Document 5Do1NaXnJewxY7bNdqQZLoeg0

J-M Manufacturing Company, Inc. To: W. G. Burnett From: E. E. Wang Copies: R. K- Chi, Ann Root Subject: EMPLOYEES PHYSICAL EXAMINATIONS rea i 7 1884 Internal Correspondence Date: February 16, 1984 MAINTOPS , EXHIBIT ; `cmjic.-T.o?' After a review of the related literature/regulations, the recommended J-M employees physical examinations have been listed in Tables I-III. The plant manager will determine which physician an employee is to use. Physician(s) presently offering medical services to a plant may be used if both the location and the service efficiency suit the plant needs. In those plant locations having a company-operated medical facility, it is the responsibility of the appropriate medical personnel to main- ' tain a periodic exam file on each employee and arrange for the scheduling of the periodic exam. In those locations without medical personnel, this is an Employee Relations function. Employees who decline to take any periodic physical exam offered to them shall be required to sign a form for their medical record that they have so declined. All new employees are required to take the appropriate pre employment physical examinations. EEW/dm D 002131 SC-JMM-2605 TABLE It Recommended Medical Program for Plant A/C Pipe Workers , ITEMS SUGGESTED PRE-EMPLOYMENT EXAM PERIODIC EXAM EMPLOYMENT TERMINATION EXAM 1. History to elicit symptomatology of upper & lower respiratory and gastrointestinal diseases 2. Physical exam of the respiratory & gastrointestinal systems Yes Yes 3. 14" X17" posterior-anterior chest x-ray A. Right & left anterior oblique chest x-rays Yes Yes Annual Every 3 yr. (for those under AO yr. of age & with less than 10 yr. of exposure) Annual (for those AO yr. of age or with~> 10 yr. exposure) v Annual Every 3 Yr. Yes Yea Yes Yes 5. Pulmonary function tests to include forced vital capacity & forced expiratory volume at 1 second Yea Annual Yes 6. Rectal exam & stool guaiac test for occult blood Yes Annual Yes 7. Complete urinalysis Yes Every 2 yr. (for those No _> A5 yr. of age) 8. Complete blood count YeB Every 2 yr. (for those No j> A5 yr. of age) 9. Vision test Yes Every 2 yr. (for those No >45 yr. of age) 10. Hearing test 11. Urine drug screens Yes Yes (only when there is a concern about the potentia L for drug abuse or addiction either Kl (** n * 1 ^ - Annual No D 002132 Yes No i/vULh LLt Kecommendud Medical. Program tor Prune PVC l'ipe Workers i ITEMS SUGCESTED i I 1. Medical history to include alcohol intake; past hiatory of hepatitis; work hiatory & past exposure to potential hepatotoxic agents, including drugs & chemicals; past hiatory of blood transfusions; past history of hospitalizations PRE-EMPLOYMENT EXAM Yes PERIODIC . EXAM Annual (only when VCM cone. > action level of 0.5 ppm) EMPLOYMENT TERMINATION EXAM No 2, Complete urinalysis Yes Every 2 yr. (for those No > 45 yr. of age) 3. Complete blood count 4. Vision teat Yes Every 2 yr. (for those No > 45 yr. of age) Yes Every 2 yr. (for those No ' > 45 yr. of age) 5. Hearing test Yes Annual 6. Urine drug screens Yes (only when there is a concern about the poten tial for drug abuse or addiction eithei by history or clinical presenta tion) No 7. Detecting enlargement of liver, spleen or kidneys; or dysfunc yes (only when tion in these organs, and for abnormalities in skin, connec VCMconc. ^ action tive tissues & the pulmonary system level of 0.5 ppm) Annual (only when VCM cone. > action level of 0.5 ppm) Yea No No 8. 14" X17" posterior - anterior chest x-ray Yes Every 2 yr. (for those !> 45 yr. of age) 9. Obtaining serum specimen to determine total bilirubin; alkalin< Yes (only when VCM Annual (only when VCM phosphatase; serum glutamic oxalacetic transaminase (SGOT); cone. > action cone. > action level of serum glutamic pyruvic transaminase (SGPT); and gamma glustamyl level of 0.5 ppm) 0.5 ppm) transpeptidase D 00213.3 No No inuuu i.jt.j.uuit-ummumniu ubuicui fiugiam mi uu,j-cu worxeia vincluding Uy rersonnei, riant Ui'iice retauuuei, ana oaleu Kepresemui i t ! EMPLOYMENT j ITEMS SUGGESTED PRE-EMPLOYMENT EXAM PERIODIC EXAM TERHINATini EXAM 1. General health history questionnaire Yes No No 1 2. General physical exam Yes No No 3. 14" X17" posterior-anterior chest x-ray Optional Every 3 yr. (for those 45 yr. of age) No 4. Complete urinalysis Optional Every 3 yr. (for those ]> 45 yr. of age) No 5.. Complete blood count Optional Every 3 yr. (for those 45 yr of age) . No 6. Hearing test Optional Every 3 yr (for those > 45 yr. of age) No 7. Vision test Optional Every 3 yr. (for those 45 yr. of age) NO ' ' ooCVI Q 4 1