Document BVv6OK7kJnM8XBngLq7zNq8

\ () CCM3QUDATI0M OF PHYSICAL EXAMINATION PROGRAMS IK ISHSOMNBL DBPARTHBMT On September 27, 1951, a meeting was held in the Refinery Superintendent fs office for the purpose of discussing the general subject of toxicity of agricultural products and the physical examination program established to protect employees work ing with the toxicants against overexposure. The notes of this discussion are attached (Exhibit A), As indicated in the notes covering the September 27, 1951, discussion, Mr, Barton expressed the opinion that the various special medical programs in effect at the refinery should be consolidated and handled by a central body, preferably the Personnel Department, The details of working out a tentative procedure were dele gated to the departmental representatives in attendance. With reference to the physical examination program as outlined in Head Office Personnel's letter dated June 8, 1951, under the subject "Physical Examina tion Employees Handling CBP-55 and OS-1199n and later supplemented by Head Office Personnel's letter dated August 29, 1951, the following procedure has been developed to provide the machinery necessary for maintaining proper records and adequate X. controls. Upon the recoamendation of Dr, Hine all employees- working in the- following occupations at the locations indicated should receive an Initial physical examina tion at which time a complete blood count and urinalysis should be made, u- 1, Compounders working on second flc of Insecticide Plant B.G. Price L,J, Pereira, Jr. C. Shrubsall Blender A Blender B and A relief Blander B relief 2, Fillers at the Insecticide Plant H.A. Poster G. Morgan C. Jones BiJ. Winner C. Hughey DJI. Rivera Package Handler A (Pillar) Package Handler A (Filler) Package Handler A (Filler) Package Handler A (Filler} Package Handler A (Filler) Package Handler A (Filler) 3, Fillers at the light Oil Pilling filling insecticide containers Gordon Ferreira C, Agostino Sub Foreman Package Handler A (Filler) Form (Exhibit B) has been developed to record the incidence of exposure arri material to which the employee was exposed. This record- is to be submitted to the Personnel Department on a monthly basis. The data contained on this report is posted to the individual employee's record (Exhibit C) and it will be this stannary sheet which will indicate whether the employee has received significant contact to warrant a re-examination three months after the initial examination. Subsequent examinations, if warranted, will be made st six month intervals. The following forms have been designed by Dr, Hine for use in this program. Copies are attached. ABS-044337 1* Fora I - Occupational History This form is to be completed before the employee is sent to the physician for initial examination and a copy given to the ancanrin-ing physician for bis Information. 2. Fora II ~ Physician's Report of Examination This fora is similar to our standard physical examination report but has been expanded to include additional information believed necessary for the purpose of this program* 3* Fora IH - Special Re^exandnation This fora is to be used to record the results of the periodic re examinations. It aay also be used in the event a sudden acute exposure or suspected chronic exposure necessitates referral to the physician* 4* Form IV A - Complete Blood Count (a) A complete blood test nov is required only at time of the initial examination, the three month re-examination and the final examina tion when the employee ceases handling the products* (b) At the six month Interval re-examination, the hemoglobin and white blood -count laboratory tests only need be performed, (o) If the;doctor or laboratory TMlHng the blood test does not have the equipment for the "album!n/globln ratio*, a "BSP liver function test* idll be acceptable* I 5. Fora IV B - Urinalysis Dr* HLne indicated that the urinalysis need only be performed at time of initial examination, three month re-exam! nation and thereafter to coin cide with the six month check* This test should also be performed in conjunction with the final examination* The above forms should be prepared in triplicate and the original of each form sent to Dr. C.H. Blue, c/o Dr* K*R* Edlund, Shell Development Company, Emeryville, California* The duplicate copy is to be retained by Personnel and the triplicate held by the physician for future reference* Dr* Bine stated that wherever practical initial examinations should be given employees prior to their transfer Into an assignment requiring them to cone in