • Caution1 pt
  • Fail0 pts
Numeric Answer

Completeness Percent*

How much of the template was actually answered. A high score on a half completed form is not a high score.

Single Choice

Action Required*

Scored

Raise the action record, then enter its reference here.

  • No2 pts
  • Yes0 pts
Single Choice

Priority

OptionalScoredShows if Action Required equals Yes
  • High0 pts
  • Medium1 pt
  • Low3 pts
Text

CAPA ID

OptionalLinkedShows if Action Required equals Yes

Format CAPA-2026-00000.

Links to FDN-014 CAPA ID

Users

Action Owner

OptionalShows if Action Required equals Yes
Users

Hygienist*

Signature

Signature*

Users

Site Manager*

Signature

Second Signature*

HLT-056 · record IDs look like OHR-2026-000 · Links Exposure monitoring, Surveillance

Open in Knowella

Run it with agents

From a document you fill in to a programme that runs itself

The review asks whether three activities talk to each other. What fails is the organisational seam between them: different owners, different reporting lines, a finding with nowhere to travel to.

KnowHealth

Holds surveillance findings and monitoring results against the same exposure groups, so a trend on one side is visible against the other.

KnowSafe

Tracks control decisions and the hierarchy-of-controls reasoning behind them, and flags where PPE has become the default response.

KnowMaintain

Cross-checks LEV examination status against this review so a lapsed statutory test surfaces as a control-verification failure, not an unconnected maintenance backlog.

Ella
Ella

Coordinates the crew across occupational health, hygiene and maintenance, and holds every write for approval before it touches a shared record.

This template lives in KnowHealth — employee wellbeing. Exposure monitoring, health surveillance, case management and return to work.

Meet KnowHealth→

Glossary

Occupational Hygiene Programme Review definitions and key terms

Similar exposure group
A group of workers expected to share an exposure profile to a given hazard, the unit a monitoring plan is actually built against.
Occupational hygienist
The competent person evaluating sampling strategy, control effectiveness and limit comparison, distinct from occupational health, who runs surveillance.
Hierarchy of controls
The ranked sequence of control types, elimination, substitution, engineering, administrative, then PPE, against which control decisions are judged.
Local exhaust ventilation (LEV)
An engineering control capturing a contaminant at source; its statutory examination is evidence this review draws on rather than replaces.
Exposure limit
The limit a substance's monitoring results are compared against, a comparison this review checks is actually made rather than assumed.

FAQ

Frequently asked questions about occupational hygiene programme review

What does it mean for monitoring, controls and surveillance to inform each other?+

A specific instance can be pointed to: a result that changed a control, or a finding that changed a plan. Confirming all three run on schedule is not the same claim, and this review tests the stronger one.

Why does the review ask whether a hygienist was involved?+

Because sampling adequacy, control effectiveness and limit comparison are hygiene judgements, not administrative ones. A review without a hygienist can confirm paperwork exists without saying whether the programme is protective.

How is contractor coverage checked, rather than just confirmed?+

By naming the contractor or agency group and its schedule, rather than accepting a general yes. Contractor exposure commonly runs a different cadence to permanent staff and is most likely to be assumed covered without checking.

Does a high programme-effective score mean the programme is adequate?+

Only if completeness is also high. A score from a partially answered review, particularly with integration left blank, reflects confidence in the easy parts rather than the programme.

Where does PPE usage get judged in this review?+

As a programme-level finding, not an incidental detail. PPE as the primary response, rather than the last resort after elimination, substitution and engineering controls, is evidence the hierarchy is not governing decisions.

How does this review relate to a lapsed LEV examination?+

The lapse is control-verification evidence this review is supposed to catch. A review confirming control effectiveness while a linked LEV examination is overdue has repeated an assumption, not verified anything.

Keep going

Related templates and programmes

Siddarth Singh

Written and reviewed by

Siddarth Singh

Founder & Chief Executive Officer, Knowella

Certified Safety Professional and industrial and systems engineer with more than a decade inside food supply chain, freight and manufacturing operations. This page was written against the current text of the standards it cites, not against secondary summaries of them.

  • Certified Safety Professional (CSP), Board of Certified Safety Professionals
  • MBA, University of Chicago Booth School of Business
  • MS and BS, The Ohio State University, Industrial and Systems Engineering
  • Six Sigma Black Belt
Verify with BCSP →

Sources and last review. Reviewed 16 August 2026 against:

  • ISO 45001:2018 clauses 9.1, 8.1.2, 6.1.2 and 7.4
  • COSHH Regulations 2002 (as amended), regs.6, 9 and 10 (GB)
  • OSHA 29 CFR 1910.1000 — Air contaminants, permissible exposure limits
  • HSE guidance on control of substances hazardous to health

This page is general guidance, not legal advice. Confirm requirements with your jurisdiction’s regulator.

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