Document DGmxw48Bz1KnRLqr7YGd22GmM

35896 RULES AND REGULATIONS draws from possible contact with vinyl tion which contradicts or detracts from (111 The number of employees in each chloride. <6> Laboratory analyses for all bio logical specimens Included in medical examinations shall be performed in labo ratories licensed under 42 CTR Part 74. <7) If the examining physician deter the effect of. any required warning, information or instruction. (m> RceoQlir All records main tained 8^ccoraanc with this section shall lnjjluflg the name and ngtpial aacu- rity number of each employee where regulated area during normal operations, including maintenance. (2) Emergencies., and the facts obtainabie at that time, shall be ypnrtivt within. 24 hours to the OSHA Area Di rector,Upon request of the Area Dircc- > mines that alternative medical examina Relevant. tor, ine employer shall submit additional tions to those required by paragraph (2> Records of required monitoring Information in writing relevant to the , ik)(l) of this section will provide at and measuring, medical records, and au nature and extent of employee exposures least equal assurance of detecting med thorized personnel rosters, shall be made and measures taken to prevent future ical conditions pertinent to the exposure and shall be available upon request for emergencies of similar nature. j to Vinyl chloride. Use employer may ac cept such alternative examinations as examination and copying to authorized representatives of the Assistant Secre (3) Yflth<>-> ic paying days following any monitoring and measuring which i i meeting the requirements of paragraph tary and the Director. discloses that any employee has boon ! GO (1) of this section, if the employer (i) Monitoring and measuring records exposed, without regard to the use of < obtains a statement from the examining physician setting forth the alternative examinations and the rationale for sub stitution. This statement shall be avail able upon request for ^examination and shall: tA> State the date of such monitor ing and measuring and the concentra tions determined and Identify the Instru ments and methods used: respirators in excess of the permissible i apcpoBure"limit, earh such employee Shn3r* > be notified in writing or me results of ` the exposure measurement and the steia copying to authorised representatives of (B) Include any additional Informa being taken to reduce the exposure to the Assistant Secretary and the Director. tion necessary to determine individual within the permissible cxPoaure~iiTr.it. (1) Signs andjupcls. tl> Entrances to regulated fti'eSS'shafTbc posted with leg ible signs bearing the legend: Ciwen-Siwicr Aotnt Am Acthosteed Personnel Onlt (2) Areas containing hazardous oper ations or where an emergency currently axlsts shall be posted with legible signs bearing the legend: Cxucct-Scbtect Agent in Tni Asea Paortc- employee exposures where such expo sures are determined by means other than individual monitoring of employees; and (C) Be maintained for not less than 30 years. Qi) Authorized personnel rosters shall be maintained for not less than 30 years. Oil) Medical records shall be main tained for the duration ftf tf1** ffmplav* ment of each emolnwa mus 20 years, <o) Effective dates. (1) Until Jsmi- ary 1, TB75, the provisions currently set forth In I 1910.93q of this Fart shall apply. (2) Effective January 1,1975. the pro visions set forth in S 1910.S3q ofthis Part shall apply. A--Appendix ^cpniMiKTAiii Medical Information TJVT JJoOIJ'AIENT REQt'IBES AUTHORIZED PnMXmii Own t3) Containers of potyvinyl chloride resin waste from reactors or other waste contaminated with vinyl chloride shall be legibly labeled: or years, whichever fr longer. (3) In the event that the employer ceases to do business and there is no successor to receive and retain his rec ords for the prescribed period, these rec ords shall be transmitted by registered When required tests under paragraph (k) (i) of this section aborr ebaorznfclKif. the tests should be repeated as soon as prac ticable, preferably within X to 4 verbs. If tests remain abnormal, consideration should be given to withdrawal of the employee irorn contact with vinyl chloride, while a more Contaminated with Vinyl Chloride CAXcnt-BosrecT Abeht (4) Containers of polyvinyl chloride shall be legibly labeled: Polyvinyl Chloride (rm TUaoc Hams] Contains VlNTL CKLQI1SSK mail to the Director, and each employee comprehensive examination is made. Individually notified In writing of this' Additional tests which may be useful: transfer. (41 Employees or their designated representatives shall be provided access to examine and copy records of required monitoring and measuring. A. For kidney dysfunction: urine examina tion far albumin, red blood cells, and ex foliative abnormal cell*. B. Pulmonary system: Forced vital eorvtcIty. Forced expiratory volume at 2 second, and chest roentgenogram (posterior-anterior. (5) Former employees shall be pro ' 14 x 11 Inches). Vinyl Cklorwz is a Cancer-Suspect Aoekt vided access to examine and copy re C. Additional serum tests: Lactic acid de fg) Containers of vinyl chloride shall be legibly labeled either; (l) Vznte Culorxbe EXTREMELY FLAMMABLE OaS UMDS PRESSURE CANcix-SuTpncr Agent or (li> In accordance with 49 CFR Part 173. Subpart H. with the additional quired monitoring and measuring records reflecting their own exposures. (6) Upon written request of any em ployee, a copy of the medical record of that employee shall be furnished to any physician designated by the employee. (n) (l) Not later than X rhonth niter Ene establishment of a reg ulated area, the following information hydrogenase, lactic acid dehydrogenate Isoenzyme, protein determination, and protein electrophoresis. D. For a more comprehensive examination on repeated abnormal serum testa: Hepatitis S antigen, and liver scanning. (Sees, a and a, 44 6tat. IMS, ISPS (2P U.8.C. 6S5. 