1. 1293 Airport Road, Beaver, WV 25813 Phone: (304) 253-8674 - Fax: (304) 253-7758 E-mail: hazmat@iuoeiettc.org HAZWOPER MEDICAL SURVEILLANCE International Environmental Technology and Training Center “Working safely with hazardous materials” Vincent J. Giblin, General President

2. Medical Surveillance Program  This material was produced under grant number 46C5-HT16 from the Occupational Safety and Health Administration, U.S. Department of Labor. It does not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

3. Medical Surveillance Program Medical Surveillance Program: AN INTRODUCTION Workers handling hazardous wastes can experience high levels and various types of stress.

4. Medical Surveillance Program Who writes the medical surveillance program? An experienced occupational health physician or another qualified consultant with the Site Safety Officer.

5. Medical Surveillance Program What is the purpose of the medical surveillance program? Assess/monitor worker health and fitness:  Before and during the course of work;  For possible overexposures.

6. Medical Surveillance Program What is the purpose of the medical surveillance program?  Provide emergency/other treatment.  Keep accurate records for future reference/comparison.

7. Medical Surveillance Program Medical Surveillance Program: EMPLOYER’S RESPONSIBILITY Establish a medical surveillance program for each site based on: Specific needs; Location; Potential exposure of employees.

8. Medical Surveillance Program What should a medical surveillance program include, at a minimum?  Employees covered.  Frequency and content of medical exams/consultations.

9. Medical Surveillance Program What should a medical surveillance program include, at a minimum?  Information provided to physician.  Physician's written opinion.  Record keeping.

10. Medical Surveillance Program Which employees are covered under the program? Workers who: May be or are exposed to concentrations above PEL/TLV without regard to use of respirators, for 30+ days/yr.

11. Medical Surveillance Program Which employees are covered under the program? Workers who: Wear respirators for 30+ days/yr (or) are required to by OSHA.

12. Medical Surveillance Program Which employees are covered under the program? Workers who:  Exhibit symptoms of injury, illness, or overexposure;  HAZMAT team members.

13. Medical Surveillance Program When and how often should medical exams be conducted?  Performed by/under the supervision of a licensed physician.  At no cost to the employee.  At a reasonable time.  Without loss of pay.  Following a specific schedule.specific schedule Document

14. Medical Surveillance Program Medical Exam Schedule  Prior to assignment. Prior  Periodically. Periodically.  At termination/reassignment.  Exhibiting signs/symptoms. Exhibiting  Determined by a physician. Determined

15. Medical Surveillance Program Medical Exam Schedule: PRE-EMPLOYMENT SCREENING Determine worker’s “fitness for duty”:  Occupational/medical history;  Physical examination.

16. Medical Surveillance Program Medical Exam Schedule: PRE-EMPLOYMENT SCREENING Determine worker’s “fitness for duty”:  Ability to work wearing PPE;  Baseline medical data for evaluating program effectiveness.

17. Medical Surveillance Program Medical Exam Schedule: PERIODICALLY Once/yr. no less than once/2 yrs.

18. Medical Surveillance Program Medical Exam Schedule: EXHIBITING SIGNS/SYMPTOMS Worker:  Exhibits signs/symptoms of over exposure or injury;  Exposed to excessive concentrations during an emergency.

19. Medical Surveillance Program Medical Exam Schedule DETERMINED BY PHYSICIAN  On-site physician determines exam to be a medical necessity.  Off-site medical professionals should also investigate/treat non-job related illnesses that may put workers at risk.

20. Medical Surveillance Program What are the medical record-keeping requirements?  Employee name and ssn.  Physician’s written opinion.  Employee medical complaints.  Employee information provided by employer to physician.

21. Medical Surveillance Program Employer's Responsibilities Required by OSHA  Maintain/preserve medical records for 30 yrs. after employment.  Make available the results of medical testing, analysis, and full medical records.  Maintain records of occupational injuries/illnesses and post a yearly report.

22. Medical Surveillance Program How often must the medial surveillance program be re-evaluated or reviewed? AnnuallyAnnually - by the site safety officer, medical consultant, and/or management. Assists in rating HASP’s over-all effectiveness.

23. Medical Surveillance Program Re-Evaluated or Reviewed Items  Verification that each accident/illness was promptly investigated.  Efficiency of specific medical testing.  Added/deleted medical tests.

24. Medical Surveillance Program Re-Evaluated or Reviewed Items  Potential exposures.  Emergency treatment procedures.

25. Medical Surveillance Program HAZWOPER 8-Hour Training: Update Worker on Recent Developments Details

26. Medical Surveillance Program Medical Surveillance Program: UPDATE Revised Injury/illness Record Keeping Rule. Effective as of January 1, 2002. Scope. OSHA Forms. Work related. Recording criteria. Day counts.

27. Medical Surveillance Program Medical Surveillance Program: UPDATE Revised Injury/illness Record Keeping Rule.  Annual summary.  Employee involvement.  Protecting privacy.  Reporting information to the government.

28. Medical Surveillance Program  This material was produced under grant number 46C5-HT16 from the Occupational Safety and Health Administration, U.S. Department of Labor. It does not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

29. Medical Surveillance Program END This publication was made possible by grant numbers 5 U45 ES06182-13 AND 5 U45 ES09763-13 from the National Institute of Environmental Health Sciences (NIEHS), NIH. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIEHS, NIH.