Document LgBbj04M9QneV2k044nV1vYeQ

PROCEEDINGS SEVENTH ANNUAL MEDICAL MEETING ' 3CCONY-VACUUM OIL COMPANY, INC., AND AFFILIATED COMPANIES NEtf YORK CITY January 22nd and 23rd, 1953 449363 CONTENTS Program List of Delegates and Guests The Meaning of Medicine to Management C, P, Beatty Introduction of Guests and New Colleagues and Brief Summary of Activities G, M Saunders, M,D, The Ose and Abuse of Antibiotics D. K, Miller, M.D. Syphilist Present-Day Concepts of Therapy and Significance of Serologic Tests Virgil Scott, M.D, Informal Discussion Period (Abstract) Discussion Periods How Much Treatment Should Ue Give! H, M, Roberts, M,D,, Moderator Panel Discussions Overweight in Relation to Illness E, P, Luongo, M,D,, W, M, Lonergan, M,D,, J, E, Mo Whorter, M0D, Same Findings on Physical Examinations at 26 Broadway R, J, Pott8, MeD, The Truck Driver and Heart Diseases A Problem M, N, Howard, M*D, Provisions and Discussion of the New Hospital-Surgical Benefit Plans R, E, Kirkpatrick The Preplacement Examinations Purpose, Procedure, laboratory Work, and Explaining Results to Subjects (Abstract) C, H, Schulte, M.D, The Periodic Re-Examinationt Purpose and Procedure; Value of Medical Records and Reports C, L, Samuelson, M,D, Some Legal Aspeots of Industrial Medical Practice H, D, Sayer 00 1 o Passe 1-2 3 4-7 u-u 15 - 23 24 25-27 28 - 35 36 - 37 38 - 39 40--44 45-46 47 - 53 54-56 449364 C<. SEVENTH ANNUAL MEDICAL MEETING SOCONY-VACUUM OIL CCMPANX, INC,, AND AFFILIATED COMPANIES JANUARY 22ND AND 23RD, 1953 Training Center, 63 Park Row New York City TVa<LTiYt JftTMnnr MORNING 9*00 Registration 9*30 The Meaning of Medicine to Management -- C, ?, Beatty, Director, Socony-Vacuum Oil Company, Inc* 9:50 Introduction of Guests and New Colleagues and Brief Summary of Activities --* G, M, Saunders, MaD,, Medical Direotor, Socony-Vacuum Oil Company, Inc, 10:10 The Use and Abuse of Antibiotios -- David K, Miller, M,D,, Head of Department of Jfedicine, Ihiversity of Buffalo, Buffalo, New York 10:50 Recess 11:00 Syphilis: Present-Day Concepts of Therapy & Significance of Serologic Tests -- Virgil Scott, M.D,, Associate Professor of fedicine, Washington University, St, Louis, Missouri 11:45 Discussion Period: How Much Treatment Should We Give? -- Moderator* H, M, Roberts, M,D., Medical Advisor, Socony* Vacuum Oil Company, Ino,, Kansas City, Missouri 22*30 -- 2*00 LUNCHEON AFTERNOON 2:00 Panel Discussion* Overweight in Relation to Illness -- Moderator: 8, P, Luongo, M,D,, Ifedical Direotor, General Pstroleum Corporation, Los Angelas, California 3:00 Soma Findings on Physical Examinations at 26 Broadway -- R, J, Potta, M,D,, Clinician, Socony-Vacuum Oil Company, Ino, 3*30 The Truck Driver and Heart Disease* A Problem -- M, N, Howard, M,D Msdical Advisor, Socony-Vacuum Oil Company, Ino,, Brooklyn and New York City 4:00 to 4*30 Provisions and Discussion of the New Hospital-Surgical Benefit Plans -- R. E, Kirkpatrick, Assistant Industrial Relations fenager, Socony-Vacuum Oil Company, Ino* -107602 449365 INTRODUCTION OF GUESTS AND NEW COLLEAGUES AND BRIEF SUiHARY OF ACTIVITIES Goorgo & Saunders, M# D, Medical Director Socony-Vacuum Oil Coop any, Inc, Introduction of guests Dr. David K. Millar From 1931 to 1937, he was engaged in medical research at the Rockefeller Institute# In 1937 he joined the faculty of the University of Buffalo School of Medicine* He presently is Professor of Medicine at the University of Buffalo and Chief of Medioine at the Meyer Memorial Hospital# His research studies have been concerned with antibiotics. Including a strain of penicillin# Dr. Virgil Scstt Dr. Scott is an Associate Professor of Medicine and Preventive Medicine & Public Health at Washington University in St* Louis# He worked at Rochester University in Rochester, New York, and at John Hop kins Hospital in Baltimore# Dr# Scott has also visited our field operations in Colombia and Venezuela# Dr. Delphin Arcila Dr* Arcila is the Medical Director of Socony-Vacuum Oil Coopery of Venezuela# Dr, A, E,, Hoag Dr. Hoag was the former Medical Director of So cory-Vacuum Oil Company, Inc. New members of Medical Department staffsi Dr. Mario Russo Dr. Russo is the Medical Director of . Socory-Vacuum Italians Dr* E Papantoniou Dr# Pspantoniou is the Medical Director of Socony-Vacuum in Greece and is from the central office in Athens# Dr# Robert J# Potts Dr. Potts is well trained in the field of internal medicine# He was the chief Medical Resident at Meyer Memorial Hos pital in Buffalo, was in the Any Medical Corps, and has done work in leprosy* Dr* Potts is an addition to our 26 Broadway staff* -8- 07603 449366 Hew members of Medical Department staffs (cont'd)i Dr C, L Sanue Isons Dr, Saiauelson is now the Medical Director of the Paulsboro Refinery and Research & Development Laboratories Medical Depart ments * Or* E* E. Hinton Dr, Hinton replaced Dr. Quinby as the Medical Director of the New England Div. in Boston* Dr J. E McWhorter Dr, McWhorter is the Medical Director for the new medical department of Socony- Vacuum Overseas Supply Compary at Fort Lee, New Jersey. Dr. Henry Selby Dr, Selby has replaced Dr, Tillinghast as the Radiologist on the 26 Broadway medical staff* New nurses on the medical staffs aret Mrs, Joan Kersak Mrs, Ruby Pantis firs, Eleanor Zar Mrs* Marlame Cavanness Mrs, Margaret Rutledge Mrs* Helen Milligan Fast Chicago Refinery Paulsboro Research and Development Labs* Wadhams Division, Milwaukee, Wisconsin Lubrite Division, St. Louis. Sovosco, Fort Lee, New Jersey General Petroleum Corporation, Los Angeles, California, is attending for the first time* New position on Socory-Vacuum Oil Conpaiy, Inc. medical staffs The position of Industrial Hygienist has been established and is filled by Mr* Arthur C* Pabat at 26 Broadway* Mr. Pabat has done graduate study .in the field of industrial hygiene at the Harvard School of Public Health. He commenced his activities with our Medical Department in August, 1952* New medical departmental An infirmary at the Naples Refinery as well as a small dispensary at the head office of Sooony-Vacuum Italians in Genoa have been opened this past year. We noffcave a medical department in Athens, Greece, which Dr. Papantonlou will tell you about later on* A medical department at Fort Lee, New Jersey, has been open far a few months* It has a small dispensary, serves 150 people, and is staffed by a part-time nurse and medical advisor who visits the clinic far a few hours each week* Post-Graduate Trainings Dr. Angulo Rivas of Socony-Vacuum of Venezuela has conpleted -9 07604 449367 ore year of training at New York University Post-Graduate Medical School in internal medicine# Dr. Miguel Urban; of So cony-Vacuum of Venezuela is presently training in trauma -h* surgery at the New York University Post-Graduate Medical School and is in the service of Dr* Robert Kennedy at the Beckman Downtom Hospital# Sumnary of Activities! In March 1952, I made a trip to Venezuela and during a period of two or three weeks visited various field installations in and around Anaco and the head office in Caracas# I also made a trip through the Eastern part of Venezuela and the Lake Maracaibo area with