1. Missouri Army National Guard Occupational Health & Industrial Hygiene Program
Charity Summers, RN, BSN, Occupational Health Nurse
Beki Birdsong, Industrial Hygiene Technician

2. OCCUPATIONAL HEALTH & INDUSTRIAL HYGIENE
PURPOSE:
To monitor the health and wellness of Missouri Army National Guard federal technicians and conduct surveys of their work environments to identify potential health hazards.

3. LAWS & REGULATIONS PL 91-596 Occupational Health Act of 1970
Exec Order Feb Federal Agency
Compliance
CFR29 Pt Outlines Supervisor Responsibilities
CFR29 Pt Outlines Employee Responsibilities and Rights
DoD Dir Oct 84 Implements DoD Occ. Safety
& Health Program
CFR29 Pt OSHA Federal Standards
Army Regulations AR (o)

4. What does the Occupational Health Office do for federal technicians?
Hearing Conservation
Vision Protection
Respiratory Protection
Hazard Communication
Industrial Hygiene
Medical Surveillance
OWCP/Case Management
Ergonomics
Training/Education
Counseling
Reproductive Surveillance
Workplace Evaluations
Health Promotion/Wellness
Program Evaluation
Blood-borne Pathogens
Budget/Resource Management
Record Keeping
Personal Protective Equipment
OSHA/Regulatory Compliance
Confined Space
Design Review
CPR/AED training
And more Violence in the Workplace; Illness/Absence Monitoring; Epidemiology;
Hazard Abatement; Hazard Assessment
Hearing Conservation - preserve the hearing of all our soldiers. Big part is education, when, where, how, what type of hearing protection. Units requests fitting of hearing protection. Recruiting number of individuals who I retest or test because of hearing loss.
Respiratory Protection Program - Make sure our soldiers do not have a false sense of security. Corrosive material - gas mask Class 2 kit?
Hazard Communication Program - Will talk more about
Medical Surveillance - largest program element, most time consuming and costly. Interfaces with all other programs. On the m-day side soldiers working with radioactive commodities like MC1 need have baseline and period screening.
OWCP/Case Management - LOD - Medical questions on different diagnosis. Unfortunately, if a soldier is injured we can not put them on light duty after AT.
Ergonomics - new program mandated January 98 - Chapter in WIARNG
Fitting the workplace to the individual - not just the office setting
PPE - knowing what, when how and where PPE should be worn.
Especially Ear Plugs MACU

5. INDUSTRIAL HYGIENE ELEMENTS
Workplace Evaluations
Hearing Conservation
Vision Protection
Respiratory Protection
Hazard Communication
Budget/Resource Management
OWCP/Case Management
Ergonomics
Training/Education
Counseling
Hazard Abatement
Program Evaluation
Record Keeping
Personal Protective Equipment
OSHA/Regulatory Compliance
Confined Space
Design Review
Inspections/Surveys
Epidemiology

6. Medical Surveillance
Purpose: Risk-based medical screening or examination for Wage Grade Federal Technician personnel.
Focus: early detection of occupational diseases or illnesses that may be associated with work tasks or workplace exposures of a physical, chemical, biological, or radiological nature.
Types of surveillance: Baseline, Job transfer, Annual, Termination or Retirement.
FY19 annual exams and screenings will be conducted by a mobile health service contractor.
Note: The supervisor and the employee will be contacted by a 3rd party vendor, QTC Management for medical exam scheduling.

7. Medical Surveillance References
DoD M
29 CFR 1910 AR
DA PAM 40-11
DA PAM
DA PAM
DA PAM

8. Hearing Conservation Program Elements Annual exam
Noise hazard identification
Engineering controls (i.e. Noise dampening material)
Hearing protection (PPE)
Monitoring audiometry
Annual exam
Health education
Enforcement
Supervisors and Safety

9. Hearing references DA PAM 40-501 DA PAM 40-11 AR 40-5 AR 385-10
29 CRF
DODI
ANSI Standard S1.4A
DOD M

10. Vision Conservation Occupational Vision: Screening & Performance
Eye Safety
Worksite Evaluation
Engineering & Administrative Controls
Identify the need for Personal Protective Equipment (PPE)
Training & Education

11. Vision Conservation References
ABSU Z87.1/Z /Z136.1
AR 40-5
AR 40-63
DA PAM 40-11
29 CFR 1910

12. Respiratory Protection
Review Job Duties & evaluate NEED for Respirator Placement/Issue:
Based on Industrial Hygiene (IH) surveys + potential health hazard.
Discontinue use if not warranted & remove from Medical Surveillance Program.
Respirator fit testing is managed by the Occupational Health Office (OHO)
Respirators are not provided by the OHO.

