Collection

Industrial Injuries Advisory Council reports

These reports examine the evidence on matters related to the Industrial Injuries Scheme.

The Industrial Injuries Advisory Council (IIAC) monitors the changing scientific evidence related to the Industrial Injuries Scheme and publishes reports of its reviews.

IIAC has set out guidance on how it evaluates evidence on health risks associated with occupational exposures.

This collection brings together:

  • command papers – reports resulting in recommendations for changes to legislation
  • position papers – reports of full reviews that do not result in a recommendation for a legislative change
  • information notes – reports of reviews if there is insufficient evidence for a position paper
  • commissioned reviews

You can view a full list of our independent reports dating back to 1950 on the National Archives website.

Command papers

If a full review results in a recommendation for a legislative change, IIAC publishes the report as a command paper.

  1. Cutaneous malignant melanoma and occupational exposure to (natural) UV radiation in pilots and aircrew
  2. Diseases with multiple known causes, occupational injuries, and medical assessment: IIAC report
  3. Latex anaphylaxis review: IIAC report
  4. Nasal carcinoma and occupational exposure to wood dust: IIAC report
  5. Diffuse pleural thickening: IIAC report
  6. Extrinsic allergic alveolitis: isocyanates and other occupational causes: IIAC report
  7. Cancers due to ionising radiation: IIAC report
  8. Presumption that a disease is due to the nature of employment: the role of rebuttal in claims assessment: IIAC report
  9. Chronic bronchitis and emphysema: effects of treatment and the medical assessment: IIAC report
  10. Industrial diseases: presumption that a disease is due to the nature of employment: IIAC report
  11. Dupuytren’s contracture due to hand-transmitted vibration: IIAC report
  12. Terminal cancers and Industrial Injuries Disablement Benefit: IIAC report
  13. Occupational chloracne: IIAC report
  14. Lung cancer in coke oven workers: IIAC report
  15. Osteoarthritis of the knee in carpet fitters and carpet and floor layers: IIAC report
  16. Chromium and sino-nasal cancer: IIAC report
  17. Osteoarthritis of the knee in coal miners: IIAC report
  18. Bronchiolitis obliterans and food flavouring agents: IIAC report
  19. Chronic obstructive pulmonary disease: IIAC report
  20. Nasopharyngeal cancer due to exposure to wood dust: IIAC report
  21. Completion of the review of the scheduled list of prescribed diseases: IIAC report
  22. Work-related upper limb disorders: IIAC report
  23. Extrinsic allergic alveolitis: IIAC report
  24. Vinyl chloride monomer-related diseases: IIAC report
  25. Asbestos-related diseases: IIAC report
  26. Hand-arm vibration syndrome: IIAC report
  27. Osteoarthritis of the hip in farmers: IIAC report
  28. Inflammation or ulceration of the mucous membrane of the upper respiratory passages or mouth produced by dust, liquid, or vapour: IIAC report
  29. Hand arm vibration syndrome (vascular and neurological components involving the fingers and thumb): IIAC report
  30. Disorders of the knee: IIAC report
  31. Conditions due to chemical agents: IIAC report
  32. The self-employed in construction and agriculture: IIAC report

Position papers

Position papers don’t make recommendations for a legislative change but report the council’s considered view at a particular time, taking into account the evidence available.