Dr# Tong, Mr# Moon and Ur# Latimer# I also visited other operations and hospitals and clinics# A great deal is being done in the Maracaibo area ty the petro leum companies to raise the general standards in the rural areas# At the end of July I visited Venezuela again and then made a trip to Canada where I visited operations in Calgary, Edmunton, Peace River, and Fort Vermillion. In Fort Vermillion, there is a ho^>ital with thirty beds, staffed by two refugee physicians, man and wife, Drs. Julius and Hanna Kratz. They are well trained people doing a good job; and, there in this lonely out post, they have an electrocardiograph machine# At the end of September I attended the inaugeration ceremonies of the infirmary at the Naples Refinery in Italy, and from there went on to visit our operations in Greece, Turkey, France and England# Figures on medical activities of the past year: In our domestic operations, we now have 20 medical departments covering 13,000 employees, of whom 11,000 used our medical de partments at least once during the year# The number of patient visits totalled about 90,000# On medically covered personnel only, there were 23,000 lost time cases with 60,000 days lost. 7fe should be able to cut down on the 60,000 days lost figure and help, to pay our freight# The number of employees referred for medical care elsewhere was It,200# Objectives for the coming yeart We have four main objectives for this coming year# 1# Improve facilities and services everywhere# 2# Revise our medical records# 3# Simplify our monthly reports# U. Adopt a basic medical policy# I would like to thank our Committee on Arrangements and also Mr. Treichler who have devoted so much time and effort to make this annual medical meeting a success# -10- 7605 449368 I KJA I I U L O U TD Cr C 449359 7596 Medical Department U2nd St. 8 November 1956 To: Messrs. V.A. Bellman D.E. Clevell J.H. Herbert RJL Jackson P.W. Jhflah W.H. Montgomery P.H. Wilcox P.S. Wise POLICY OH TOXICOLOGY Tbe petroleum industry in all its phases is becoming more complex each year. Many oev chemicals and some sources of radiation are being used, produced or marketed. Hew processes are being introduced and developed. One result of this expanding complexity is to multiply the sources of possible harm to petroleum workers, to consumers of petroleum products and to tfaa general public. That this is recognized by the general public is evident from the increasing volume of inquiries concerning the toxicology of products which reach us from our own marketers, customers, and from public health officials. It is a basic policy vlth many chemical and petroleum companies that new processes, ingredients or products be examined critically in the developmental stage for possible harmful biologic effects. If ' sufficient toxicologic aid other data are not available for a preliminary evaluation then toxicologic tests may bs made. Some companies have developed their own extensive facilities for testing but most rely upon outside toxicologic testing laboratories. In our company we have not had in the past a general policy requiring such preliminary evaluation. The attached statement of policy, dated 28 August 1956, signed by J.C. Case, has bad the approval of Directors concerned with Marketing, Manufacturing, Laboratories, and Office of General Counsel. It is suggested that this statement of policy be given sufficiently vide distribution so that those involved may keep the Medical Department informed. This would include division managers, refinery 07597 449360 -2- muagsrs, laboratory directors, safety directors and others. Extra copies of the statemsnt are available far distribution. W would appreciate having a copy of the distribution list. GMSiJd attachment cc: J.C. Case (3) 3.3. Dunham A.T. Foster P.7. Ksyser, Jr. DJI. Lamont C.3. Teitsvorth (2) H. Willetts George n. Saunders, m.d Medical Director 449361 07598 POLICY - TOXICOLOGY 0? CCMPAHY PRODUCTS AMD PROCESSES It la an obligation of the health- services in our company to ascertain the nature and extent of hazards and toxicity, if any, of ingredients, company products and processes, to employees, customers, and the general public. It is tbs responsibility of the various operating de partments to beep the headquarters medical department Informed of nee products and processes during developmsnt, or tbs use of materials vhlch in themselves may constitute a hazard because of their physical or chemical nature* This policy vlU require operating units of the company to advise the Medical Department of such products and processes far revise of possible* health hazards priorto their use In cases vbsre the toxicology is not known or there is a reasonable doubt regarding biological effects, the Medical Department, in cooperation with the department concerned, will recommend and initiate the necessary biologic and toxicologic tests. Information obtained in this manner or through the medical and scientific literature will be used, if indicated, as a basis far recommendations to the Safety Department or others regarding protection of employees, advice to the marketers concerning customer hazards, advice to others such as licensees using our processes, and for precautionary labeling, if required. Drafting of precaution labels far Socony Mobil Products, when necessary, will be the joint responsibility of the Office of General Counsel, the Socony Mobil Laboratories, the Marketing, Manufacturing, and Medical Departments * // J. C. Case 28 August 1956 07599 449362 449344 RECOMMENDATIONS POR ADMINISTRATION OP THE MEDICAL POLICY MOBIL OIL COMPANY I INTRODUCTION H PROCEDURES A. .Applicable to Individual Saployees and Candidates (1) Preplacement examinations (2) Periodic re-examinations (3) ?remotions and transfers (k) Special examinations (5) Standard immunization procedures (6) Health counselling (7) Reassignment of duties for medical reasons (3) Premature retirement for medical reasons (9) Assignment abroad (10) Transfers to new location B. Group Preventive Practices: Sanitation -Industrial Hygiene -- Health Education C. Curative Medicine D. Health Education and Technical Training E. Investigation III PERSONNEL IV FACILITIES AND EQUIPMENT V GENERAL CONDITIONS Appendixes I Some Jobs Which May Require Special Examinations II Potentially Hazardous Materials Encountered in Petroleum Refinery Operations III States That Have Incorporated Into Rules, Regulations, or Codes, Threshold Limit Values Adopted by the American Conference of Governmental Industrial Hygienists 1 EITRODUCTICH It 13 reccnnended that the policy be applied la as uniform a as is practical, including standards for examinations, record forms, maintenance of records and communications. However, local variations in application of the policy will be inevitable because of the varied nature of company operations which are located in many separate areas with different local health conditions, laws, and facilities for health promotion and medical care. Details for administration can be worked out within the framework of seneral policy by management, medical and employee relations advisors with the advice of the Office of the Medical Director, if requested, and with due regard for local, social and labor laws and policies. Local policy particularly in tropical areas may require listing of specific environmental disease. Prevention of disease and disability and the attainment of nyiwn]| use of abilities is the goal of modern medicine. It is cheaper to prevent than to cure, for treatment is often expensive, prolonged, time consuming, and not entirely corrective. The number of diseases which can be prevented is large and constantly increasing. Most infectious diseases can now be prevented or their effects minimized through group sanitary measures or personal prophylaxis, or prompt diagnosis and proper treatment, ELlnesses from exposure to toxic fumes, mists, vapors, dusts, ionizing radiations and other substances can be avoided, usually with simple control measures. Certain types of heart disease can be prevented; in others, the progress can be slowed or stopped. 