contact with the toxicants* Therefore, to accaaqjllsh this objective, it will be the responsibility of the department concerned to give the Personnel Department adequate notice of any proposed change in personnel working with the toxic materials in order that arrangements may be made for scheduling the required physical examina tion* It will also be the responsibility of departments concerned to advise Personnel of employees no longer exposed to these toxicants in order that final examinations may be scheduled. All physical examinations will be performed by Drs. Coates and Bradshaw and the MTHng for such services will bo directed to the Personnel Department for review before approving for payment* At the suggestion of Dr* Hine, the blood count anri urinalysis examinations will be made Initially by the Shell Development nurse at the refinery First Aid dispensary. Subsequent sampling will be performed by the refinery First Aid Attendant who is a registered nurse. He will forward such samples to Emeryville, c/o Dr* Hine, for analysis until such time as he is able to perform the analytical work locally* Details of arranging for physical ABS-044338 examinations and related work id.Il be worked out between Personnel and the department concerned. In the staffing of jobs requiring employees to come in contact with these toxic materials, jjo person should be selected who has a history of tuberculosis, chronic respiratory disease, liver disease, kidney disease or chronic skin conditions, nor should persons who are alcoholics be permitted to work with these toxic substances. Any questionable case should be referred to the Personnel Department. With reference to the special physical examination required of employees in the Department associated with the blending of tetraethyl lead com pounds with gasoline^the {resent program is as follows: 1. All operators working in the ethyl blending operation, specifically the Pumper/Gauger Specials and the Zone 4 Gaugers, undergo an annual exami nation by a duPont doctor. These examinations are usually performed in August or September and arrangements are made by the Dispatching Depart ment to have the men available. A report from the examining physician is received by the Dispatching Department Manager shortly after the examinations and indicates thereon the employees approved for continued work in this activity. 2. Employees transferred to either a Pumper/G&uger Special or Zone 4 Gauger position should receive an examination either before reporting for. duty or imaediately thereafter. This examination should be made by either Dr. Coates or Dr. Bradshaw as they are familiar with the requirement In consolidating this program with the other medical plans in the Personnel Department, it will henceforth be the responsibility of the Dispatching group to advise the former department of employees requiring interim examinations and also those employees who should receive examinations at the annual affair. All correspondence and record keeping will be handled by Personnel. In connection with the special physical examinations required of employees working with radioactive isotopes. Dr. Hine, in hie letter of January 29, 1951, to Dr. W.A. Bailey, suggested the following program: 1. An initial physical examination including a chest x-ray. The physical examination could be carried out at Emeryville according to Dr. Bine while the x-ray could be taken locally (Drs. Coates and Bradshaw). 2. Physical examinations to be repeated at six month intervals. 3. Blood examinations at three intervals to be performed locally (Drs. Coates and Bradshaw) with the request that a white blood count and differential count be performed. A copy of the results obtained should be forwarded to Emeryville for! retention in their files. 4. Dr. Bine strongly advised the establishment of a film badge service as protection to employees and also to comply with legislation. Arrangements were made with the Industrial Health and Hygiene Associates, 2380 Ellsworth Street, Berkeley, to provide the service. Badge films are to be forwarded at weekly intervals to the service which will make a monthly report as to the amount of exposure the individual was subjected to as well as other pertinent information. The program suggested by Dr. Bine was adopted and has been in operation since February, 1951. ABS-044339 Under the proposed arrangement where all medical programs would be cen tralized in the Personnel Department, it will be the responsibility of the Research Department to submit on a monthly basis certain data as to