13. Respiratory Protection References
DOD M
AR 40-5
AR 11-34
DA PAM 40-11
TB MED 502
29 CFR

14. Ergonomics Occupational Health Office can not purchase
Workplace Analysis
All Federal Technicians
Hazard Prevention & Control
Education & Training
Main Intervention
Occupational Health Office can not purchase
Ergonomic equipment.

15. Ergonomics References
DA PAM 40-21
DODI
AR 40-5

16. Case Management Collaborate with the Human Resource Office
Injury Compensation Program Assistant
Federal Employees Compensation Act Council:
Monthly or Quarterly Meetings
Assist with management of cases, resolution, and work place accommodations.
Collaboration with Office of Worker’s Compensation Plan/Human Resources Officer/Injury Compensation Program Administrator

17. Case Management References
DOD M
29 CFR 1910/1001/
AR 200-1
AR 420-1 AR
TB MED 513
40 CFR 61
Clean Air Act of 1970 (Public Law )
Asbestos Hazard Emergency Response Act of 1986
40 CFR 763

18. Workplace Epidemiology
Occupational Illnesses & Injuries
Identify, Assess & Document trends (absence monitoring)
Injury Prevention & Control
Educate & mitigate
Worksite Evaluations
OH/IH/Safety: conduct annual site visits
Hazards, PPE, Health Risk Assessment

19. Workplace Epidemiology References
DA PAM 40-11, Chapter 6
AR 40-5, Para 5-11 AR
NGR

20. Personal Protective Equipment (PPE)
Safety and Industrial Hygiene
Designate areas requiring the use of PPE.
Ensure that all PPE is used as required, stored and maintained properly.
Occupational Health
Evaluate the workers’ ability to safely wear PPE (respirator fit testing).

21. Personal Protective Equipment References
DA PAM 40-11
29 CFR
DODI

22. Hazard Communication Written Program SDS’s Training Labeling
PURPOSE: ensure that information about hazards is transmitted to employees by means of hazard communication programs, labels, SDS’s, and employee training.
Written Program
SDS’s
Training
Labeling

23. Hazard Communication References
29 CFR /.120/.1450/.1030
ANSI Z
AR 40-5
DA PAM 40-11 PL
DODI M
DODI
TB MED 502 AR

24. Automated External Defibrillator (AED) & Cardiopulmonary Resuscitation (CPR)
Occupational Health Nurse (OHN) maintains overall program management for AEDs in Facilities and Shops .
Accountability & maintenance records
Training
Deputy State Surgeon maintains program management for AEDs in armories/support M-Day and AGR personnel.
This also applies to BLS training for M-Day and AGR personnel.
AEDs are now considered facility/shop pieces of equipment.
Basic Life Support (CPR & AED) training is provided by the OHN.

25. What Occupational Health Does Not Do
Do Not: Purchase first aid or blood borne pathogen kits or supplies
Do Not: Purchase Personal Protective Equipment PPE (respirators, prescription safety glasses, etc…)
Do Not: Purchase AED pads or batteries
Do Not: Purchase ergonomic equipment (stand up desks, keyboards, mobility ball/chair)
Do Not: Provide direct support to AGR, M-Day or State employees
The Occupational Health Nurse will collaborate with other offices to ensure health hazard(s) identification is shared to assist with mitigation efforts.

26. New Hire Paper work Typed, not hand written.
Have all shop/facility information available for the employee.
Unit UIC
Unit address
Supervisors name and contact info, etc…
Occupational Health Questionnaire LEGIBLY & COMPLETELY!
Employees military address and good phone number.

27. QUESTIONS?