2ome types of cancer caused by known ex* ternal substances can be prevented. In many instances other cancers may be detected early and cured by relatively simple procedures. Dis orders of nutrition may be avoided or promptly corrected by proper diet and administration of supplementary essential factors including vitamins and trace elements. Prevention of the onset or progression of disease, mental or physical, may be achieved tbrough measures applied to people and to the environment. II PROCEDURES A. Applicable to individual employees and candidates: Personal Preventive Measures These include preplacement and periodic health inventories, health education and counselling, specific immunization*, advice concerning proper treatment of illnesses or other abnormalities, suggestions to management concerning Job adjustments and others. -1- 449346 (l) Preplaccment examinations ^replacement exam!nations sh&ll he performed on all candidates for employment. They are designed to determine fitness to work in any given Job or in a number of different Jobs. This examination is a health inventory or base line with which canparisons can be made at subsequent examinations. The details and extent of the examinations may vary with the Job require ments , the age and state of health of the applicant, and the locale. It is recommended that the preplacement examinations include a careful personal health and occupational history, a family health history, a complete physical examination and certain laboratory tests. The physical examination should include the usual observations on physical measurements such as the height, weight, blood pressure, pulse rate, and the temperature, examination of skin and appendages, accessible lymph nodes, the thorax and its contents, the abdomen, the genitalia*, the extremities, the skeletal systems with special attention to the spine, tests of visual acuity color vision, ophthalmoscopic examination, test of auditory acuity, examination of auditory canals and tympanic membranes, teats of deep reflexes, pupillary reflexes, and ocular move* ments. Digital rectal examination is advised in males. In individuals 1*5 years of age or more, proctoscopic examination of males Is recamended. The mental alertness, emotional stability and content should be assessed during the course of the examination. Clinical laboratory procedures recommended are: a urinalysis and a hemoglobin determination by a reliable method. If the physical examination and laboratory tests are done in a company la-plant medical service, a chest x-ray, a serologic test for syphilis, and a test for occult blood in the feces should also be accomplished. If no in-plant service is con veniently available and a private medical examiner is utilized, a chest x-ray will not be ordered unless the candidate is unable to produce satisfactory evidence of a negative chest film taken during the preceding year. Serologic test for syphilis will not be done by a private examiner unless this service is offered free by a local municipal or state govern ment agency. Back x-rays must be advisable for certain Jobs but will not be considered as routine parts of all preplacement examinations. The findings of the preplacement examination should be recorded upon a standard form prepared by the Sedical department. Form CO-993 will be used for recording examinations. Aa a result of the preplacement examination, management is given the opinion of the medical examiner as to the physical and temperamental ability of the applicant to carry out the proposed duties and recommendations concerning any limitation *May be emitted in women, or it may be advised. 2- :7584 449347 cn activities which may seem advisable. This in formation is supplied on the appropriate classification fora. (2) Periodic re-examinations Periodic health examinations supplemented by special ex aminations, when indicated, are recommended. Their purpose is to detect any deviation from the normal, in cipient diseases, and to give advice and counsel to employees. The frequency, type, and extent of such examinations will be recommended by the medical depart ment- and will be conditioned by the previous findings, the Job hazards, the age, and the responsibilities of the employees concerned. As a general rule, it is re commended that all employees be examined periodically according to the following: TSnployees age 50 yrs. and older - every 2 years Ebiplcyees age 49 yrs. and younger - every 3 years If an employee is under 40 years of age at the time of his preplacement examination, the first periodic ex amination will be after 5 years of employment. Subsequent periodica would be scheduled at three year intervals, until employee reaches age 50 years when examinations will be offered on every two year schedule. employees, of any age, whose positions involve unusually heavy responsibilities and upon whose efficient per formance may depend the Job security of many others (hay personnel), may be examined at mare frequent intervals. The examination should Include an interval health and occupational history, and physical examination. The laboratory teste will Include a urinalysis, a hemoglobin determination by a reliable method, and a chest x-ray. Serologic test for syphilis need not be done at the time of each examination but at longer intervals or whenever indicated. Additional tests may be required by the findings. The results of periodic examinations may be recorded on the special periodic Form CO-993A or on sheet 2 of CO-993* It is not necessary to repeat the complete medical history form at each examination. (3) Promotions and transfers It Is reconmended that when a change In Job assignment or promotion to a higher echelon is contemplated, especially when significantly different Job requirements or environ mental factors are involved, the opinion of the medical -3' 75P 449348 department concerning physical fitness be sought. Promotion or transfer examinations may be indicated, but the results of such eliminations should not be released to management without permission of the employee. (4) Special examinations Special examinations may be made at suitable intervals on individuals with known or suspected mental or physical impairments, on those exposed to