Document nNawaGB538xQRBroqQVXqvew6

R-8082 Rev :*77 E. I. du Pont de Nemours & Company INCORPORATED Wilmington, Delaware EMPLOYEE RELATIONS DEPARTMENT CC: D. G. Windsor H. M. Baker- PLAINTIFF'S EXHIBIT DUP-2081 July 6, 1979 J. C. BONNETT, M.D. ilEDICAL DIVISION N-11400 / / The following statement'-is tak^-n from a transparency which was used at the Physicians Annual Meeting on April 25-27, 1979 but was otherwise unidentified. "Company policy makes submission to periodic (medical) examinations condition of employment where exposure to certain highly acute or chronically toxic substances is possible, e.g., asbestos, TEL" I would appreciate your verification that this is indeed company policy and an indication of where the policy is documented. SAFETY & FIRE PROTECTION DIVISION JRM:sc DUP 0948395 THERE'S A WORLD OF THINGS WE ARE DOING SOMETHING ABOUT DU 039317 Du Pont Physicians Annual Meeting Wilmington, Delaware April 25-27, 1979 PHYSICIANS RESPONSIBimOMDER QSHA Medical surveillance under OSHA Health and Safety standards Recordkeeping requirements Confidentiality -- medical records DU 039318 DUP 0948396 MEDICAL SURVEILLANCE _____ (GENERAL) A. Provide or make available medical examination at employer's cost 1. Regulations do not require employee to submit to EXAMINATION 2. Company policy makes submission to periodic EXAMINATIONS CONDITION OF EMPLOYMENT WHERE EXPOSURE TO CERTAIN HIGHLY ACUTE OR CHRONICALLY TOXIC SUBSTANCES IS POSSIBLE, E.G., ASBESTOS, TEL B, Frequency and scope 1. Preplacement, periodically thereafter (usually ANNUALLY, THOUGH CAN BE MORE FREQUENT DEPENDING ON SPECIAL CIRCUMSTANCES), AND UPON TERMINATION. 2. Physical examination comparable to basic Company annual examination program plus SPECIAL TESTS AND EVALUATIONS AS LISTED IN SPECIFIC STANDARDS DU 039319 DUP 0948397 MEDICAL SURVEILLANCE SPECIFIC OSHA STANDARDS A, Original 14 carcinogens, e.g., 4-aminodi phenyl, BETA-NAPHTHYLAMINE 1. Preplacement and annual examination for employees TO BE ASSIGNED TO REGULATED AREAS 2, NO TERMINATION PHYSICAL REQUIRED 3, NO SPECIFIC LIST OF TESTS 4. The physician is required to "consider whether THERE EXIST CONDITIONS OF INCREASED RISK, INCLUDING REDUCED IMMUNOLOGICAL COMPETENCE, THOSE UNDERGOING TREATMENT WITH STEROIDS OR CYTOTOXIC AGENTS, PREGNANCY, AND CIGARETTE SMOKING" B, Asbestos 1. Preplacement and annual examination required FOR ANY EMPLOYEE ENGAGED IN AN OCCUPATION EXPOSED TO ASBESTOS 2. Upon termination of employment - within 30 days BEFORE OR AFTER TERMINATION B3. asic medical examination plus a. Chest Roentgenogram b. History to elicit symptomatology of RESPIRATORY DISEASE c. Pulmonary Function tests DU 039320 DUP 0948398 2- - C. Inorganic Arsenic 1. Preplacement and periodic examinations annually or SEMIANNUALLY DEPENDING ON AGE AND LENGTH OF PRIOR EXPOSURE FOR EMPLOYEES WHO WILL BE OR ARE EXPOSED ABOVE ACTION LEVEL (1/2 PEL) FOR MORE THAN 30 DAYS PER YEAR (IF EXPOSED MORE THAN 30 DAYS PER.YEAR ABOVE ACTION LEVEL FOR TOTAL OF 10 YEARS THEN MEDICAL SURVEIL LANCE MUST BE PROVIDED SEMIANNUALLY/ IR RESPECTIVE OF CURRENT EXPOSURE) 2. Additional examinations as appropriate whenever EMPLOYEE DEVELOPS SIGNS OR SYMPTOMS COMMONLY ASSOCIATED WITH INORGANIC ARSENIC EXPOSURE 3. Termination - only if no examination in previous 6 months 4. Basic medical examination plus specific required- TESTS INCLUDING SKIN AND NASAL EXAMINATION AND SPUTUM CYTOLOGY Q. Inorganic Lead 1. Preplacement for any employee first assigned to^an AREA WHERE AIRBORNE LEVELS ARE ABOVE 30 MG/M^ 2. Annual examinations for all employees who are or MAY BE EXPOSED ABOVE 30 MG/M^ FOR MORE THAN 30 DAYS PER YEAR AND WHO HAD ANY MEASURED BLOOD LEAD LEVEL