In May 2019, the Institut für Arbeitsschutz der Deutschen Gesetzlichen Unfallversicherung (IFA) was hosting the 14th International Conference on Hand-Arm-Vibration. The event is organised every four years under the auspices of international expert bodies at changing places. It is aimed at all stakeholders in the subject, whether experts from the occupational safety and health and research communities or management personnel in the areas of manufacture and design. Mechanized manual work is often associated with exposure to vibration that may impact adversely upon the health and well-being of the affected individuals. Besides impairments to comfort and performance, harm to the hand-arm system, possibly permanent, must be prevented as a matter of priority. In a world of work that is becoming more and more complex, combined exposures are also becoming increasingly relevant. What influence does hand-arm vibration have in conjunction with noise or whole-body vibration? What contribution can be made by medicine, diagnostics, epidemiology, measurement technology and prevention to the identification and containment of risks, and better still, to their elimination? What is the role of international regulatory activity in this context? The 14th International Conference on Hand-Arm Vibration aimed to address these and many other questions concerning hand-arm vibration, and to find answers relevant to the field.