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MEDICAL SURVEILLANCE

MEDICAL SURVEILLANCE. The activities routinely done in HAZWOPER activities may expose workers to a variety of hazards and stresses . 1910.120 and other OSHA standards (e.g. Respirator 1910.134 and Lead 1910.1025) require medical monitoring and surveillance. See Section 2- page 17.

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MEDICAL SURVEILLANCE

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  1. MEDICAL SURVEILLANCE • The activities routinely done in HAZWOPER activities may expose workers to a variety of hazards and stresses. • 1910.120 and other OSHA standards (e.g. Respirator 1910.134 and Lead 1910.1025) require medical monitoring and surveillance. • See Section 2- page 17.

  2. MEDICAL PROGRAM • How can a medical program be considered a Site Control? • Pre-employment exams screen out workers not physically fit to do the work or wear high levels of protection. • Exams or tests to workers during the work can help evaluate site controls and selection of PPE.

  3. Are Medical Exams Required? • OSHA 1910.120 requires: *pre-employment *annual exams *exit exams *when signs or symptoms occur. • SARA requires baseline and periodic and routine exams for HAZWASTE workers.

  4. Medical Exams required? • Some carcinogen standards require exams. • Respiratory standard requires fitness to wear exam. • Exams given to determine baselines and medical conditions.

  5. Medical Programs must have: • Treatment. • Record Keeping. • Program Review. • Medical Surveillance.

  6. Medical Surveillance • Part of an Administrative Hazard Control along with industrial hygiene, safety and training. • Employees covered: 1. Those exposed at or above PEL’s for more than 30 days a year. 2. Those who wear a respirator for more than 30 days a year. 1910.134

  7. Employees covered, continued 3. Those who are injured, become ill or develop signs or symptoms due to exposures. 4. Members of HAZMAT teams. • Frequency of Exams- See page 18.

  8. CONTENT OF EXAMS • Determined by physicians. • Components: 1. Medical History 2. Occupational History 3. Physical Examination 4. Determination of fitness to work and wear PPE. 5. Baseline monitoring (blood, urine, etc..)

  9. OTHER REQUIREMENTS • Cost- Employer must cover cost. • Must use licensed physicians. • Recordkeeping- (1910.20) Records must be kept for 30 years after termination.

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