MEDICAL SURVEILLANCE

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 PELs 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.