Occupational-Health Governance, Surveillance and Wellbeing
Managing long-latency health risks, health surveillance, fitness for work, fatigue, stress and mental health.
How to prepare for the CITB MAP test
Build manager-level decisions around role, prevention, coordination, verification and learning rather than memorising isolated site rules.
Core concepts
Concept 1
Occupational health risks require the same planned elimination, control, monitoring and review as acute safety risks.
Exam cue: Identify exposure groups and ownership for health controls across the project lifecycle.
Concept 2
Health surveillance is introduced when the risk and legal criteria justify it and feeds back into control evaluation.
Exam cue: Use competent occupational-health advice without asking managers to diagnose.
Concept 3
Work design, fatigue, stress and mental health are organisational issues requiring prevention, support, confidentiality and escalation.
Exam cue: Examine workload, hours, role clarity, support and change when wellbeing concerns arise.
Risk pitfalls and guardrails
Treating surveillance as a substitute for reducing exposure.
Guardrail: Do not solve a design, engineering or organisational failure only with a briefing, warning sign or PPE.
Sending a struggling worker home without addressing harmful work factors.
Guardrail: Do not solve a design, engineering or organisational failure only with a briefing, warning sign or PPE.
Sharing confidential health information beyond those with a legitimate need.
Guardrail: Do not solve a design, engineering or organisational failure only with a briefing, warning sign or PPE.
Memory anchors
Health Equals Safety
Manage dust, noise, vibration, stress and other health risks with equal discipline.
Control Before Surveillance
Health checks monitor residual risk; they do not replace exposure prevention.
Surveillance Feeds Back
Adverse trends require review of controls, tasks and affected groups.
Fitness Is Task-Specific
Consider the person's capability and the demands and hazards of the work.
Fatigue Is Foreseeable
Hours, travel, shifts, workload and recovery time affect safe performance.
Support, Do Not Diagnose
Managers recognise concerns, respond sensitively and use competent support routes.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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