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REQUIREMENTS AND POLICIES MANUAL
Search the RPM
Medical Surveillance Program
Title: |
Medical Surveillance Examination Program |
Publication date: |
9/10/2013 |
Effective date: |
12/12/2007 |
BRIEF
Policy Summary
In accordance with Department of Energy and Occupational Safety and Health Administration regulations, as well as voluntary standards, Berkeley Lab offers medical surveillance examinations to ensure employees are not overexposed to hazards, and to detect early signs of disease, to prevent disease progression, and to protect other members of the workforce.
Who Should Read This Policy
Berkeley Lab employees who work with hazardous chemical or physical agents, and their supervisors.
To Read the Full Policy, Go To:
The POLICY tab on this wiki page
Contact Information
For assistance or information on Berkeley Lab's medical surveillance program, contact:
LBNL Health Services
Site Occupational Medical Director or
Health Services Program Manager
Title: |
Medical Surveillance Examination Program |
Publication date: |
9/10/2013 |
Effective date: |
12/12/2007 |
POLICY
A. Purpose
This policy describes Lawrence Berkeley National Laboratory's medical surveillance programs.
B. Persons Affected
Berkeley Lab supervisors and employees who work with hazardous chemical and physical agents
C. Exceptions
None
D. Policy Statement
In accordance with Department of Energy (DOE) and Occupational Safety and Health Administration (OSHA) regulations, as well as voluntary standards, Berkeley Lab offers medical surveillance examinations to ensure employees are not overexposed to hazards, and to detect early signs of disease, to prevent disease progression, and to protect other members of the workforce.
Berkeley Lab provides a wide variety of medical surveillance examinations based upon the following:
- Actual exposure to certain hazardous chemicals
- Actual or possible exposure to physical agents and radiation
- The requirement to wear certain types of personal protective equipment
- Qualification standards to operate certain types of equipment or vehicles
- Requirements from collaborating institutions (e.g., Antarctic Field Station)
Participation in medical surveillance examinations may be voluntary or mandatory, depending on the regulatory language and Laboratory policy.
E. Roles and Responsibilities
See PUB-3000 for roles and responsibilities related to the execution of this policy's implementation.
Role |
Responsibility |
Site Occupational Medical Director |
- Oversees medical surveillance efforts offered by Health Services
- Design exposure-appropriate medical surveillance exams
|
Supervisors |
Make employees available for medical surveillance examinations |
Employees |
Cooperate and respond to medical surveillance examination offerings |
F. Definitions/Acronyms
See PUB-3000 Chapter 3 for technical terms related to the details of this policy and its implementation.
Term |
Definition |
Medical Surveillance |
Medical evaluations designed to detect adverse health effects from workplace exposures, with the intent of halting disease development and progression. Also medical evaluations to determine fitness for certain job duties |
G. Recordkeeping Requirements
Role |
Recordkeeping Requirement |
Health Services |
- Maintains confidential medical records of employees participating in medical surveillance programs
- Provides work status documentation to Berkeley Lab management as required by regulation
- Provides documentation of medical findings to Berkeley Lab employees as required by regulation
|
H. Implementing Documents
Document number |
Reference number |
Title |
Type |
07.05.002.001 |
PUB-3000 Section 3.9 |
Medical Surveillance Program |
Program |
02.13.002.001 |
|
Health Services |
Program |
07.07.004.001 |
|
Biosafety |
Program |
07.07.022.001 |
|
Noise Hazard Assessment and Control |
Program |
07.07.018.001 |
|
Laser Safety Program |
Program |
07.07.023.001 |
|
Non-ionizing Radiation |
Program |
07.07.005.001 |
|
Chemical Safety Hazards and Controls |
Program |
07.07.002.001 |
|
Asbestos Hazards and Controls |
Program |
07.07.019.001 |
|
Lead Hazards and Controls |
Program |
07.07.003.001 |
|
Beryllium Hazards and Controls |
Program |
07.07.032.001 |
|
Respiratory Protection |
Program |
07.07.013.001 |
|
Exposure Assessment |
Program |
07.07.025.001 |
|
Forklifts and Other Powered Industrial Trucks |
Program |
07.07.008.001 |
|
Cranes, Hoisting, and Rigging Safety |
Program |
I. Contact Information
LBNL Health Services
Site Occupational Medical Director or
Health Services Program Manager
h3. J. Revision History
Date |
Revision |
By whom |
Revision Description |
Section(s) affected |
Change Type |
9/10/2013 |
1.1 |
P. Lichty |
Reviewed 8/29/13 |
Brief,Policy D,definitions, Roles, Next Review date |
Minor |
1/2/2012 |
1 |
P. Lichty |
Rewrite for RPM |
all |
Minor |
DOCUMENT INFORMATION
Title: |
Medical Surveillance Examination Program |
Document number |
07.05.002.000 |
Revision number |
1.1 |
Publication date: |
9/10/2013 |
Effective date: |
12/12/2007 |
Next review date: |
9/10/2016 |
Policy Area: |
Health Services |
RPM Section (home) |
Human Services |
RPM Section (cross-reference) |
none |
Functional Division |
EH&S |
Prior reference information (optional) |
PUB-3000 Section 3.9, RPM Section 1.12(A)(1) |
Source Requirements Documents
- 10 CFR 851 Appendix A, Section 8, (k)(3), Worker Health and Safety Program; Occupational Medicine Section; Employee Counseling and Health Promotional Programs
The following are in the Laboratory's DOE Contract 31, or are good references.
