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Emergency Management and Environmental Health & Safety

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IX Medical Surveillance

  • Scope.
  • Responsibility.
Scope

OSHA requires that medical surveillance be offered to employees where this requirement is specified in a standard (e.g., the asbestos standard), but employee participation is optional unless it is made a condition of employment. Standards for specific chemicals require medical surveillance when a PEL and sometimes an action level are exceeded.

  • Acrylonitrile
  • Asbestos
  • Benzene
  • 1, 3-Butadiene
  • Cadmium
  • 13 carcinogens groups into 1910.1003(g)
  • Coke oven emission
  • Compressed air work
  • Ethylene oxide
  • 1, 2-Dibromochlopropane
  • Formaldehyde
  • Hazardous waste and emergency response
  • Lead
  • 4,4'Methylenedianiline
  • Methylene chloride
  • Silicia, crystalline
  • Bloodborne Pathogens
  • Tuberculosis (proposed)
  • Respiratory Protection
  • Noise (hearing conservation)

All employees enrolled in Bloodborne Pathogen, respiratory, and hearing conservation programs must receive medical surveillance. Medical surveillance is also mandated when:

  • An employee develops signs or symptoms associated with a hazard chemical to which the employee may have been exposed.
  • Where exposure monitoring reveals an exposure level routinely above the action level or, in the absence of an action level (PEL).
  • Whenever an event takes place in the work area such as a spill, leak, explosion, or other occurrence resulting in the likelihood of a hazardous exposure
Responsibility

The University will institute a program of medical surveillance of employees exposed to hazards and toxic substances.  This program consists of an initial medical examination at the frequency specified by the applicable standard.

A licensed physician will perform all medical examination and procedures. The University will provide the examination without cost to the employee.  The examination will include the personal history of the employee, occupational background and environmental factors.

The University will establish and maintain an accurate record of each employee subject to the medical surveillance. This record will include:

  1. A copy of the physician's written opinion as to the employee’s suitability for employment in specific exposure, or employee refusal to take medical examination.
  2. Any medical complaint by the employee related to exposure of a toxic substance or hazard.
  3. A copy of the required information pertaining to employee exposure (the employer must provide to the physician).
  4. A copy of the employee's work history.

The University will maintain this record for the duration of employment plus 30 years, as specified in the applicable OSHA standard.

The following standards prescribe a medical surveillance program for employees exposed to toxic substances or other hazards.

  • 29 CFR 1910.134 RESPIRATORS
  • 29 CFR 1910.1001 ASBESTOS
  • 29 CFR 1910.1018 ARSENIC
  • 29 CFR 1910.1030 BLOODBORNE PATHOGENS
  • 29 CFR 1910.1010 BENZIDINE

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