  1. Occupational exposure to silica or asbestos and antineutrophil cytoplasmic antibodies (ANCA) - associated vasculitis: IIAC position paper 46
  2. Chronic obstructive pulmonary disease and coke oven workers: IIAC position paper 45
  3. Osteoarthritis of the knee in professional football players: IIAC position paper 44
  4. Hand arm vibration syndrome: a review of the assessment and objective testing of the vascular component: IIAC position paper 43
  5. Occupational exposure to crystalline silica and its relation to connective tissue diseases: IIAC position paper 42
  6. Coal mining, silicosis and lung cancer: IIAC position paper 41
  7. Lymphatic and haematopoietic cancers and work involving exposure to trichloroethylene: IIAC position paper 40
  8. Renal cancer and occupational exposure to trichloroethylene: IIAC position paper 39
  9. Noise, occupational deafness and Industrial Injuries Disablement Benefit: IIAC position paper 38
  10. Anxiety and depression in teachers and healthcare workers: IIAC position paper 37
  11. Cataracts and ionising radiation: interventional cardiologists and radiologists (IIAC position paper 36)
  12. Epicondylitis and occupational activity: IIAC position paper 35
  13. Diseases with multiple known causes and rebuttal in the industrial injuries scheme: IIAC position paper 34
  14. Ocular melanoma and occupation: IIAC position paper 33
  15. Work as a dry cleaner and cancers of the oesophagus and cervix: IIAC position paper 32
  16. Bladder cancer in hairdressers, barbers and textile workers: IIAC position paper 31
  17. Shift working and breast cancer: IIAC position paper 30
  18. Lung cancer and foundry workers: IIAC position paper 29
  19. Exposure to lead: effects on fertility and cancer: IIAC position paper 28
  20. Beryllium and lung cancer: IIAC position paper 27
  21. Laryngeal cancer and strong acid mists: IIAC position paper 26
  22. Shift working: effects on breast cancer and ischaemic heart disease: IIAC position paper 25
  23. Cadmium and genito-urinary cancers: IIAC position paper 24
  24. Pleural plaques: IIAC position paper 23
  25. Laryngeal cancer and asbestos exposure: IIAC position paper 22
  26. Testicular cancer in fire fighters: IIAC position paper 21
  27. Asbestos exposure and retroperitoneal fibrosis: IIAC position paper 20
  28. Pesticides and Parkinson's disease: IIAC position paper 19
  29. Back and neck pain: IIAC position paper 18
  30. Interstitial fibrosis in coalworkers: IIAC position paper 17
  31. Occupational voice loss: IIAC position paper 16
  32. Sporting injuries: IIAC position paper 15
  33. Silica-related renal and connective tissue diseases: IIAC position paper 14
  34. Stress and post-traumatic stress disorder at work: IIAC position paper 13
  35. The neurobehavioural effects of chronic exposure to organic solvents: IIAC position paper 12
  36. Lung function assessment in underground coal miners: IIAC position paper 11

Information notes

If the council reviews a topic but there is insufficient evidence for a position paper, it publishes an information note online.

  1. Dupuytren’s contracture: clarification of intention and amendment of the prescription
  2. Entitlement to benefit and medical assessment within the IIDB scheme: IIAC information note
  3. Occupational risks for urolithiasis: IIAC information note
  4. Non-melanoma skin cancer and occupational exposure to (natural) UV radiation: IIAC information note
  5. Cadmium and rheumatoid arthritis: IIAC information note
  6. Hand-arm vibration syndrome and risk from motorcycle handlebars: IIAC information note
  7. Trichloroethylene and cervical cancer: IIAC information note
  8. Noise induced hearing loss and work with nailing and stapling guns: IIAC information note
  9. Carpal tunnel syndrome and wrist/forearm rotation: IIAC information note
  10. Neurodegenerative diseases in professional sportspersons: IIAC information note
  11. Osteoarthritis of the knee and work in the construction industry: IIAC information note
  12. Lung cancer and diesel exhaust emissions in miners: IIAC information note
  13. Lung and bladder cancer and diesel exhaust emissions: IIAC information note
  14. Chronic obstructive pulmonary disease in woodworkers: IIAC information note
  15. Asthma in cleaners: IIAC information note
  16. Bladder cancer and mineral oils: IIAC information note
  17. Cancers of the larynx or ovary and work with asbestos: IIAC information note
  18. Noise induced hearing loss in certain occupations: IIAC information note
  19. Hepatitis E infection and occupation: IIAC information note
  20. Lung cancer and dioxins: IIAC information note
  21. Lung cancer and welding: IIAC information note
  22. Lung cancer in haematite workers: IIAC information note
  23. Bladder cancer and pre-bake aluminium smelters: IIAC information note
  24. Osteoarthritis of the knee in tin miners: IIAC information note
  25. Cancer risk in painters: IIAC information note
  26. Lobar pneumonia in welders: IIAC information note
  27. Silica and lung cancer: IIAC information note
  28. Ionising radiation and ischaemic heart disease: IIAC information note

Commissioned reviews

IIAC commissions independent reviews of topics from time to time.