Topic |
Subtopic |
Regulation# |
Animal Care Worker |
Initial Exam |
Berkeley Lab Environmental Safety and Health Manual (PUB-3000)
National Research Council Guide for the Care and Use of Laboratory Animals (reference only, not in Contract 31) |
Antarctica |
Exam |
Driven by organization servicing the south pole groups (requirements are driven by form brought in by employee) |
Asbestos |
Comment |
There are no personnel who qualify for mandatory general industry asbestos and the number of individualsqualifying for mandatory construction surveillance is fairly small. |
Asbestos |
Voluntary |
N/A – Past exposure history |
Asbestos (construction) |
Annual Exam |
8 CCR 1529(m)(2)(A)(3) |
Asbestos (construction) |
Exit Exam |
8 CCR 1529(m)(2)(A)(6) |
Asbestos (construction) |
Initial Exam |
8 CCR 1529(m)(2)(A)(1)-(2) |
Beryllium |
Emergency |
10 CFR 850 |
Beryllium |
Initial |
10 CFR 850.34 |
Beryllium |
Periodic |
10 CFR 850 |
Biological Agents andWorkers withCompromised Heath |
Immune competence |
Biosafety In Microbiological and Biomedical Laboratories, 5th ed. Section IV Laboratory Biosafety Level 2(A.11.) Criteria and VII Occupational Health and Immunoprophylaxis. Also Biosafety Manual Section 5.3 andC.3.1.11. |
Biological ExposureIncidents |
Exposure |
Biosafety In Microbiological and Biomedical Laboratories, 5th ed. Section IV Laboratory Biosafety Level 2(B.8) Criteria and Section VII Occupational Health and Immunoprophylaxis. Also Biosafety Manual Section5.3, 5.10.2, and C.3.2.8. |
Biosafety HumanPathogens |
Potential exposureidentified in BiosafetyWork Authorization |
Biosafety In Microbiological and Biomedical Laboratories, 5th ed. Section IV Laboratory Biosafety Level 2(B.2.) Criteria and Section VII Occupational Health and Immunoprophylaxis. Also Biosafety Manual Section5.3, and C.3.2.2 |
Bloodborne Pathogen |
Exposure Incident related to a job duty or not related to a job duty |
29 CFR 1910.1030
Biosafety Manual Sections 3.3.4 , 5.3, and 5.10.2 |
Bloodborne Pathogen |
Vaccination |
29 CFR 1910.1030 |
CERN |
Exam |
Driven by organization (requirements and form brought in by employee) |
Chemical Hygiene |
Event |
29 CFR 1910.1450(g)(1) |
Crane Operator |
Chapter 27.5 >2 tons |
No Regulation
Currently have PUB-3000 Chapter 27
Clinic follows NCCCO Handbooks, which matches ASME B30 (NCCCO not found in Contract 31)
10 CFR 851, Appendix A 8(g)(2)(ii), requires a fitness-for-duty exam |
Crane Operator |
Chapter 27.5
>2 tons and mobile crane driver |
8 CCR 5006.1 |
Crane Operator |
Chapter 27.5 <2 tons |
No regulation
Currently have PUB-3000 Chapter 27
Clinic follows NCCCO Handbooks, which matches ASME B30 (NCCCO not found in Contract 31)
10 CFR 851, Appendix A 8(g)(2)(ii) requires a fitness-for-duty exam |
DOT Driver |
Driver Medical Exam |
49 CFR 391.41 et seq. (Reference only - not in Contract 31) |
General Health Exam |
Age Based |
10 CFR 851, Appendix A 8(g)(2)(i) |
General Health Exam |
Termination |
10 CFR 851, Appendix A 8(g)(2)(v) |
