Document mn7954mQQdZwxxD4BXXRRLN4

FILENAME: Flintkote (FLK) DATE: 1976 Sept 14 DOC#: FLK110 DOCUMENT DESCRIPTION: Memo RE Medical Examinations & OSHA Asbestos Standard with Attached Medical Form and Handwritten Notes * This Bulletin is a restatement of OSHA Bulletin No. 30 issued December 18 1972 which is hereby superseded. OS HA Standard 1910.1001 pertaining to asbestos dust, exposure specifies that hourly and salaried esployees exposed to airborne concentrations of asbestos fiber be given pre-placement, termination and annual physical examinations. The first of the annual exam inations was to have been given on or before January 31. 1973. The definition of employees who are exposed to airborne concentrations of asbestos fiber is not provided in the standard. The standard requires that medical examinations be provided for each employee exposed to airborne concentrations of asbestos fibers". The Review Commission has ruled that the Standard places no quantitative limitation on the amount of exposure therefore medical examinations must be provided _ whenever employees are exposed to any trace of asbestos - no matter how temporary or insignificant_____ " . (See OSHA Bulletin #75-16 dated December 15 1975).. The use of respirators does not relieve the employer from the responsibility of providing medical examinations for employees. Zn addition to the matter of exposure definition there are other factors pertaining to the physical examinations which bear consid eration. They are as followst 1 examination Content The examination procedure is stated la OSHA standard 1910.1001 a (j). One of the requirements is a history to elicit symptomology of respiratory disease. This history should be expanded to include cardiovascular gastrointestinal and cardiopulmonary symptomatology. The medical history should be taken by the exarai cont'd Page 2 September 9, 1976 I r other qualified medical personnel and it should develop data on smoking habits and previous exposure to harmful dusts. A suggested medical questionnaire to be provided to the examin ing physician for his consideration is attached as Enclosure A. Zt should be noted# however, that the form and content of the questionnaire for purposes of obtaining a medical history is up to the examining physician. 2. Selection off Physician Zn most cases the regular plant physician will perform the examination or make arrangements for the testing work* Zf assistance is needed in the selection of an examining physician# the local office of the workmen's compensation insurance carrier or compensation service organization should be contacted for a reference. Some mobile Health Services are qualified to conduct both physical and medical tests# and may be used for this routine testing. Zn all cases# qualifications of physicians or medical services should be checked. Upon request# the Corporate Insurance Department will obtain names of recommended physicians# or Health Services# if local efforts to select one have been unsuccessful. 3. Medical Files The availability and maintenance of medical records is described in the OSHA Standard 1910.1001a (j) (6) (i&ii). All concerned should become familiar with these sections. Zn part# these provide that the examining physician must provide the employer with a complete and accurate written record of all medical examinations. These records are to be maintained in the local personnel files for twenty years. Copies of examination reports which reveal medical problems are to be forwarded to the Corporate Insurance Department. 