2. MEDICAL SURVEILLANCE The activities routinely done in HAZWOPER activities may expose workers to a variety of hazards and stressesThe 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.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.See Section 2- page 17.

3. MEDICAL PROGRAM How can a medical program be considered a Site Control?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.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.Exams or tests to workers during the work can help evaluate site controls and selection of PPE.

4. 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.

5. Medical Exams required? Some carcinogen standards require exams. Respiratory standard requires fitness to wear exam. Exams given to determine baselines and medical conditions.

6. Medical Programs must have: Treatment.Treatment. Record Keeping.Record Keeping. Program Review.Program Review. Medical Surveillance.Medical Surveillance.

7. Medical Surveillance Part of an Administrative Hazard Control along with industrial hygiene, safety and training.Part of an Administrative Hazard Control along with industrial hygiene, safety and training. Employees covered:Employees covered: 1. Those exposed at or above PEL’s for more than 30 days a year. 2. Those who wear a respirator for more than 30 days a year. 1910.134

8. 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.Frequency of Exams- See page 18.

9. CONTENT OF EXAMS Determined by physicians.Determined by physicians. Components: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..)

10. OTHER REQUIREMENTS Cost- Employer must cover cost.Cost- Employer must cover cost. Must use licensed physicians.Must use licensed physicians. Recordkeeping- (1910.20) Records must be kept for 30 years after termination.Recordkeeping- (1910.20) Records must be kept for 30 years after termination.