Document 6ReyBz2739g8waXkQBb0X3mp3

Shell Oil Company Interoffice Memorandum 'OCfOBER 6, 1986 FROM P. J. SNYDER TO S. A. BERGMAN, M.D 5. R. COWLES, M.D. /R. E. GREEN R. S. MARNOY, M.D. D. S. MC CRAW J. D. RANSDELL C. E. ROSS, D.O. SUBJECT: MINUTES OF THE OCCUPATIONAL HEALTH PROGRAM COORDINATION (OHPC) MEETING An OHPC meeting was held on September 29, 1986. Present were: Regular Attendees: S. R. Cowles, M.D. R. E. Green R. S. Marnoy, M.D. A sumnary follows. D. S. McCraw C. E. Ross, D.O. P. J. Snyder /-a n 3 BT8627902 LAM 025955 ASs~Q06Q7q 2 Asbestos Medical Surveillance Corporate Medical is preparing guidance on implementing the medical sur veillance requirements of the revised asbestos standard (to be issued in October). A question exists over whether medical surveillance is required for individuals who use respiratory protection. P. J. Snyder PJS:bjd Attachment cc: A. D. Ditmar R. E. Joyner, M.O. H. L. Kusnetz BT8627902 1 LAM 025956 ftBS-00698 SM-32.<ASV. 3-78) DRAFT Shell Oil Company Interoffice Memp^andum OCTOBER 6, 1986 FROM: SR. INDUSTRIAL HYGIENIST, HEALTH & SAFETY, MFG. & TECH. TO: MANAGER, INFORMATION SERVICES, HS&E SUBJECT: SMR FOR TRACKING PARTICIPATION IN MEDICAL SURVEILLANCE PROGRAMS Per our recent discussions, the following information is offered for your use in developing the proposed computer report on SMSP (Special Medical Surveillance Program) participation. Problem Definition Present reliance on each line manager to identify employees who should be added to a SMSP based on prior I.H. assessments of job exposure potential has not always assured compliance. Eligibility for medical surveillance is often reached after an employee has worked in one or more qualifying jobs for more than 30 days. Certain medical programs may vary from this 30 day criteria and be as long as one year (the exception). Since this is a cumulative total for a year, the identification of eligible maintenance personnel can represent additional administrative difficulties. Locations generally acknowledge that the use of a computer report which flags such employees would facilitate compliance and assist in self-auditing. Databases To Be Accessed LAM 025957 A. Health Surveillance System Employee assignments are presently tracked by locations with hours worked recorded for each JEP (Job Exposure Profile). It is proposed that JEP's which qualify for medical surveillance will be appro priately coded ^S-00698.1 BT8624506 * DRAFT 2 I'nis database should allow the identification of any em ployees who has worked for more than 30 days in one or more designated jobs. A table will be compiled identifying what criteria to use for each location. B. Medical Records Database Employee medical exams are computerized by Corporate Medical after a location identifies what exam program(s) an employee is in. Each exam received by Corporate Medical is individually coded, e.g. Two Digit Exam Type Code Silica (Sandblasters) 07 Asbestos 01 Additionally, the exam type code is being expanded by two (2) digits to reflect the reason for the exam. The following is illustrative: A-l Exam required based on exposure data analysis A-2 Exam required based on significant exposure A-3 Exam required based on job assignment B Exam required based on past assignment C Not otherwise classified LAM 025958 BT8624506 ^-006982 1 DRAFT 3 To maintain confidentiality of the medical record, only employee name, number, and exam date is to be retrieved. Proposed Report(s) The following reports would be generated from data extracted from each file. Report frequency would be monthly/quarterly and generated either at Head Office or at a manufacturing location. Employees presently assigned to designated JEP(s) Provide a listing of employees presently assigned to JEPs coded to a particular SMSP, i.e. 910,001 (example #1). or Provide a listing of employees who have been assigned to specific. JEP's for more than (30) days in the last year (proposed audiometric testing report). Employees to be added to a specific SMSP Provide a listing of employees who have been assigned to JEPs coded to a particular SMSP for more than a specified cumulative number of days and have not had the required corresponding exam in the previous 12 months (example #2). Typically this threshold will be 30 days; however, on the exception basis a different number of days may be specified. Issues lam 025959 1. As medical exams are not mandatory, employees may waive program par ticipation. Such waivers are documented in their medical files. Unless such employees are considered in the reporting scheme, they will appear on the report in example #2 repeatedly. A mechanism should be available to identify those employees who have appeared on the list repeatedly (enter date of refusal with asterisk for example). BT8624506 aBS-006983 DRAFT 4 2. Employees who enter exam programs generally are not removed because of changes in assignment or exposure (i.e., once in, always in). Any change to this approach is anticipated ot be program specific. Pro gram design should allow for this future feature. Please advise as to what timing can be expected for the development of this program. P. J. Snyder PJSibjd Attachment cc: S. A. Bergman, M.D. A. D. Ditmar R. E. Green BT8624506 LAM 025960 ABS-006984 *