Published 14 July 2014
Last updated 12 May 2020 + show all updates
  1. Added a link to a Command paper (CP 216) 'Cutaneous malignant melanoma and occupational exposure to (natural) UV radiation in pilots and aircrew'.

  2. Added IIAC position papers 44: Osteoarthritis of the knee in professional football players, 45: Chronic obstructive pulmonary disease and coke oven workers and 46: Occupational exposure to silica or asbestos and antineutrophil cytoplasmic antibodies (ANCA) - associated vasculitis.

  3. Added 'Dupuytren’s contracture: clarification of intention and amendment of the prescription' to the list of information notes.

  4. Added 'Hand arm vibration syndrome: a review of the assessment and objective testing of the vascular component: IIAC position paper 43'.

  5. Added a link to the IIAC guidance on evaluating evidence on health risks associated with occupational exposures.

  6. Added 1 command paper - 'Diseases with multiple known causes, occupational injuries, and medical assessment (Cm 9632)', 1 information note - 'Entitlement to benefit and medical assessment within the IIDB scheme', and 2 position papers - 'Coal mining, silicosis and lung cancer (position paper 41)' and 'Occupational exposure to crystalline silica and its relation to connective tissue diseases (position paper 42)'.

  7. Added 2 information notes: (1) Non-melanoma skin cancer and occupational exposure to (natural) UV radiation (2) Occupational risks for urolithiasis.

  8. Added 6 reports: (1) Nasal carcinoma and occupational exposure to wood dust, (2) Latex anaphylaxis review, (3) Anxiety and depression in teachers and healthcare workers (position paper 37), (4) Noise, occupational deafness and Industrial Injuries Disablement Benefit (position paper 38), (5) Renal cancer and occupational exposure to trichloroethylene (position paper 39) and (6) Lymphatic and haematopoietic cancers and work involving exposure to trichloroethylene (position paper 40). Items 5 and 6 were originally published as information notes in May 2017.

  9. Added 2 information notes: (1) Cadmium and rheumatoid arthritis (2) Hand-arm vibration syndrome and risk from motorcycle handlebars.

  10. Added 3 information notes: (1) Lymphatic and haematopoietic cancers and work involving exposure to trichloroethylene (2) Trichloroethylene and cervical cancer (3) Renal cancer and occupational exposure to trichloroethylene.

  11. Added 'Noise induced hearing loss and work with nailing and stapling guns: IIAC information note'.

  12. Added 3 information notes – Carpal tunnel syndrome and wrist/forearm rotation – Neurodegenerative diseases in professional sportspersons – Osteoarthritis of the knee and work in the construction industry.

  13. Added command paper – Cancers due to ionising radiation: IIAC report

  14. Added – Lung cancer and diesel exhaust emissions in miners: IIAC information note

  15. Added – Lung and bladder cancer and diesel exhaust emissions: IIAC information note

  16. Added – Chronic obstructive pulmonary disease in woodworkers: IIAC information note

  17. Published Epicondylitis and occupational activity: IIAC position paper 35.

  18. Added 'Assessing disablement under the IIDB scheme: a critical review and international comparison' to commissioned reviews.

  19. Added position paper 33: Ocular melanoma and occupation

  20. Published report about the effects of treatment and the medical assessment of chronic bronchitis and emphysema (PD D12, chronic obstructive pulmonary disease).

  21. First published.