Document OEynRQQ59eN69QJDRjL0gwGLv

PLAINTIFFS EXHIBIT OCCUPATIONAL SAFETY & HEALTH REPORTSC ventilation zones (a separate air circulating zone) and cmcijency procedures should be pre-programmed, Rozian included in many suggestions regarding research should be l cost rislc and benefits associated evaluation, Rozian r~.id. Improved housekeeping should be a regular respon sibly to prevent impeding the escape. To defray the cost of the research suggested, Rozian called for a 50 percent subsidy carried by the state and Federal Govern ments. Research also should be pursued of the modes of combustion, he said. Other areas in which he made recommendations in cluded telemetry and communications, standby lighting systems, research on physiological tolerance levels, and lusct.e vehicles. The interest of the Internal Revenue Service is in huvi..j one set of regulations acceptable to all government cj.cn; ies concerned so that there will be no interagency conllirt and the public will not be confused, Donald L. RriViS, Alcohol, Tobacco, and Firearms Division, Internal Uevauue Service, told the subcommittee. Asfcastos CC:.;.Y.!TTEE RECOMMENDS REQUIREMENTS FOR MEDICAL SURVEILLANCE, RECORDS Requirements concerning medical surveillance and re cords are specified in recommendations of the Advisory Commit tee on Asbestos to be submitted to the Assistant Secretary of Labor for Occupational Safety and Health George C. Guenther. The recommendations, as approved in a meeting held in Washington February 22, follow: smoking habits shall be recorded, and smoking shall la discouraged. Examination for rales and fingers clLL-hLg shall be performed. Sputum cytology is recommended annually on li___ workers with 10 or more years exposure to asbestos; a;.J if atypia or greater classification is manifest, subsequent sputum examinations should be conducted on a six month basis^ A comprehensive termination medical Examination shall include physical examination, chest roentgenogram, FVC and FEV 1.0, and questionnaire for respiratory' symp toms. Pre-employment and termination medical evaluations shall not be required, if a similar comprehensive medical evaluation has been performed within a 12 month period. '(21 Records. The physician(s) charged with the imple mentation of the medical program shall maintain the appropriate medical records. Only HEW and DOL physi cians and medical consultants and physicians designate.j and authorized by the employees shall have access to the medical" record. Medical records shall be maintained for a period of time to be determined by the Secretary of Labor in consultation with the Secretary of Health, Education, and Welfare. The vote to accept the proposed recommendation was three members for, Andy Haas, Asbestos Workers Inter national against, and Isaac Weaver, corporate director. Environmental Controls, Raybestos-Manhattan Corpora tion abstaining. The proposed recommendations do not adequately pro vide for protection of confidentiality of records and they should be more specific with regard to the period of time for which records are kept, Haas said. He will submit z minority report at the next meeting. H. Medical (1) Surveillance. A comprehensive pre-employment history and physical examination shall be performed on all worker applicants. This shall include a chest roentgeno gram (posterior-anterior 14 x 17 inches) and baseline pulmonary function including forced vital capacity (FVC) and forced expiratory' volume at one second (FEV 1.0). Health education should emphasize the hazards of as bestos and the importance of good occupational health practices. Periodic medical evaluation is required annually on all worker.; with 10 or more years exposure to asbestos and every two years on workers with less than 10 years exposure. Periodic medical evaluation also is required annually on those individuals: (1) who show roentgenographic findings (such as small opacities, pleural plaques, pleural thickening, and pleural calcification) which suggest or indicate pneumoconiosis or other reaction to asbestos or (2) who have changes in pulmonary function which indicate restrictive or obstructive lung disease. Periodic medical evaluation shall include a chest roentgenogram (posterior-anterior 14x17 inches), spirometry including FVC and FEV 1.0, and a questionnaire for the presence and degree of respiratory symptoms including breathless ness, cough, sputum production, and wh^png^ Current Standard Modified The recommendations for airborne concentration were amended by deleting the second sentence beginning with "Determination" and ending with "Asbestos " and adding "Paragraph (a) of' before "this section" in the last sentence, and "of 5 fibers/cc time weighted average" after "standard" in the last sentence. (Current Report, Feburary 17, p. 864). Weaver said after reviewing the National Institute for Occupational Safety and Health's criteria package and two earlier drafts of criteria and the interim standard, he believed reduction to the two fiber limit could not be justified. l.atcr criteria contained "tenuous data" and fragmentary information that cannot be supported by scientific facts at this time. Weaver said. Adoption of the two fiber limit would lead to unemployment and in creased costs in the asbestos industry. Weaver will submit a minority report presenting his views. Proposed recommendations with regard to house keeping and protective clothing will be developed an.! included under Methods of Compliance. Recommenda tions on allowable respirators, particular operations am products, warning labels and signs, and monitoring aiu records also will be presented and discussed at the ne.\ meeting. Occupational Safety & Health Reporter