4. Notification to Employees to Medical .Problems Zn the event a medical or physical problem is discovered during an examination# the employee is to be advised cont'd . Paga 3 September 9, 1976 orally by the examining physician at the time of the ( examination. If, in the opinion of the examining? physician this problem is serious, or of such a nature J. as to recommend further medical attention, notification vill be sent to the employees personal physician. This notification can be made only vith the coneent of the employee, in writing, using the form Illustrated in Enclosure B, or a similar form suppliedly t h e examining physician. This form is to be completed b y each employee prior to the medical examination. The - examining physician vill then submit a report directly to the employee's personal physician. Zf'the medical problem is occupationally connected, the local'office of the workmen's compensation insurance carrier or compensation service organization must be notified. Any questions relative to examinations of personnel engaged in occupations having an exposure to airborne concentrations of asbestos fiber should be referred to the Corporate Insurance Department. JCS/plb A ttadunante cct S. Weiss - Rochelle Park ' i AT ION MEDICAL EXAMINATION REPORT ENCLOSURE A JOB TITLE TYPE OF EXAMINATION - SEX BIRT OSBA Standard 191Q1001 DATE oe r________ _ ISONAL PHYSICIANt IZFY IN EMERGENCY! ADDRESS ` NAME SAME STREET CITY STATE ZIP ADDRESS PHONE NUKE ADDRESS PHONE NUME TO BE ANSWERED BY INDIVIDUAL VE YOU EVER BEEN A P F U C T E D WITH ANY OF THE FOLLOWING PHYSICAL AILMENTS s ) NO ( ) YES ) NO t ) YES - NO { ) YES > NO ( ) YES NO ( ) YES 1 NO ( ) YES ) n o ' ( ) YES ) NO ( ) YES ) NO ( ) YES ) NO ( ) YES Allergies Asbestosa Asthma ' Bladder Disorder Bronchitis Cancer or Tumor .Dermatitis (Shin) Emphysema Eye Trouble Frequent Colds or Sor* Throats ( ) NO ( ) NO < ) NO ( ) NO ( ) NO ( ) NO ( ) NO (.) NO ( ) NO ( ) YES ( ) YES ( ) YES ( ) YES ( ) YES ( ) YES ( ) YES ( .) YES ( ) YES Hay Fever Headache Severe Kidney Trouble Pleurisy Pneumonia Silicosis Sinus Trouble Tuberculosis of or Other Parts Ulcar iTHER IF ANY OF THE ABOVE HAVE BEEN ANSWERED y e s * - e x p l a : JAVE YOU EVER BEEN UNDER OBSERVATION OR TREATMENT IN ANY HOSPITAL* CLINIC* OR 5ANITAIUM* RELATED TO ANY OF THE ABOVE LISTED AILMENTS? ( J NO ( ) YES-EXPLAIN SAVE YOU ANY PHYSICAL DISABILITY RELATED TO ANY OF THE ABOVE LISTED AILMENTS? ( > NO ( ) YES-EXPLAIN HAVE YOU EVER BEEN DISABLED, LAID OFF OR COMPENSATED BECAUSE OF A GOVERNMENT OR OCCUPATIONAL DISABILITY RELATED TO ANY OF THE ABOVE LISTED AILMENTS? f ) NO ( ) YES-EXPLAIN YOU EVER BEEN REJECTED FOR INSURANCE OR EMPLOYMENT BECAUSE OP A PHYSICAL CTION RELATED TO ANY OP THE BEPORE MENTIONED AILMENTS? ( J YES-EXPLAIN \NY PARENT, BROTHER, OR SISTER BAD TUBERCULOSIS, ASTHMA, EMPHYSEMA o"r OTHER ONARY CONDITION? SO ( ) YES-EXPLAIN v' . : m * J ' l YOU EVER BEEN EXPOSED TO AN ENVIRONMENT HAVING ANY OP THE FOLLOWING IN ; CONCENTRATION* SO ( )YES Chemicals (Kind) . ( ) N O ( ) YES C s s {Kind) NO ( ) YES Duet (Xin<3) .(> 0 { .) 'YES S o Ley Environment (Where i DID YOU LAST CONSULT A PHYSICIAN? REASON: m WOULD YOU CISIFY YOUR HEALTH: EXCELIENT ( ) GOOD ( ) POOR YOU SMOKE? ( ) H O . ( ) YES WHAT EXTENT? HAVE YOU EVER SMOKED? ( ) NO BOW LONS? ( } YES ENCLOSURE B t SAME OP EXAMINING PHYSICIAN ADDRESS *? P * * Kama of Esployee (Pleas* Print) . '*-' ~ Employee's Personal or Family Physician . Hama ______________________________________ A d d r e s s __________________ . . fInsert name of Examining Physician) is authorised to forward at his discretion* results of my routine medical examination to the physician listed above* Signed Date employee r