incidence of exposure of those employees working with radioactive isotopes* This infornetion can be reported on a form developed far this purpose - (Exhibit B). The Research group will continue as in the past to send the exposed badge films to the badge service company at weekly intervals* Their report should be directed to the refinery Personnel Depart ment for review and discussion with the interested parties in the Research group* OCTOBER 30, 1951 ABS-044340 r O < o 3t Ptaaao> pPooa] IS Hp Po 3 <taox4)> n Jo(OUg* &i g <OH0 to 00 O 34Q"0. ^O3 41 CHQ <o VOi 4J a* OVx ap) B3 tO Q T* Pa) a GaJ APVi 8 *r+ P pOflHS aOO a v--oH Q 41 P J* L is t in reverse chronologioal order. Give past fiv e years only unless p rio r to fiv e years involved exposure to in d u s tria l hazards (dust, chemical, fumes, extremes in temperature and pressure). 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XV d V 1.3.g2 8 J'gO1*itf ^B s^s&^saso.jsS'ill SS oto) *a3> a Q> 43. a* J5 TJ +>. 3 41 ^ & 5 s8 ^H3fcioft5Q|t:(Sa. fi to o B 4 ABS-044334 Name: Date: Quantity Color Transparency Odor Reaction Specific gravity Albumin Sugar Acetone Microscopic Casts per LPF VBC per HPP RBC per HPF Crystals i Form IVB Urinalysis -- Physician's Name Street Address City and State__ ABS-044336 EXHIBIT A SUMMARY OP DISCUS3I0H PHYSICAL EXAMINATION EMPLOYEES HANDUNO CHEMICAL PRODUCTS A meeting was held in the Refinery Superintendent's office Thursday, September 27, 1951, starting at 3:20 p#au Those in attendance were: Dr. Hine, Shell Development, Emeryville, and Messrs. Barton, Blarai, Erenson and Harrison of the Martinez Refinery. Dr. Hine opened the discussion by reviewing briefly the material which has been developed on the general subject of toxicity of agricultural products by his office and the New Toxic offices of Shell Chemical Corporation and Shell Oil Company. He made specific reference to the following material, copies of which have been received at Martinez: 1. Physical Examination Employees Handling CBP-55 and OS-1199, under date of June 8, 1951* 2. Toxicity Manual Chemical Products No. 1 CHP-55 and QS-U99, under date of June 8, 1951* 3. Toxicity of Agricultural Products, First Aid and Treatment CBP-55- and OS-1199, date June 6, 1951. km Physical Examination Exqiloyees Handling Chemical Products, dated August 29, 1951* (This coiamnl cation advised that the program had been extended to include employees handling Dieldrln, Aldrin, TEPP, Toxaphene, DDT and Pentachlorophenol. Dr. Hine advised that in the company of the Safety Engineer and Mr. Lounsbury, he bad just completed a tour of the Refinery where the facilities for handling, filling and loading the agricultural toxicants are located. He remarked that from what he had observed in this brief tour that the following personnel, in his opinion, are subject to enough exposure to these toxicants to be included under the physical examination program: 1. The Compounders working oh the second floor of the Insecticide Plant. 2. All Fillers in the Insecticide Plant. 3. An Fillers at the light Oil Filling House working with the toxic insecticides. Following a lengthy discussion on whether employees transporting insecti cide containers should also be included in the program. Dr. Hine stated that he did not feel that such employees received sufficient exposure to. warrant their inclusion, at least at this time. He added if the data obtained from physical examination and laboratory work of those employees initially included under the program indicated that the program should be extended to other groups then steps would be taken to make this possible. Dr. Hine also remarked that he later may wish to recommend some changes in the refinery loading facilities, particularly in regard to drainage from equipment handling toxic material. In connection with local doctors who might be able to handle this program for us. Dr. Hine advised that Doctors Coate3 and Bradshaw have recently completed ABS-044341 -Z- physical examinations, as outlined under the program, to several eaployeas of the Shell Chemical Martinez Plant, and was confident that we would encounter no difficulties if they also handled our work* The usual fee according to Dr. Hine, for this type of examination is from $5-$10 plus laboratory fees which run about $23.00* It was agreed that the program should be instituted as soon as practical with an initial examination given to those employees working in the positions outlined earlier in the stannary* Such employees would be re-examined three months after the initial examination, providing that