Document 91BovNZm7beEgzmQpB65k1vL3

FILE NAME: TILO (TIL) DATE: 1967 Dec 18 DOC#: TIL002 DOCUMENT DESCRIPTION: Recommended Medical Practices with Liberty Mutual Cover Letter 1 10 HMlM faU*r n M , J to v Y o rk , 1 DtOtawvr *w *7wf Mr Xtlaoab ft, Balear, Portonoel Mroctor Tilo Coapany, Inc. 3^7 longbrook Atoana Stratford Connaetieat Bear Mr Boleara Wa rooontl? m i n a d rdth. yrm tha aodletl *rr*n*aoato Por /erar Tilo plant Oar f!ndia*a to data and ronnanandatlom raattltlaf ara aatllaod 1a tha attaohad reporta SaalotUp'oar raon-- anditlona ara la 3 trota - a procrea of aadleal anrawtnatlona aolootloa of t phpololaa a fonuliaod ilrtt aid procraa It la gur falie that, la ardor to fnrthar daflaa th* diraetino adleal octrola thcrald ttka, anviromactal atndlaa be oda te idontify aoepoonro lavla la peor prodootloa oparatlon* Onoa theae ara dona w ota thn dofla apaoifioaUy tha aoopa of tha aadtool aglnatlon procraa At tha and of tha attaohad raport la a brlaf diaeraaalxm of aodloal frrico* for peor diatrlbutlon oantara. -*-+yJ^ t* V* Oonoldaon, M.D oirlaloa ModLool biraotor Tota Prarentioa Mad Dopt JVBapa oot SMtt B. Tboopaoa, Troaldant B, Oadxrlok, Vioo-Proaidoat T, J* PLoeiollf Oaaoral Hfr. of Kff Jaaaa M. Kadttllta, M0. . Madlaal DlraOtor^ Pan! 0 Stdoklar, Mantear laaaraaoa A Raal Batata Bapt. I I N I fl V N H l I I M U I U I M U I I i llillfV I l f i i l f l l f lilM Aflfl ! * M*MI >1)111: la ilM RMC4500200001981 I / '3 medical mom This reooe*nd*tion is made 1m full knowledge ef the high turnover rata. It hii bean our aocperlance that a medical examination program oftan oontrola high turnover by eliminating from eaplojmant thoaa individuals 1iho are obviously unsuited for tho vork available. This recommendation to initiate pre-placement medical examinations Is baaod on tha following* Ths nature of the vork. Many of the Jobs require considerable heavy labor* Careful selection is indicated to insure that Individuals vlth Inadequate physical abilities are not placed la these Jobs* This Is particularly important la relation to tho back* which has beecmt such a significant, costly faster la todays Workmen's Compensation experience* Asbestos is utilised la your product. Only recently has the true signifioanoe of the asbestosl* hazard been reoognlsed* While only e few of your employee# ere la close sppwodmatloa to these operations abidance la accumulating that only a slight cposure* even at some distance can be potentially haaardeus* It's particularly Important that Individuals with prior respiratory difficulty be excluded from euoh eaposures. Moving equipment and vehicles ere in operation in the plant* Operators ere not evaluated es to visual ability or other conditions whleh might interfere with coordination and ultimata safety* Other materials used in production - such es asphalt* mica* trichlorethylene* represent potential hazards to individuals with pre-aodstlag disabilities or susoeptibilitles The recent liberalization of Connaotlcut Workmen's Compen sation Lava* This further emphasises the need for more oareful employee selection. Prior knowledge of an employee# physical condition will be mandatory if unjustified olaims for disabilities or aggravations are to be .controverted* The lnednilcn of a Second Injury Statute will offer oon*Identic protection to employers in appropriate eases . but prior knowledge of the health status of ths employe* will be needed to qualify for relief. If and when e dcetslcm is made to institute pre-plaoanent mediocl examinations then the appropriate soope of tho examination can be defined* likewise* the soope and froqunoy of re eramlnation in selected drcumstanoem oan be out lined* RMC45000200001982 2 SELECTION OF A PHYSICIAN The most effective results can be realized ban one physician is given the responsibility for all aspects of the Tilo medical service* In this approach coordination is attained and manageaeut has avail able a nodical advisor for any related problem vhieh may arise. The physician'a responsibilities would include carrying out tha nedioal xaulnations, treating niaor compensation cases, supervising the first aid program and consulting with oanagaaant The recently emended Connecticut Workmen's Compensation lew gives employee* free choice in seleotlng a treating physician. However, management has the right to send them to the physician of manage ments choice for the initial emergency treatment (when a designated company physician aodets). By having their cm physiols one who Is known to the employees from parlor contests It should be possible to inflnenoe continuing osre of ths osse by this physician. Th% 1 turn, should naan better oontrol of lest time and costs Since the plant population is not large enough to necessitate in-plant physician visits arrangements should be aade with a physician la ths near aslghborbood. Any physiols selected should, of course, tour the plant mid learn Its operations. FIRST AID PROGRAM Present plant else does not justify e full time Dwplent nurse. (Although certainly a part time nurse could be well utilized). Any further increase in population would, however, re-open oonseratloa of this possibility. At present there Is no formal first aid program* The individual currently giving the bulk of the oare has had no trsdndng* So reoordy f treatment are kept. It lQfiSeoommended that one individual (with an Alternate) bo given ourrsnt training (Red Cross) and then assigned respon sibility for ell first old oare, for eaoh shift. Complete entries for all treatments given, properly signed, are needed if future protection for legal reasons Is m r needed* RMC45000200001983 3 ssm m m sssm At present apparently no evaluation of any kind Is ned* of applicants to* positions at these locations. This would seen particularly significant In placing individuals in the Job of mechanic. In previo correspondence yon ware provided with sample screening fon forwe in suoh situations. This approacheouLd certainly he oonsidered botter than no attempt at all to evaluate prospective employees. Bat it should never be forgotten that physical examinations represent the only meaningful medical approach to control of tha workmen1a compensation experience. The growing liberalisation of workmen's compensation laws* and the opportunity for relief under seoond injury statutes emph* aixe the importaaoe of adopting this ooridentica w soon as possible. RMC45000200001984