Document 8R6NeN08ZE05OpYnw1nppJnKK

March 29, 1973 Industrial Relations Bulletin Draft Sublet: Medical Examinations for Bqployes Exposed to Asbestos She Ohltod States Department of labor under the authority of the Occupational Safety and Health Act of 1970 promulgated occupational health standards for employes and employers using asbestos or asbestos laden anterials. These standards are published in the Federal Register dated October IB, 1972 (Section 1910.93a, pages . 22lk2 to fSSM). Subparagraph J page 22lkk outlines medical responsibilities of the employer. Plant Medical Departments vlll Implement the provisions of subparagraph j to all employes required to participate In the Installation or removal of asbestos or asbestos laden material, and to all other employes Identified by the Industrial Hygiene Section, Bsplpye Health Services Department, eagosed to asbestos fibers in excess of the current 03HA &*hour tlzae-weighted Threshold Limit Value of 5 fibers greater than 9 microns in length per milliliter of air and/or the peak TVf of 10 fibers greater than 9 microns In length per milliliter of air. Plant Industrial Relations will furnish the Plant Medical Department vith the names and identification msabers of the affected etqployes. The purpose of these examinations is directed toward early detection of respiratory impairment, asbestosis, mesothelioma, and pulmonary and bronchogenic carcinoma, for which asbestos workers have an Increased risk. The Plant siclan will conduct pro-employment, annual, end termination medical examinations on the employee specified in the above paragraph. Pre-employment physical examinations will be given prior to any occupational eaQJoeure to asbestos. The annual physical examination will be scheduled on receipt of this bulletin and re scheduled annually cm or before the anniversary date of this examination. The termination examination will be given on the termination date if possible or within 30 days of termination. If the employe terminates without notice, he shall be notified BOOS 0804 PRODUCED BY FORD SCF-FORD-1024 DRA7T March 29, 1973 Page 2 of his examination appointment by registered mail and a oopy of the letter and receipt maintained in hie medical Jacket In lieu of the examination report. The hove examinations viU consist of thorough history and/or neoplasia, and examination to dotemine prior or existing pulmonary Impairment, a posterioranterior lV x 17" chest roentgenogram, pulmonary function tests to include forced vital capacity and forced expiratory volume at one second, end a history to elicit any prior exposure to asbestos; pneumoconiosis, fibrogenic-produelng dusts; tobacco smoking; and occupational eaqposure to known carcinogens. The Plant Medical Department shall insure that records of the above examinations arc maintained for a minimum of 2D years sfter the final physical examination for each esploye. Subparagraph J, Section 191D.93& states that thcoc records shall be available upon request to representatives of the Assistant Secretary of labor for Occupational Safety and Health, representatives .of the Director of the national Institute of Occupational Safety and Health, and the employe or his physician, then a request of this nature is received, the Ocapany Medical Director shall be notified. If equipment or personnel are not available at the plant to carry out the required physical examination, a determination made in concert with the Company Medical Administrator should be made of the economic feasibility of purchasing equipment or using consultant services. 8005 0805 PRODUCED BY FORD