occupational health hazards, or working in Jobs which might involve the safety of others. The periodicity and character of such ex aminations will be determined by the type of impairment, potential health hazard involved and by the Job. Eased on these examinations, appropriate recaanendations will be made to management. Examples of health hazards are exposure to chromium compounds, lead canpounds, benzol, analine, other organic toxic materials, ionizing radiations, and to skin irritants and to dusts. Seme of the Job categories where.special examinations may be required are appended. (.Appendix I). (5) Standard tzaunization procedures Standard immunization procedures against preventlble diseases will be encouraged. These may Include immunization against smallpox, typhoid, and paratyphoid fevers, and tetanus, and in addition, depending on special circumstances, yellow fever, typhus, cholera, plague, pertussis, diphtheria, tuberculosis, influenza, polio and others. The periodicity, type, and responsible administering agent, of immunization will vary firem place to place according to risk, legal requirements and local medical society practices. The company may, but is not obliged to, provide any immunization procedure when epidemic conditions exist which threaten to disable so large a proportion of employees as to interfere materially with operations and against which immunization procedures can be Instituted to be of optimum protection. (6) Health counselling Individual health counselling and advice is given during examinations by physicians and nurses and at other times as Indicated. (7) Reassignment of duties for medical reasons When individual abnormalities are found during periodic health examinations which make it advisable to limit or change the type of work assigned an individual, appropriate recenmendatiena will be made to management, after per mission to discuss the medical findings of the examinee is obtained in the case of periodic health examinations. -4- os.z 449349 (3) ?rgqgturg retirement far redical reasons If it appears that an employee, because of illness can no longer continue in a productive capacity, or where his ova health nay he jeopardized by continuing to work, management nay request examinations to determine whether premature retirement is advisable. (9) Assignment abroad On the occasion of any assignment outside the U.S.A. an employee will he given a physical examination. On return from assignment abroad, an interval history will he taken unless the assignment exceeded six months in which case another physical examination will he accomplished. (10) Transfers to nev location When an employee is transferred to a nev location, his health records should he sent to the nev location to be kept there in the files of the Medical Advisor. The advice of the medical department should be sought con cerning disposition of the health records in the event a medical advisor has not been chosen. Group preventive practices Sanitation -- Industrial Hygiene -- Health education (1) It should be the responsibility of a medical department to advise and assist management in maintaining a healthy working environment. This applies to actual or potential health hazards of the job as well as to such factors as conditions of lighting, ventilation, temperature control, kitchens, cafeterias and food handling and sanitary facilities. (2) Food handlers should he instructed in matters of personal hygiene and examined at intervals. (3) The detection, evaluation and recommendations for control of specific health hazards incident to any operation is a function of the medical department and its industrial hygiene personnel, where available, in cooperation with Safety and other departments. Such health hazards may Include exposure to irritating and poisonous substances (solids, liquids, fumes, dusts, gases, mists, and smokes) which may result in acute or chronic illnesses, excessive noise, improper illumination, excessive heat, cold, or humidity, improper ventilation and exposure to ionizing radiations. A list of potentially toxic materials used in the petroleum Industry is appended (see Appendix II). )7=jg-! 5 449350 At tha preae.it tine, most states la the U.S.A. have In corporated into rules, regulations, or codes, permissible exposure levels (Threshold Limit Valias) far hazardous chemicals. To Insure compliance with statutory requirements, the handling of such materials require routine air analyses and Industrial hygiene surveys to determine exposure levels and to institute corrective measures if necessary (see Appendix III). {'+) When planning nev offices, terminals, warehouses, plants, housing or other facilities, or when altering existing ones, the observations and recommendations of the medical personnel may be valuable to management. Advance planning for adequate exhaust ventilation In some work areas may forestall later, mare costly changes. The proper choice of location for a camp may eliminate the need for extensive sanitary precautions. (5) In all ccmpany operations, the appropriate medical per sonnel should become thoroughly familiar with work areas, job requirements, and potential or actual health hazards. The services of the New York headquarters medical department are available for consultation regarding, the hazards of any operation or the toxicity of any substance. Please refer for further details to Toxicology Policy. (6) Where the ccmpany maintains housing for its employees, adequate sanitary control should be provided with the advice and recommendation of the medical department. Ibis applies to water supplies, mess halls, club houses, swimming pools, barber shops, commissaries, canteens, ice plants, shops, hospitals, living quarters, septic tanks, sewage disposal systems, garbage collection and disposal. 'Dlls does not place operational responsibility on the medical department. (7) Where facilities are maintained or activities are engaged in by the ccmpany, which in the opinion of the medical department, might be dangerous to public health, the medical department should make appropriate recommendations. (3) While communicable disease control is generally a proper function of governmental health agencies, the medical department should give assistance to such agencies as requested and needed within the practical limits of available ccmpany personnel and facilities. (9) When governmental machinery for communicable disease control Is lacking, the medical department should advise such control measures as it may consider are feasible for the protection of employees and dependents. -6- 44935l (10) Group health education cay be provided. This includes the use of such techniques as group counselling, the display of pamphlets, posters, and motion pictures, and the preparation and dissemination of articles on health topics. The extent of such group education will he determined hy local needs and by the facilities and staff available. Curative Medicine (1) This phase of health and medical activity concerns the treatment of diseases and injuries. It is not the policy to provide long ten, comprehensive medical care for employees except under special circumstances. (2) Within