667); Secretary of Labor's Order Mo. 12-71, SG FB 8164) legends: shall be reported to the OSHA Area Di Signed at Washington, D.C., this 1st Canclk-Susfeci Agent applied near the labor or placard. <> No statement shall appear on or rector. Any changes to such Information shall be reported within 15 days. ' (1) The address and location of each establishment which has one or more day of October, 1B74. John Siender, 'Asafefcmf Secretary of Labor. near any required sign, label or instruc regulated areas: and {FR DOC,74-33174 Filed 10-1-74:3:64 pm] ' FEDEKAL EEGISTM, VOl. 39. NO. 194--*UDAY, OCTOftEt 4, 1474 AP000I5252 CHEMICALS GROUP Five Executive Mall, Swedesford Hoad, Wayne, Pa. 19037 12 November 1974 Dr. Marvin Kuschner Professor & Chairman Department of Pathology State University of New York S. Campus Health Science Center Building 6, Room 133 Stoneybrook, New York 11790 Dear Dr. Kuschner: I have attached for your review, prior to our meeting in Trexlertown. Monday afternoon, a proposed agenda that was worked out by Mr. Leonard Ball, our Corporate Safety Director, following Martin Spurlock's visit week before last. I am also attaching a letter from H. W. Smith in Len's Department, outlining a diagram of one possible flow of examination routine. We would like to finalize the agenda with you Munday, prior to the Tuesday meeting with the doctors. I understand, from Martin Spurlock, that there is in existence, a record form agreed upon by Drs. Blalock and Beidleman but that it is not in use. Perhaps we should have this as a starter on the agenda also. We have scheduled our MID (computer) people to be with us Wednesday. By then we hope to have resolved what examination will be made, what records we will keep, and the inodes of recall desired.I I look forward to meeting you Monday afternoon around 1:00 P.M. in Mr. Len Ball's office at crur Trexlertown headquarters and working with you again. Sincerely HLW:heg Attachments Administrative Manager - Manufacturing bcc: A. R. Adams T. L. Carey R. Fleming J. T. Sebastianelli H. W. Smith E. M. Spurlock APOOOf5253 A and C&&nucai. n&v&i To From INTEROFFICE MEMORANDUM M. Spurlock/H. Watson H. W. Smith ri&^=-lVSiU , y/ pfltg^<;November 4, 1974 : '^Subject FVC Physical Examinations_______ H. L V/AT50N ___________________________________ Valley Forge (Location, Organization, or Department) Safety - Trexlertown (Location, Organization, or Department} Attached, is a flow diagram of the PVC physical examinations with the laboratory work included. This model is taken from Dr. Hyman's work and is intended as a guide only. Dr. Kiischner will have to give his approval and modifications as necessary. Your approval of this model is required for insertion into the program on November 19th and 20th. May I please have your immediate comments. //*-' dhd (320) AP00015254 AP00015255 Employee Physician's ~~K Urinalysis Medical Exam. | 1. 2. 3. Color Appearance Specific Gravity 4. Reaction PH Ray J i. Chest 2. Back (New Hire) 3. Hands 4. Feet ipecia Tost)- Blood Work 3 1. Hearing (Now Hire) 1. Total Protein .2. E1 ectrocard i og ram 2 Albumin 3. Pulmonary Function 3. Globulin 4. Liver Scan 4. A/G Ratio 5. Female Internal 5. Bilirubin Total 6. Mammography 6. SGO-Transaminase 7* Sigmoidoscopy 7. Total LDH 8. Phosphatase-Alkaline 9. Calcium 10. Phosphorus-Inorganic 11. Glucose 12. Cholesterol, Total 13. Uric Acid 14. Urea Nitrogen 15. 5GP-Transaminase 16. Platelet Count 17. Gamma Glut. Transpep. 2|. Red BIood Cells 22. HemogIob1n 23. Hematocrit 24. MCY 23. MCH 26. MCHC 27. Differential Neutrophils, Band Neutrophlle. Segmented Lymphocytes Monocytes Eosinophiles BasopM les Platelets Morphology 23. Am!noIaevu11nfc Acid PROPOSED AGENDA FOR MEETING WITH CONSULTING PHYSICIANS Purpose of Meeting To review as may be necessary the medical requirements for employees who may be exposed to vinyl chloride monomer; to establish a protocat for a continuing health surveillance program for these employees. The protocal must consider the employee from time of employment throughout his working career with the company. The protocal must also be compatable with the company's Intent to computerize each employee's medical history. 1. Medical record form - It is suggested that the forms now being used at Pace and Calvert City be used as a point of departure. Specific minimum examination requirements should be established for a. pre employment or pre assignment b. six (6) months (employees with 10 years or more exposure) c. annual (employees with less than 10 years exposure) d. employees exposed to an emergency 2. Are any special requirements needed because of sex or race?-. 3. What values are to be considered normal? 4. Are there any special neurological requirements or problems? Coordination between the Consultant and the Contract Physicians. Handling of medical information obtained as a result of the medical sur veillance program that may not be pertinent to purpose of the program but may be of concern to the employee. 1. Release of information to the employee 2. Release of report to the employee's private physician AP0bbi5256 Proposed Agenda for Meeting with Consulting Physicians ... Page 2 E. Confidentiality of records - It Is requested that our Medical Con sultant recommend the proper handling, storage and use of the medical Information gathered by this program to insure the appropriate degree of privacy for the employee while obtaining the necessary Information for employee's health and safety, and federal regulations. APOOOf5257