Hazwoper |
Annual or Periodic Exam |
29 CFR 1910.120(a)(1) (i)-(iv); f(2)(ii) |
Hazwoper |
Exposure Exam |
29 CFR 1910.120(a)(1) (i)-(iv); (f)(2)(iii) |
Hazwoper |
Pre-placement |
29 CFR 1910.120(a)(1) (i)-(iv); f(2)(ii) |
Hazwoper |
Termination Exam |
29 CFR 1910.120(a)(1) (i)-(iv); f(2)(ii) |
Hearing Conservation |
Annual Exam |
29 CFR 1910.95(g) |
Hearing Conservation |
Baseline |
29 CFR 1910.95(g) |
Laser |
Exposure Exam |
ANSI Z136.1 |
Laser |
Pre-use |
ANSI Z136.1
PUB-3000 Section 16.4.3.2 |
Laser |
Termination Exam |
Legal considerations, courtesy to user |
Lead |
Comment |
There are no personnel who qualify for mandatory annual surveillance for construction. |
Lead |
Voluntary |
29 CFR 1910.1025(j); 8 CCR 1532.1(j) (as guides) |
Lead (construction) |
Initial |
8 CCR 1532.1(j)(1) |
Nanoparticle |
Initial |
DOE Notice/Order 456.1 (proposed) |
Nanoparticle |
Termination |
DOE Notice/Order 456.1 |
PIT Operator |
Medical Clearance |
ASME B56.1, Powered Industrial Trucks
PUB-3000 Section 28.5
Berkeley Lab Health Services Clinic follows NCCCO Handbooks, which matches ASME B30 (NCCCO not found in Contract 31)
10 CFR 851, Appendix A, 8(g)(2)(ii) requires a fitness-for-duty exam |
Pre-placement Exam |
None |
10 CFR 851, Appendix A 8(g)(2) |
Respiratory Protection |
Annual Exam (SCBA users) |
29 CFR 1910.134
Z88.6 9.1.2 |
Respiratory Protection |
Fit Test |
29 CFR 1910.134(f) |
Respiratory Protection |
Initial Non-voluntary Use |
29 CFR 1910.134 |
Respiratory Protection |
Voluntary Users (non-dust mask) |
29 CFR 1910.134(c)(2) |
Return to Work Exam |
Suitability |
10 CFR 851, Appendix A, 8(g)(2)(iv) |
Transfer Exam |
None |
10 CFR 851, Appendix A, 8(g)(2)(i) |
Related Berkeley Lab Policies
- EHS Core Policy, 07.01.001.000
- Health Services Overview, 02.13.002.000
- Family and Medical Leave Policy, 02.07.003.000
- Workers' Compensation Policy, 02.06.008.000
Implementing Documents
Document number |
Reference number |
Title |
Type |
07.05.002.001 |
PUB-3000 Section 3.9 |
Medical Surveillance Program |
Program |
02.13.002.001 |
|
Health Services |
Program |
07.07.004.001 |
|
Biosafety |
Program |
07.07.022.001 |
|
Noise Hazard Assessment and Control |
Program |
07.07.018.001 |
|
Laser Safety Program |
Program |
07.07.023.001 |
|
Non-ionizing Radiation |
Program |
07.07.005.001 |
|
Chemical Safety Hazards and Controls |
Program |
07.07.002.001 |
|
Asbestos Hazards and Controls |
Program |
07.07.019.001 |
|
Lead Hazards and Controls |
Program |
07.07.003.001 |
|
Beryllium Hazards and Controls |
Program |
07.07.032.001 |
|
Respiratory Protection |
Program |
07.07.013.001 |
|
Exposure Assessment |
Program |
07.07.025.001 |
|
Forklifts and Other Powered Industrial Trucks |
Program |
07.07.008.001 |
|
Cranes, Hoisting, and Rigging Safety |
Program |
Other References
- DOE G 440.1-8, Implementation Guide for Use with 10 CFR Part 851, Worker Safety and Health Programs, Section 3.6.8.9 Assistance and Wellness
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