the limits of available company personnel facilities, the company may provide emergency and shorttime treatment of injuries and Illnesses and diagnostic procedures. (3) The company may provide care for industrial, occupational environmental illnesses and injuries through its own medical department or on the advice of Its medical depart ment through outside agencies. (It) General medical care, including bed care, may be provided by the company where local medical facilities and services are grossly Inadequate or non-existent, or where required by lav. The extent of such general medical care should be limited by the personnel and facilities of the company and should be at least equal to those required by local lavs. (3) The company should avoid, wherever possible, the con struction, equipment, and operation of hospital facilities. Use should be made of existing private or other facilities where feasible and practical and where these are felt to be adequate by the medical department. The development of extra-company facilities should be encouraged, stimulated and supported In all practical ways through cooperation with local health and medical groups, both private and goveranental. (6) When at the discretion of management the company provides medical care to Individual cases beyond the limits of local company facilities, the advice of the medical department should be sought. (7) Where only first-time or emergency medical care is fur nished by the company, the medical department may advise and assist employees or dependents in seeking good medical care. 449352 I. Health Education and Technical Training (1) Health education of employees is fostered by the medical department through accepted techniques suitable to local customs and traditions as discussed above. (2) The company, with the advice of the medical department, in the Interests of improving its health and medical activities may provide for special training for personnel of the medical department including attendance at professional meetings. (3) Current technical literature, including periodicals and textbooks should be provided for medical department personnel. E. Investigation It may be desirable and profitable In certain areas and in connection with operations to conduct or support investigations in certain categories including: (1) The medical cause of absenteeism and accidents and the results of preventive measures In decreasing absenteeism. (2) Special studies related to certain reputed hazards of the petroleum industry including the frequency, the cause and the prevention of dermatitis and studies of the carcinogenic effects of various petroleum de rivatives. (3) Investigation into certain endemic diseases which may be prevalent In an area of operation and the control of which may be necessary. Malaria may be cited as an example. Ill PHHSGNNEL A. '-.here the size of an operation or health hazards warrant the provision of medical facilities, these should'be in the charge and under the direction of a duly licensed physician. 3. The physician in charge should be provided with pro fessional, administrative, technical and other personnel required for the proper functioning of his office. C. Physicians should be chosen for their personal qualifications as well as their professional competence and administrative ability. They should be primarily internists with a philosophy of preventive medicine. They should be of sufficient caliber and stature to merit the confidence of all employees. -a- 07590 449353 D. The number of physicians needed far an adequate health program depends upon aany variable factors, including the population to be covered, the hazards Involved, the labor turnover, the availability of health and medical facilities in the community and the general health level of the population concerned. Many medical authorities in the United States believe that plants which provide periodic health examinations, but which present few occupational hazards, require one part-time physician for 250 or fever employees with an increasing amount of time up to one thousand employees; one full-time physician for an employee group of 1,000 to 2,500 with an additional part-time Z physician at about 2,000 employees and two full-time physicians'fSr more than 2,500 employees. A larger ratio of physicians to papulation is Indicated where there are special Job hazards. It is the aim of seme petroleum companies to have one.physician for each 1.000 refinery ..employeea < In determining the amount of physicians'1 time-needed consideration should be given to the time rs' . quired to conduct careful medical examinations, both preolacement and periodic, to give necessary treatment, to "^maintain familiarity with plant operations through regularly "scheduled visits, far sanitary inspection, for planning and conducting health programs, to maintain and study records, and to make periodic reports and reconnendationa, Time should be allowed for attendance at professional meetings and for professional training as mentioned previously. 3. Professionally trained nurses are essential in industrial health programs in the United States. The number of nurses employed will depend upon the type of Industry and the number of workers. In general, it is felt that one nurse is needed for 300 or fever employees, two for 300 to 600, three _ for 1,000, and one additional nurse for each thousand em ployees up to 5,000. Additional nurses may be required because of hazards in a particular industry and to provide for shift work and for vacation periods. There should be close personal supervision of nursing activities by the physician in charge. Standing orders should be written for the direction of the nurses in the absence of the physician in charge. ?. Trained laboratory technicians may be required depending upon the size of the program. 0. Secretarial and stenographic help should be adequate to maintain records and to assist in the analysis of records and preparation of reports. 3. Other personnel, including industrial hygienists, medical administrators, biostatisticians, laboratory technicians and others may be required depending upon the size and nature of the operation. -90759 449354 IV Facilities and Equipment Space for housing the medical department and technical equipment and supplies should he adequate to pezmlt efficient operation of the basic medical program. It is not possible to give a detailed description of dispensary layout or equipment needed. In general, the minimum requirements for space should include provisions for a nurse's station and waiting room, a consultation room, an ex amination and treatment room, a toilet, and space for at least a small laboratory. V General Conditions With the approval of management, the medical department may engage suitably trained personnel and, where practical and advisable, will provide space and facilities for a medical department in order to implement the provisions of the policy. Where desirable and possible, local medical facilities, private or otherwise, may be utilized. A qualified physician should be chosen. Details of personal medical records and any Information given in confidence