there was significant contact during that time. Re-examination would then occur at six month intervals. (While the specific subject was not discussed the procedural letter of June 8, 1951, states that an exit examination is given to each employee at time he ceases handling the products, unless he has been exposed for less than one month from date of last examination.) It was also concluded that employees selected to work in either the compounding or filling assignments should if at all possible receive a physical examination prior to their transfer into the group. Dr. Hine stated that he felt it desirable from a data accumulation . vieww point to have each employee concerned undergo the laboratory sample work at monthly intervals. The ensuing discussion pointed out that due to the general low level of employees in the classifications previously mentioned it might be poor psychology to schedule the laboratory work at such frequent intervals. It was concluded to obtain the laboratory samples at no more frequent Intervals than the general periodic physical examinations. In connection with the laboratory analyses which commercially amounts to approximately $23.00, it was agreed that the Emeryville nurse, experienced in taking the required samples, would visit the refinery First Aid dispensary and do the initial sampling. After observing her technique and following instructions, it was tentatively agreed that the new refinery First Aid Attendant, a registered nurse, could do all subsequent sampling and in turn forward them to Emeryville for analysis. In this connection certain laboratory apparatus will have to be purchased and Dr. Hine, at the request of Mr. Barton, stated that he would prepare an itemized listing of the equipment required and mail it to the refinery. The cost was estimated to be $150.00. In connection with the program it was agreed that certain basic records would have to be developed which would indicate the incidence of exposure far each employee working with the toxic insecticides, type of material exposed to, etc. These records would be the control far scheduling re-examinations. It was suggested by Mr. Barton that for efficient operation and to avoid duplication, these records should be maintained in the Personnel Department. The development, of the records, mechanics of reporting, etc., he stated, should be worked out between the principals involved (insecticide section of the Lubricating Oils Department, Fire and Safety Department and Personnel). In concluding the meeting Mr. Barton expressed his appreciation to Dr. Hine and extended an open invitation to him to visit the refinery whenever be could. It was agreed that whenever a batch of Bladax or other toxic material was scheduled to be processed, Evenson would contact Mr. Barton a few days in advance so he could in turn advise Dr. Hine who had previously expressed an interest in observing this operation. Meeting concluded at 4:30 p.m. October 30, 1951 ABS-044342 iKO III S?0 a> S3 l IT3 a <D 5 *> IN2<D O OQB CO r 3. IPf<f srsr t V. ) SB to a REPORTOF EMPLOYEES EXPOSED TO TOXIC HA! ________ OR RADIOACTIVE ISOTOPES |M |M A*> ltkn |o M |o> ho IS IP Is is Iff IK Iff b is IS IS n IP IP 1 IP sO Iff Iff Iff Iff iff Iff lo Ih ABS-044343 Occupation, oo w0 a ABS-044344 o C/l a so It) o <7+ X a * o> **1 a ft CO I-*- ft) GO c+ CD S' o<-( n0* (*0 o0 o* "SH o3 *p % scoo*o ABS-044345 Occupational History* L is t .in reverse chronological order. Give past fiv e years only unless p rio r to fiv e years involved exposure to in d u s tr ia l hazards (d u st, chem ical, fumes, extremes in tem perature and pressure). * n S. 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W tf ef 4 i T(PH>*OA (> w ur W4 c*- C3 VJ _ iSPb>sPc-**-f5aPJ*aoamac>*faoC* no3MWm5iMpm j-oWzHO<f<j: 3o- o-p' o <<+ CcO* -DK34 30 *C<D Oc+ CI-** >a. PB S0' CD P a n2g|g2;?gi?g:y82S,S?:? tfS pEclf S ,?. 8 p P P H* t-* O fj C+ C+ fOi a O BOH I P .8nr, .O S! o c* C o*-*.W I IHSf> IP P 5 6 B c+ ABS-044347 ,, p rae # o i tro PQ) >*-BWPT(J1JTP3 ><*F M.cM*- ~<D B cs+ ac gC scr 1i,B 5* H- fl >j M.I 0 1 oMcf* P> Oc(nC&>+**i 2 3 a ot y?5?gs?gges?S sr o"B Pc+0oMOU I(RN HA -!> pa sa & op, *< o hB* ae_ ; noo'#** ah o* SO *'.<N O. S3 _ O >(#{MMr[t-S(tf+lMp(etQaft r>"tiW*** B * 5. W pa3 ha. e-r* B/* He<aO2eDoo* u ABS-044346 I o o Name: Date: Quantity Color ! Transparency Odor Reaction Specific gravity Albumin Sugar Acetone Microscopic Casts per LPF VBC per HPF RBC per HPF Crystals . ' - J Form IVB Urinalysis o ', 1 : Physician'8 Name. Street Address__ City and State__ 1 i 1 1 1 l t ABS-044350