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HAZWOPER 40 - Lesson 11: Medical Surveillance Exam 2024.
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HAZWOPER 40 - Lesson 11:Medical Surveillance Exam 2024.
Lesson Description - -This lesson, Medical Surveillance, explains OSHA rules
for establishing medical surveillance programs for workers exposed, or
potentially exposed, to hazardous substances or health hazards at, or above,
published exposure levels, as well as employees who have potential work-
related injuries, illnesses, or symptoms. It lists the components that must be
included in an effective program and discusses the screening, routine
testing, and treatment that must be given to workers. Details on
recordkeeping standards are presented along with a discussion about how
employers must ensure that medical testing is both efficient and accurate.
-Learning Objectives
At the completion of this lesson, you will be able to: - -• Name points that
should be considered when developing an individualized medical surveillance
program.
• List the four components that a site-specific medical program must
provide.
• Explain the two major functions that pre-employment screening should
include.
• Discuss the preparatory procedures for obtaining emergency medical
support.
• State the three requirements for maintaining proper medical surveillance
records.
• Summarize the evaluative points on which a site safety officer should rate
a medical program.
-Introduction - -Daily, workers are faced with harmful conditions on
hazardous waste sites. Thus, they are exposed to safety hazards, toxic
chemicals, and biological hazards. To address this circumstance, 29 CFR
1910.120 requires employers to develop a medical surveillance program.
Such a plan applies to employees exposed or potentially exposed to
hazardous substances or health hazards at or above published exposure
levels. It also includes employees who have injuries, illnesses, or who are
symptomatic due to possible overexposure to hazardous substances.
Employees who are injured, become ill, or develop signs or symptoms due to
possible overexposure must also be included in the program. The primary
purpose of a medical surveillance program is to assess and monitor a
worker's health before employment as well as during the course of
employment. The program also should include procedures for emergency
, and non-emergency medical treatment and for maintenance of accurate
records for future reference.
-Lesson Focus
This lesson focuses on the following topics: - -• Developing a Site-Specific
Medical Program
• Medical Surveillance
• Treatment
• Record Keeping
• Program Review
-Developing a Site-Specific Medical Program - -A medical program should be
individually planned for each site based on specific needs, location, and
potential exposures of employees at the site. A qualified physician with
experience in occupational health services must direct the medical program.
When developing an individual program the following things should be taken
into consideration.
• Site conditions
• Monitoring the needs of each worker
• Routine job tasks
A medical plan shall identify toxic substances (examples include asbestos,
heavy metals, and herbicides) and recognize the limitations of occupational
medical tests. For example, most lab tests are based on the presence of
specific identifiable toxic chemicals and may not be totally appropriate for
hazardous waste sites where numerous chemicals are present. Low-level
exposures to several chemicals can be worse than a high-level exposure to
one chemical. Another factor to take into consideration is that risk can vary
for individuals depending on factors such as age, weight, and off-site
exposures.
A site-specific medical program must provide the following components.
• Medical surveillance of each employee
• Treatment
• Recordkeeping
• Program review
-Medical Surveillance - -Medical surveillance shall consist of pre-
employment screening as well as occupational and medical history (prior
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