by employees to members of the medical department should remain confidential and in professional channels subject to certain legal and administrative requirements concerning industrial accidents or illness, public health hazards or claims against the company or Individual members of the medical department and when certification of disability la required. When rcceaanandatlona are made by medical department personnel concerning Job restrictions or limitations, the supervisor, foreman, or others directly concerned should be given the information necessary to understand the reasons for such re commendations, providing that the basic ethical and legal principles of confidential knowledge are not violated. Medical reports, documents, case records and other data concerning health and medical activities should flow through established medical channels and should be lodged in the medical department or in the medical advisor's office, or If a medical department or medical advisor is not yet established, medical papers will be handled by personnel approved by the Medical Director. 16 May i960 -10- 07592 449355 APPENDIX I 3CUE WCBKERS MAY REQUIRE SPECIAL EXAMINATIONS Painters Divers Welders Lead burners Benzol handlers Aniline handlers Cable splicers Foundry workers Aromatic oil workers Metallizing or grip blasting workers Tetra-ethyl lead handlers Tetxa-methyl lead handlers Workers exposed to high noise levels Residual products handlers Paraffin plant workers Gusiting workers Catalyst workers Handlers of radio-active materials Litharge handlers Sheet lead handlers Sand blasters Pilots and co-pilots Insulation workers, asbestos Motor vehicle operators Overseas assignments -11- 07593 449356 APPENDIX III STATES TEAT HAVE STATUTORY HEALTH REQUIREMENTS RELATING TO RADIATION, rflCDUCT LABELING, AND EMPLOYEE WORKING CONDITIONS State Product Health Dept. Labeling Labor Dept. Radiation Codes______ Lave Codes Codes Arkansas California Colorado Connecticut Florida Hawaii Illinois Indiana Kansas Kentucky Louisiana Maryland Massachusetts Minnesota Mississippi New Hampshire New Jersey New York North Dakota Ohio Oregon Pennsylvania South Carolina South Dakota Texas Washington West Virginia Wisconsin X X X X X X X X X X X X X X Other states with industrial health programs usually use the Threshold Limit Values as a guide in their work. Ih addition to the above, a number of states have incorporated single threshold limit values Into specific codes. For instance, the New York Department of labor lists in its cods governing foundries, maximum allowable concentrations for the various dusts and fumes usually encountered, and In Its code governing rock drilling, limits for silica dust. The Industrial Code Commission of Rhode Island included threshold limits for organic solvents in its code governing the manufac ture, use and storage of industrial organic solvents In places of employment. -13- 07595 449358 APPENDS II POTENTIALLY HAZARDOUS MATERIALS ENCOUNTERED IN PETROLEUM REFINERY OPERATIONS 9ESPIRATCRY IRRITANTS Asbestos Acrolein Acetaldehyde Formaldehyde Other aldehydes Dusts, physiologically inert, general Dusts, attapulgus clay Dusts, bauxite Dusts, catalyst Fluorides Furfural Lime Nitrogen oxides Ozone Ditertiary butyl para cresol Smoke Sulfur dioxide Welding fumes Ammonia Aluminum chloride Pine Oil TOXIC MATERIAL Aniline', liquid Aniline, dyes Benzol (Benzene) Cadmium Chlorinated hydrocarbons Hydrogen sulfide Cobalt, metal Lead, metal & fumes Lead, oxide, litharge Lead, tetraethyl Lead, tetramethyl Lead, soaps Manganese Mercury Methanol Radioactive materials, general Gasna Radiation Beta Radiation Alpha Radiation PBM (Phenyl beta naphthalamine) Silica, free Toluol (Toluene) Xylol (Xylene) Zinc Alpha Napbthol Carbon Monoxide -12- SKIN IRRITANTS Acids, general Acids, acetic Acids, hydrochloric Acids, nitric Adds, sulfuric Acids, phosphoric Benzol (Benzene) Caustics Chromium Salts Coal-tar compounds Pitch Cobalt, metal Si compounds Diethanolamine Glass wool Inhibitors Ksroaine Methyl Ethyl Ketone Nickel salts Oils, general Oils, high boiling from Cat. & Steam Cracking Oils, Insoluble cutting Phenol Solvents Thinners, Faint Turpentine Ultra violet radiation Wax, untreated Xylyl mercaptan Trlpotasslum phosphate Alpha naphtbol Pine oil mm chloride 07594 449357 PERIODIC PHYSICAL EXAMINATIONS AND THE K3Y PERSONNEL Introduction No one will doubt that the moat valuable asset of a Company is its enraloyeea. A small part of the employee group bears the responsibility for directing the Company's activities and for planning and researching new fields so that the Company can succeed in today's highly competitive markets. Such individuals are the Company's key personnel. It is imperative that the health of these employees be maintained at the highest possible level. If such a goal is achieved, the Company will be assured. Insofar as possible, that members of Its management are not handicapped by ill health. Key personnel in whom the Company has made and is making a great Investment in training and development should be provided with a comprehensive medical review as often as is deemed appropriate by the Medical Department. It Is impossible to fix the frequency of the periodic examination for each member of this group. Each individual should have planned for him a comprehensive medical review or check-up the extent of which can only be determined by the findings of his most recent review. Neither age nor position should be or can be the determining factor. Only a thorough diagnostic evaluation of his present state of health can dictate the timing of subsequent examinations. 5\ortheraore, it is not advisable to list the tests that make up a comprehen sive review. May personnel will Include men of all ages and each will present unique health problems. As with all other employees, a basic medical review win be made Including a detailed discussion of work loads, responsibilities, a family history, a past medical history, plus a complete physical examination, urinalysis, chest x-ray and a complete blood count. Additional laboratory x-ray tests, confirming diagnostic consultations should be ordered if Indicated by the basic examination and history. Kay personnel will procrastinate about having periodic health reviews aa. much as any other employee. They must be impressed that they should voluntarily avail themselves of the Company* s will ingness to provide a thorough periodic examination. Most key personnel are found in the age group where many disease entitles present their initial symptcms. To apply unwarranted or duplicating tests or examinations In the laboratory. Is wasteful of the examinee's time and tolerance, as well as costly. If key personnel lose confidence In the program due to poor planning of examinations, the entire program will be jeopardized. Nevertheless, whatever test or consultation is indicated in order to establish a medical fact or diagnosis, even if such a test is time consuming, temporarily uncomfortable or unesthetic, should be proposed and explained. In all prob ability, 'the sincerity and logical planning of the medical adviser will win over any objections on the part of the