Document dQdD9M03QJM4kex293Ezo4q

If J /< 4 r p- * 4' #' * ft t ft * * * r 4 ft t I' * * ** ft ft 4 * ft Interoffice Communication r4 To From Charles Whetstone, MD - A. .j- v C. E. Gremlllion 0 l* * v 1 - 4 *J .* ' Lj ft ' * +* r' 4 4- " * _ f ' 11 .` '* J- ^f ^ ' % *' * ft . Data v subjact *V July 24, 1975 . # * -m r _ - T w * ^4 L. OSHA Program Directive Interpretations ^ * pi > -; v .* * ft h r4 I * T I -J ^ ' 'J ' - ** m" 11 f * t - #* *, 4 * . > - ' *- ft'. c } >' -O' ft :ft'*** j ft *- ^ ** -* ijf7t - 4 * ft * -ft ft ft ft FP P> r ;\vi * ? , -T . f - - 4 nS * ** I # * '4 p+ OSHA has recently come out with a Program Directive for their compliance officer to be used to enforce the VCM Health Standard among employers. The Directive is Intended to provide Interpretations of how the law will be enforced. H ft 4 * 1 T---' H * J 1. ` The Directive discusses several points regarding medical surveillance which I feel we need clarification. The following are the questions I feel must be re solved and coordinated to decide how we will. interpret and implement the standard within Conoco Chemicals. * MEDICAL SURVEILLANCE PROGRAM > ct;r %, t. * *^ > m- fc- +~ *V * r . * * `* X- l * K ft ,* v. r - ^ * * t Jk k *- * <p +* Law "A program of medical surveillance shall be instituted for each employee exposed Where exposures are below the action level, the medical * pp surveill (Interpretation on pa -* Hm P* ft . ft 13 Question & 14) 90% of our employees who j* p s m +. v-r* **9---------------- -v.; v% 7- 4 -ft ft ft approximately will be consistently below the 0.5 ppm ** action 4 * level in our plant. In-addition, the further we progress in implementing .VS feasible engineering controls the sooner the personnel exposure should be more rapidly reduced. Therefore, at what point, if any, should we con ^ * ft 4s**'1- v . 1* sider dropping the annual and/or bi-annual VCM medical test and exam ination in our plant ? Ever ? If not, why not ? 1 1. * EMERGENCIES - ft * ft Law: "Each employee exposed to an emergency shall be afforded the appropriate medical surveillance." (Interpretation on page 14) * mi Question: Assuming we have an "emergency" VCM release, as defined by our plant management, shall we send each employee potentially exposed to high concentrations of VCM to our company doctor, F. W. Bennerscheidt MD ? , Since the word "afford" is used, does this mean we only "offer" the medical surveillance, by the company doctor ? If we do insist and send the employee to the doctor for examination, shouldn't some type of form letter be sent to us following the Doctor's examination explain ing the suitability and appropriateness for the employee to return back to work in the VCM plant ? . * -* . `' VAB.0001042068 Charles Whetstone Page 2 July 24, 1975 * * n t* EMPLOYEE SUITABILITY -i ** *Y .* jr r **>. *N fr' j-7v *. . -* ,, "t-.w * % / t* -M * I ' -I ` t ' "* IIPp ' f f *+ d . M. -V V" -Kd * f J mV m* * iJfc 'i-- *" * ' * A * . < + * * t * f. ' ' 4* **'* V 1 -4 * b' pt\V * ... * j 1 * ,*. *f r *- ># * * <4 ^... A * h* rh */ * ., * *1 * -: - #. r A !- ' 1* *;t a 1 t. rr. Law: "A statement of each employee's suitability for continued exposure to vinyl chloride including one of protective equipment and respirators, shall be obtained from the examining physician promptly after any ,* examination, A copy of the physician's statement shall be provided each employee," (Interpretation on page 14) m 4 p ... # 1 ., , # * * P 1 Question: The present statement provided to the employee following the VCM * : tests and examinations do not, in my opinion, reflect v/hat the law is requesting. (See Attachments A & B) No mention is made -x * ft * as to my suitability to continue work in VCM service or the plant * I 4 Also, no mention is made regarding my suitability to wearing the *+ * t protective Can * F 1 . . > * W ' ,, something be done to revise the present form we use and include l?m+* . a suitability statement regarding continued work in VCM service and protective equipment and respiratory protection ? LABORATORY LICENSES >- +"* t .* * A * * -*., " * - r* _-i * -f b* . h -I- i ,.Si d , i1 b ' . ir j * s Mi -- b d P ,K i A m. r - * V L.r 4^ Vr f 4 * * -J'-lfw "- J&Vj ** >* ^' t * fF - * 1 Law Laboratory analyses for all biological specimens included in the medical examinations shall be performed in laboratories licensed under 42 CFR Part 74" (Interpretation on page 15) *\ - Question I received a HEW license no, 02773 098886-70-3-RAN from the Pathology -? - Lab in Lake Charles with whom we use to conduct our laboratory specimen sampling. Is this all the information we need ? Please advise. J' V. ` ^ *> fa*:- mL % * t r % ; v i v i <. W* * E, Gremillion Safety Director ...... rv,- V. ***' 'i * .. --*'* * - -. **1 "* * '* * v J. -* Xp^.* d- ...--V - ** 1 '+ i -1*: *: . -i'- * 1 i ' v! V ^ ^**.j*. i ' , ^ ^ aa i> N > i- if * * * ' T-. *** * Tf ' ,* :- J" * v; I `^ <* , .. . *. - Hi*.;?, * "* "v r J?**4-r'* `-A .-I f, f^ * " v-' ^ - - ' - *- ^ I- n&c .icf: ntrol:i . . . . v ^ F ^ 'i* 4 r + yi "i k ` ' '. * -J - 4 V ^ * -t. *b *. ,-p ' .> *. -a * Up . *.* - ** r. r * vl .. _ i. ip4 - t \* ^ v* **. *r ^*A _ *- L> * ' ' j ji *irr ^ rv*' a * i t - "* J- * ,1:: rv.il.1 ^ ^i p* .* i J '# rot#>T * ** I _ . H- t * * .. % # i t. b* ^ ,4l' V t' .V * A'jV* *' i: Zl ,* r. 9* t r4 ,1 ' * Tp , \* . * frti, *I - t 4 "* J ^ k A: "t vr-fc 4* * - ' - * -j?. fa l. ,,\V :*>?: .H fa *: *^ s-l *; bw * k fc I K* ** *. d H* ^ !; * I t . + ' -r A *A * j * v . ` ;* ^- r r * *'V ~ ^ L. 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