Document ExDBEwX6vxkk6QzyVb377RaZ0

-Vl REFERENCE SHELL OIL COMPANY REFINERY MANAGERS ANACORTES> HOUSTON / ODESSA/CINIZA WILMINGTON MARTINEZ WOOD RIVER NORCO / date MARCH 2, 1973 FROM GENERAL MANAGER REFINING HEAD OFFICE subject OSHA ASBESTOS STANDARD MEDICAL EXAMINATIONS 'l~ iYqJ--~ Further to the General Manager Refining's memorandums of August 7, 1972, and September 14, 1972, concerning the Occupational Safety and Health finistration (OSHA) asbestos standard. Dr. R. E. Joyner, Medical Director, t*ntly issued the attached memorandum supplementing his previous cor respondence concerning medical examinations for insulators. Although most locations have completed the initial examinations, the revised examination criteria should be included in all future physical examinations. If there are any questions concerning the revised medical examination criteria, please advise Manufacturing Engineering. yt? --- G. Kolzman Attachment cc - Shell Oil Company Public Affairs - Medical Director Occupational Safety and Health - Manager Manufacturing Engineering - Manager Manufacturing Operations - Mr. R. H. Tubman Ciniza Refinery - Superintendent Shell Chemical Company General Manager - Manufacturing and Distribution DPMC-00388 LAM 006876 SHELL OIL COMPANY SEE ATTACHED LIST DATE FEBRUARY 2, 1973 erom MEDICAL DIRECTOR subject 0SHA ASBESTOS STANDARD MEDICAL EXAMINATION The following recommendations are offered to supplement previous correspondence on the above subject: 1. The form supplied by my office for use in asbestos examinations should be corrected as follows: Under Section V - Clinical Examination: -------- the phrase "when indicated" should be deleted from the form, i.e., it is my recommendation that all employees having the history, spirometry and chest x-ray should also have a clinical examination, such as would ordinarily be performed for pre-employment purposes. 2. A copy of the examination record should be forwarded to my office, where a centralized file on all OSHA-required medical examina tions has been established. This file will enable me to study corporate-wide experience, as well as insure compliance with the 20-year retention clause. Attachment R. E. Joyner, M.D Medical Director DPMC-00389 LAM 006877 iri=eai - Snell . ' . e i .j-'O i 1 Company C7j Cr.ill Chemical Company I 1' Shell Development Company 1 I Preplaceaent l I Annual l I Termination 1 I Other Employee ___________________ No. ________________ Date Location ___________________ Pursuant to C-SHA Regulations published in the Federal Register (37 F.R. 11318), the following procedures were performed on the above-named employee: I. KSDICAL HISTORY: (Please check Ye6 or Ho) 1. Rave you had shortness of breath in the past few months? 2. Dees your shortness cf breath make you stop for breath after climbing one flight cf stairs? 3. Does shortness of breath interfere with your work? b. Does shortness of breath ever awaken you from sleep? 5. Does shortness of breath ever occur at rest? 6. Do you have to sleep on several pillows at night in order to bresthe eesily? YKS . HQ, .7- Do you have a bothersome cough nearly every day? 8 Is your cough mainly on lying down? .9. Is your cough mainly on arising in the morning? 10 Is your cough about the same all through the day? .11 Do you cough up yellowish cr greenish sputum? .12 Have you coughed up blood within the past six months? 13. Do you think the blood came from your nose, threat, or chest? (Circle one) lb. Are you frequently aware of whistling or wheezing when you breathe? 15. Has a Doctor ever said you have emphysema? 16. Do you get frequent chest colds? ,YES Kf P.emark6: Employee's Signature If. SPIROMETRY: nt. ________ wt. _________ Age ________ Predicted Vital Capacity Measured Vital Capacity , which is % cf Predicted Vital Capacity Forced Exp. Vol. {l second), which is of Measured Vital Capacity III. CHmS'd X-RAY: Date ____________ Where performed? '.'here is film filed? Result: (Attach reading of chest ::~ray.) Remarks: EV. History and test results above do not show evidence of chronic respiratory disease. nm Marginal findings. Recommend follow-up as noted below. . 1--! Recommend immediate further study as noted below. 1.. i Employee may wear respirator. 1--i Employee should not wear respirator. Remarks: Physician's name (print) Physician's signature Date V. CtluICAL EXAMI.'.'ATICI?: (when indicated) - (Attach report of examination), VI. ADJITIC.VAL PROCEDURES, REMARKS , ETC. Signature DPMC-00390 LAM 006878