examinee. If the examination is soundly planned, there will be no problem of Justifying the costs of the tests. The results, negative or positive, in the final analysis of the individual's review will give the Justification. The cost of curative treatment recommended will not be borne by the Company. An unexpected, but preventable death or long absence due to serious Illness 07579 449342 -a- in the case of key personnel la both tragic, and extremely costly to the entire Company. The goal of this section of the Mobil Oil Company's Medical Program is to assist, as ouch as possible, In maintaining key personnel in a "positive" state of health. This can be done directly to the advantage of the person Involved, and Indirectly to the advantage of all others in the Company. A more effective management Is apt to result If managers are in good physical and mental health. .aam tM.strative Procedure The Staployee Relations Department of each Company unit will furnish to the Company physician who has custody of the medical records of the employees In that unit (Regional Medical Director, Medical Advisor, or Plant Physician) a list of key personnel. At the time of the regularly scheduled periodic, the examining phyBlclan will be requested to make such additional tests as the Jud^teiit of the Company physician Indicates, with the objective of assuring beyond reasonable doubt that no unsuspected health problems exist. In the event health problems are discovered, special care shall be taken to impress on the employee the necessity for corrective action. A follow-up visit shall be scheduled at the appropriate Interval to verify that corrective action has been taken, or again to urge the treatment. The Company physician shall review the list of key employees with Soployee Relations to determine which employees on that list should be offered more frequent periodic examinations because of the nature of their responsibility. In general, In the absence of special medical considerations, such frequency should not exceed every two years from 40-55# and every year thereafter. Annual physicals may be scheduled below age 55 in special cases where unusually heavy responsibility and heavy work lead are borne. The ethical Doctor-Patient relationship shall bs maintained. If management desires medical information about an employee, in making decisions as to assignment or promotion, for example, the employee will be requested to authorize the physician to release the information. 07380 449343 ACCEPTABLE EXPOSURE STANDARD-AES The recommended internal limit for an airborne concentration of a chemical SUBSTANCE, UTILIZING CURRENT PROFESSIONAL AND TECHNICAL KNOWLEDGE PQTEKOALBEHEF.US .Assure employee health based upon current technical and professional KNOWLEDGE .Achieve consistency throughout company operations both domestically and internationally 449323 Acceptable Exposure Standard - Time Weighted Average (AES-M) Time weighted average concentration for a normal 8 hour workday and *J0 HOUR WORKWEEK Acceptable ,Exposure Standard - Ceiling (AES-O Concentration that should not be exceeded during any 15 minute period; qr Instantaneously, if direct-reading instrumentation or methods with suffi cient analytical accuracy are available. Skin Notation Proven or suspect of being cutaneously (skin) absorbable. AES'In all cases s will be as or more stringent than existing legal Requirements A$-.mmE .Corporate Manager,, Industrial Hygiene (Chairman) .Industrial Hygienist Toxicologist ,Pathologist .Medical Representative .Division Safety Managers 07562 449325 FUNCTIONS OF AES COMMITTEE 1. Determine substance for initial AES assignment using the following Criteria; .Used/produced by any Mobil affiliations .OSHA/ACGIH CONFORMITY .OSHA/ACGIH non-conformity I 2. Examine literature/recommend studies to develop AES 3. Recommend AES for substance in review 4. Initiate development of sampling/analytical procedure 5. Periodically review new literature and reevaluate AES, as applicable, 6. Periodically publish and distribute adopted AES'S 07563 449326 CURRENT/PROPOSED AES ACTIVITY INTERIM AES ESTABLISHED FOR: FORMALDEHYDE: 5 PPM (AES - TWA) ETHYLENE OXIDE: 2 PPM (AES - C) PROPOSED AES MATERIALS OBPA ISOPENTANE DIOCTYL PHTHALATE 1,3 BUTADIENE METHYL/ETHYL CELLOSOLVES POLYPROPYLENE/POLYETHYLENE PARTICULATES 07564 449327 ASBESTOS TRAINING PROGRAM 1. Exposed to asbestos at concentrations of 0.1 fibers/cc or greater 2. Known past exposure or with the potential for exposure PURPOSE OF ASBESTOS TRAINING PROGRAM .Employee Awareness . Introduction To Recommended Practices/Procedures 0 / j6-5 449328 EXACTED "RIGHT TO KNOW" STATES/CITIES California Connecticut Maine Michigan Hew York Philadelphia, Pa. South Carolina Vermont West Virginia PROPOSED "RIGHT TO KNOW" STATES/CITIES t Illinois Louisville, Ky. Massachusetts New Jersey Ohio t Cincinnati, Ohio Wisconsin 449320 F1CC FACILITIES AFFECTED BY STATE "RIGHT TO KNOW" LAWS California Azusa - CCD Santa Ana - PCD Bakersfield - PLA Woodland - PLA Connecticut Stratford - Film New York Canandaigua - PLA flACEDON - PLA/Film South Carolina Charleston - PHO 449321 CALIFORNIA Employers must make MSDS's available to employees, Manufacturers must prepare/provide MSDS's to persons .PURCHASING HAZARDOUS SUBSTANCES DIRECTLY FROM MANUFACTURER.' CONNECTICUT Employers must post list of carcinogens in workplace, PROVIDE SUCH LIST TO EMPLOYEES AS WELL AS EDUCATION AND TRAINING. Labor Commissioner authorized to enter business ESTABLISHMENTS/INSPECT/INVEST I GATE VIOLATIONS OF RIGHT-TO-KNOW PROVISIONS. ClVIL PENALTIES FOR VIOLATIONS ESTABLISHED. SOUTH CAROLINA Commissioner of Labor authorized to impose civil PENALTIES FOR ANY VIOLATION OF OSHA STANDARDS INCLUDING VIOLATION OF POSTING REQUIREMENTS. 07559 449322 MIHS SYSTEM HIGHLIGHTS 1981 Data Base Expansion Field Coding of MIHS Supplemental Forms Noise Data Capability Interface with Mobil Occupational Health System 449315 1981 HIHS DATA BASE EXPANSION UJ CO < <LC_UC> 3- o 3- O-3" PN lO mOO 00 CO LU U>JO CoOn CO rlON m <C-N0I o CNI O-3O* OOO ln CNI ccon lO m IN. IN. LT cOnO 3- co < UJ OU' 3T UPl j0a0- tn & COTO"> CO U_0J.l X c<n c0n0 CO --c33o*t0n30" cn ID PN 10 IN. CNI min m m m CNI OO riNn 3- in CNI L33H-- <IO- z 1- CO => UJ I-- 0 1--1 CO I-- > O ea 0 C_J CQ CJ cc 1co _ 03 > QC UJ OO ca C_J CL 0 3= Q_ UJ N. QC UJ ce QC N. <_) c_> s 449316 07553 FIELD CODING OF MIHS SUPPLEMENTAL FORMS AIR SAMPLING & NOISE DATA Reasons Increase efficiency of data entry Implementation Dates* Issue for Division Review February 15, 1982 Target Implementation March 8, 1982 07554 449317 NOISE RECORD CAPABILITY Similar format as air sampling reports Will be used for hearing conservation BASELINE MONITORING DATA Will be included in Quarterly summaries 449318 MIHS AND MOBIL OCCUPATIONAL HEALTH SYSTEM (MOHS) MIHS HAS BEEN ACCEPTED AS INDUSTRIAL HYGIENE SEGMENT IN MOHS SYSTEM, Currently the details for bringing the MIHS SYSTEM INHOUSE/ SEPARATE FROM TYMSHARE/ ARE BEING INVESTIGATED. In future/ Medical and Industrial Hygiene Data may be correlated to improve employee HEALTH SURVEILLANCE CAPABILITY, 0 556 449319 Industrial Hygiene Update 1982 MCC/R&E Programs .Reproductive Risk Guidelines .Training -Asbestos -Noise -Advanced IH Training? .Increased Use of IH Monitors -MIHS Coding .Mobil Occupational Health System 1932 Division Projects .Films & Plastics-'Blue Haze" Project .CCD-Access to Material Safety Information .Petrochemicals-Butadiene Study .Phosphorus-Radiation Surveys 1982 Regulations .OSHA Hazard Information & Training .OSHA Cancer Policy .OSHA Asbestos/Lead Revisions 07549 449312 REPRODUCTIVE RISK PROGRAM A, Current Guidelines Management Guide 05-1313 "toicAL Screening" Mandatory screening of employees who have a change in health status (including pregnancy), Medical is currently developing additional internal procedures as a supplement to this guide. Employee Relations Options Reassignment Leave of Absence 550 449313 REPRODUCTIVE RISK PROGRAM - con't. B. Identification of Materials With Fetotoxic Potential Source: NIOSH registry subfile 80-120 Internal references - NIOSH 1974 Suwary, Olin Report Toxicology data search Drugs/medications used by individual employees Medical Department C. Selection of Materials Used Within MCC/R&E Computer capability by CAS number 1) PS&C Hazardous Material Listing 2) Oemical Coatings - MSDS System 3) MIHS data base t Division Technical Service Records D. Analysis of Potential Exposure Risk Intensity of exposure and number of females/ location/job E. DEVELOprefr of Appropriate Procedures 07551 449314 OSHA HEARING CONSERVATION AMENDMENT COMPLIANCE UPDATE REVIEW OF THE STANDARD COMPLIANCE DATES TIMETABLE OSHA COMPLIANCE STRATEGY CURRENT STATUS OF MONITORING EFFORTS DETERMINATION OF SIGNIFICANT THRESHOLD SHIFT FOLLOWUP MONITORING REQUIREMENTS NEEDS AND OPTIONS TO MEET FOLLOWUP REQUIREMENTS HEARING PROTECTOR PROGRAMS - WHEN REQUIRED? - AVAILABLE RESOURCES FOR IMPLEMENTATION ' 07528 449294 SUMMARY OF OSHA HEARING CONSERVATION AMENDMENT ESTABLISHES 50% NOISE DOSE OR 85 DB(A) 8-HOUR TWA AS TRIGGER LEVEL FOR INSTITUTION OF A HEARING CONSERVATION PROGRAM REQUIRING THE FOLLOWING: 1, INITIAL DETERMINATION OF ALL EMPLOYEES EXPOSED TO THE NOISE LEVELS AS GIVEN ABOVE 2. AUDIOMETRIC TESTING OF THESE EMPLOYEES TO DETERMINE SIGNIFICANT THRESHOLD SHIFTS STS 3, INCLUSION OF EMPLOYEE WITH STS IN MANDATORY HEARING PROTECTOR PROGRAM 4. REGULAR FOLLOWUP NOISE MONITORING AND AUDIOMETRIC TESTING OF EXPOSED EMPLOYEES 2? 449295 COMPLIANCE DATES FEBRUARY 22, 1982 - BASELINE MONITORING - ALL EMPLOYEES WITH NOISE EXPOSURES GREATER THAN 85 DB(A) Losha OR 50% NOISE 8-HOUR TWA WITH 80-130 DB(A) MEASUREMENT RANGE MUST BE COMPLETED AND DOCUMENTED. AUGUST 22, 1982 - BASELINE AUDIOGRAMS - BASELINE AUDIOGRAMS WITH NOISE EXPOSURE AS OUTLINED ABOVE MUST BE ON FILE. 449296 07330 IDENTIFICATION OF EMPLOYEES FOR INCLUSION IN HEARING CONSERVATION PROGRAM OSHA COMPLIANCE/ENFORCEMENT IDENTIFICATION OF ALL EMPLOYEES EXPOSED TO 35 DB(A) OR ABOVE. # METHOD OF IDENTIFICATION A. NOISE MEASUREMENT - PERSONAL DOSIMETRY - AREA DM&N B* IDENTIFICATION OF EMPLOYEES - JOB TITLE/DESCRIPTION _ AREA/TASK t SUBMIT ROSTERS TO MOBIL MEDICAL 449297 BASELINE MONITORING METHOD & STATUS DIVISION CHEMICAL COATINGS FILMS MODS PETROCHEMICALS PHOSPHORUS PLASTICS RESEARCH/ENGINEERING MCC R&D DM&N X X X X IN-HOUSE X X X X 449298 DETERMINATION OF SIGNIFICANT THRESHOLD SHIFT OSHA CURRENTLY REQUESTING COMMENTS ON DEFINITION MOBIL HAS RESPONDED, OSHA/MOBIL MEDICAL CURRENTLY USING 20 DB AT ANY FREQUENCY, ONCE OBSERVED, NORMALLY RETEST GIVEN TO DETERMINE VALIDITY. IF VERIFIED DETERMINATION FOR OCCUPATIONAL VS MEDICAL PATHOLOGY IS REQUIRED (UNDER STAY). EMPLOYEE NOTIFICATION REQUIRED - 21 DAYS MANDATORY HEARING PROTECTOR USE AND PROGRAM 449299 FOLLOWUP MONITORING FOLLOWUP REQUIREMENTS CURRENTLY UNDER ADMINISTRATIVE STAY AND REVIEW INITIAL PROPOSAL 1. EVERY TWO YEARS 2. WITHIN 60 DAYS AFTER PROCESS/PROCEDURE CHANGE THAT: A, EXPOSED ADDITIONAL EMPLOYEES 35 DB(A) B. RENDERED HEARING PROTECTORS INADEQUATE 449300 NEEDS AND OPTIONS TO MEET FOLLOWUP MONITORING REQUIREMENTS NEEDS ESTABLISH 1. DIVISION/MCC-R&E IH NOTIFICATION AND FOLLOWUP SYSTEM FOR: A. PROCESS CHANGES (60 DAYS) B. BI-ANNUAL REMONITORING (AS REQUIRED) C. EQUIPMENT/MANPOWER AVAILABILITY OPTIONS DM&N FOLLOWUP USE OF CERTIFIED MONITORS AT PLANTS MCC/R&E MOBIL IH MANPOWER 449301 HEARING PROTECTOR PROGRAM WHEN REQUIRED? ' CQNDITIQN 1 85 DB(A) - 90 DB(A) NO SIGNIFICANT THRESHOLD SHIFT DETECTED ACTION HEARING PROTECTORS MUST BE MADE AVAILABLE - CONDITION 2 85 DB(A) - 90 DB(A) 'AND SIGNIFICANT THRESHOLD SHIFTS ARE DETECTED ACTION HEARING PROTECTOR USE, EVALUATION OF EFFECTIVENESS, TRAINING MANDATORY RECOMMENDATION: REQUIRE ALL EMPLOYEES EXPOSED >85 DB (A) Lqsha TWA wEar HEARING PROTECTORS 449302 HEARING PROTECTOR PROGRAM AVAILABLE TRAINING RESOURCES MCC/R&E EFFECTIVE HEARING PROTECTOR PROGRAM GUIDE MOBIL EMPLOYEE NOISE TRAINING PROGRAM 449303 m o r il c u rm c A i company MI HS MANAGEMCNI HI I'O H I 1 CHEM ICAL C O A J IN IS D IV IS IO N M A IC R IA L CXPO SURf SUMMARY THE F O LLO W IN G IS A SUMMARY OF EXPOSURE L I M I T S E S T A R L IS H E II FOR NO I S t 1 1 O N T . IMP HY OSHA ACG1H AND M O B IL ! z c x z o o CL W Z L. L. 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V) X u Vi z Li X M Li VI 533 449304 AREAS OF AMENDMENT CURRENTLY UNDER STAY OF OSHA BI-ANNUAL AND PROCESS CHANGE REMONITORING REQUIREMENT SELECTION OF EMPLOYEE OF GREATEST EXPOSURE FOR "REPRE SENTATIVE SAMPLE" EMPLOYEE NOTIFICATION TECHNICAL (SPECIFICATION) CRITERION FOR NOISE MEASUREMENT EQUIPMENT AND METHOD DETAILED EMPLOYEE OBSERVATION EXPLANATION AUDIOMETRIC TEST QUIET TIME OF 14 HOURS QUALIFICATIONS OF AUDIOGRAM EXAMINER AND RETEST REQUIRE MENT OSHA FORM 200 RECORDING OF PERMANENT TS ''539 449305 AREAS OF AMENDMENT CURRENTLY UNDER STAY OF OSHA Continued DEFINITION OF SIGNIFICANT THRESHOLD SHIFT TRAINING STANDARD PROVISIONS - NOISE STANDARD CONTENT - SPECIFIC NOISE SOURCE - ROLE OF CONTROL PLANS WARNING SIGNS EXPOSURE RECORDS CONTENT AUDJOMETRIC TEST CONDITIONS 07540 449306 PROPOSED REVISION TO ONTARIO CANADA NOISE REGULATIONS APPLICABILITY EFFECTIVE DATES AREAS OF REVISION SIGNIFICANT PROVISIONS 449307  APPLICABILITY 1, ALL INDUSTRY IN ONTARIO PROVINCE EXCEPT CONSTRUCTION 2, MCC/R&E OPERATIONS AFFECTED DIVISION CCD FILMS PLASTICS LOCATIONS 1 - WEST HILL 1 - BELLEVILLE OPP 1 - BELLEVILLE GP 7542 449308 EFFECTIVE DATES 1. UNDER ADMINISTRATIVE REVIEW 2. ANTICIPATED ATH QUARTER, 1982 - 1ST QUARTER, 1983 3. LAW EFFECTIVE 90 DAYS AFTER PUBLICATION 449309  AREAS OF REVISION 1. PERMISSIBLE LEVELS OF EXPOSURE 90 DB(A) LEQ.40-H0UR WEEK (ISO) 2. TRIGGER LEVELS FOR MANDATORY NOISE ASSESSMENT 80 DB(A) LEQ, AND HEARING CONSERVATION PROGRAM 85 DB(A) LEQ, 3. CODE FOR HEARING PROTECTION 4. CODE FOR AUDIOMETRY 5. CODE FOR NOISE MEASUREMENT 6. CODE FOR MEDICAL SURVEILLANCE 07344 449310  SIGNIFICANT PROVISIONS 1. METHOD OF NOISE MEASUREMENT/ALLOWABLE EXPOSURE US OSHA - 5 DB EXCHANGE RATE ONTARIO - 3 DB EXCHANGE RATE 2. TRIGGER OF HEARING CONSERVATION PROGRAM AND ENGINEERING CONTROLS AT 85 DB(A) 3. ESTABLISHMENT OF EMPLOYER/EMPLOYEE JOINT HEALTH AND SAFETY COMMITTEES 4. AUDIOMETRIC ACTION LEVELS A. SIGNIFICANT THRESHOLD SHIFTS 10 DB AT ANY ONE FREQUENCY 5 DB AT 3 ADJACENT FREQUENCIES 3. WORKMENS COMPENSATION NOTIFICATION 25 DB Ar 500, IK, 2K, 3K, EITHER EAR 07545 449311