Example Afloat Medical Surveillance Program Management MDR/SO* review exposure-based medical surveillance recommendations in IH survey Disseminate recommendations to each Division Officer/LCPO Division Officers/LCPOs disseminate recommendations to each W/C Supervisor W/C Supervisor identify personnel meeting criteria W/C Supervisor forward names of personnel meeting criteria to Division Officer and LCPO Division Officer/LCPO forward names of W/C personnel to MDR and SO Non exposure-based Specialty exams (see notes) Medical provide documentation of exam completion SO report occupational injuries/illnesses (ex. Hearing loss) to Naval Safety Center MDR/SO record exam completion in command tracker and discuss identified issues (ex. Hearing loss) Division Officer /LCPO forward exam completion log to MDR/SO periodically W/C personnel go to exam appointment(s) and inform Div chain of command when complete W/C personnel schedule exam with Occupational Health clinic or supporting MDR MDR/SO create command tracker and record W/C personnel names, last exam date, next exam due date This general guide is based on requirements contained in Chapter 8 of OPNAVINST 5100.23G CH-1 (21 July 2011) and Chapter A0310 of OPNAVINST 5100.19E (30 May 2007). Purpose of Medical Surveillance To monitor the effectiveness of major hazard-specific (e.g., noise, heat, asbestos) programs by following the health status of exposed personnel Secondary prevention to detect early indicators of excessive exposure caused by the work environment before actual illness, disease, or injury occur Allow for timely corrective actions to prevent any long-term adverse effects. To comply with the requirements of certain Safety and Occupational Health (SOH) standards as noted in section B of OPNAVINST 5100.19E. *Lead *Asbestos *Cadmium, etc. Some exposure-based medical surveillance exams include: Lead Asbestos Cadmium Lasers Polychlorinated Biphenyls (PCBs) Respirator (policy is that military members with a current Preventive Health Assessment (PHA) and no deployment-limiting conditions are qualified for wear of any type of respiratory protection) Non Exposure-Based (Specialty) Exams Specialty exams are required for certain personnel to ensure they are medically qualified to begin or continue to perform a job safely and effectively. Some examples include: *Aviation physicals *Firefighter physicals *Food Service physicals *Freon Worker physicals *Health Care Worker physicals *Explosives Handler physicals *Forklift Driver physicals Requirements for Specialty exams may have various requirements in different instructions and may vary by community. As a result, they are typically not not covered in the command Industrial Hygiene survey. NMCPHC-TM OM 6260/25 (Version 11) contains additional information on Specialty exams. You may also contact your supporting Occupational Health clinic for more information pertaining to them. Medical Surveillance Program Reporting - Periodic medical surveillance exam completion reporting as part of the annual safety self-assessment survey is required by NAVADMIN DTG JUN 12. - Information regarding this requirement is available at HTTP://WWW.PUBLIC.NAVY.MIL/NAVSAFECEN/PAGES/OSH/MEDSURV.ASPX. Occupational Injury/Illness Reporting Commands are required to report Occupational Injuries and Illnesses. See Chapter 3 of OPNAVINST 5102.1D for specific reporting requirements. Command report compliance rate annually through safety self-assessment using Medical Surveillance Completion Report spreadsheet Inform Div chain of command of any follow-up exams (ex. Audiograms) required *MDR = Medical Department Rep *SO = Safety Officer *This specific program management model is not required but does serve to illustrate an efficiently run program with full stakeholder involvement. An effectively run program will incorporate these program elements. SO investigate occupational injuries/illnesses for causal factors (request ISIC, TYCOM, and/or BUMED assistance when required)