AT OR ABOVE 40 MG/100 G DURING THE PRECEDING 12 MONTHS 3. Further periodic examination determined by blood LEAD LEVELS 4. Additional examinations whenever employee develops SIGNS OR SYMPTOMS COMMONLY ASSOCIATED WITH LEAD INTOXICATION, DIFFICULTY IN BREATHING DURING DU 039321 DUP 0948399 -0- RESPIRATOR FIT TESTING OR UPON REQUEST FOR CONSULTATION (MEDICAL DISCRETION AS TO SCOPE OF EXAMINATION PERMITTED WITH REQUEST SITUA TION) 5, NO TERMINATION EXAMINATION REQUIRED 6, Basic medical examination plus specific list of ADDITIONAL TESTS INCLUDING PREGNANCY TESTING OR MALE FERTILITY EVALUATION IF REQUESTED 7, Multiple physician review - procedures are in cluded FOR PERMITTING AS MANY AS TWO ADDITIONAL MEDICAL OPINIONS IF THE EMPLOYEE IS NOT SATIS FIED WITH THE FIRST AND THE FIRST TWO PHYSICIANS CANNOT AGREE ON A DIAGNOSIS (SUBJECT TO COURT STAY) 8, Medical removal protection - if blood lead levels exceed SPECIFIED limits (1979, 80 jig/100 G; 1980, 70; 1981, 60; 1982, 50) then employee IS TO BE REMOVED FROM EXPOSURE AND GUARANTEED RATE OF PAY AND OTHER BENEFITS FOR 18 MONTHS cU i Acrylonitrile 1. Applies to any employee exposed above the action level (1 ppm TO) 2. Preplacement and annually 3. Additional appropriate examinations - as in arsenic IF THE EMPLOYEE DEVELOPS SIGNS OR SYMPTOMS 4. Termination examination only if no examination in PREVIOUS 6 MONTHS 5. Basic medical examination plus special list of REQUIRED TESTS DU 039322 DUP 0948400 4- - F, Vinyl Chloride 1. Preplacement and periodic examinations for employees EXPOSED ABOVE THE ACTION LEVEL (1/2 PEL) 2. Semiannual examinations for those exposed to vinyl 10CHLORIDE FOR YEARS OR LONGER . Basic physical examination plus specific list of ADDITIONAL TESTS . Additional appropriate medical examination for those EXPOSED TO AN EMERGENCY (MASSIVE RELEASE) fo cr OC r - i espirator Program , Where respirators are necessary to protect the HEALTH OF THE EMPLOYEE; A PHYSICIAN MUST DETER MINE THAT THE EMPLOYEE IS "PHYSICALLY CAPABLE OF PERFORMING THE WORK AND USING THE RESPIRATOR" . The HEALTH AND PHYSICAL CONDITIONS PERTINENT TO THIS DETERMINATION ARE LEFT TO THE PHYSICIAN , Capability status must be reviewed periodically (YEARLY SUGGESTED) CM DUP 0948401 DU 039323 i-- z Zr zo ro a> >z zn mm oz 3 Z CoD m w m z w z* n 3 on wH w m > w --i o > oz wo w n X w w oz J=- VaI N5 mnc/5 m o z O >> 3 x o -< m Z --1 m H mZ ----1 m x> 3m > H --i oz o *n to z H O Zm >3m-i CO X--o Z Z --I mzX wo> c z --i r3 z w ZH X 3 Hwmaxz-< >>mw -< Z2" O1 1 m z -- ox x z -- > Z-- n -i X m Wao r- -- Z m > -- o z H x m Z3w z m -o > moos o xm z z 1" 3m --w o -mi o zXZ H zo r- >n m o Z .m o o -3>I >H o m i w c CO o m x > rn m m Xz 3z 3z oworor x << zm m3 mm w zw x w-- mZ ->H O 03 z rn oz O z r m m i-- 0Xn 3z0z -- m r* cn o Hz -o<mz O> xjn3 o -->1 z ->< zz H jr- U1W z O -mcz> IXw"^mC z> o ro>z w o-< ow --o1 oz s--s< zo~mo iOWmHozzo --z3 zO >H m --o z3 zro H < O . 3mz %H H Z SB omo WH 03 X mHr zm ww g>= 3-- ZmmZ HO Hm Zm<* 0003 --XXH OZm Hm w __o mz zz r-- oo <z m Z-H O rOo <m pmp x-o Hmz m5nCw--X z>w ---oziooz n-->zto w CD OO m> z3 wm > w 1 jrn > z n-- z o1 z -i oo mo> o Xm z m 3m w> Hw m O z 3z > 03 m Io O < 3<m zm r~ -o< m z o z > z o m z oZO r* z r- oo -o< z o x: m mm' mQm X Z m w -- w --i z Ooo o z x-o=c wm m 31 --nmm > 3i z P=X3 nm nn mo wz wa DU 039324 a c z o<0 00 4oto*. < z-< 1- >o X -< r* c~> X o z-- T T<o--O om H70 r~ m z 3o3 CO H > 03 D >z-- o >70 a Im-- > o GO > m > C/3 1--* r n > 3D O z o o -m z C/3 f~ccamo* cxz 03 > o ro--h m to C30 zo < T1 mo > T1 OJ 30 CD 03 m 2-o -mC i-> O 30 -< 03 2 mo Z 33 H CO > Cr 04 IS9 l--* 2 m 33 00 e r- "O -n o*oo = m r 03 -- 30 70 Tir-i > C/3 o m 2 O O o H m 03 . c o MM H 2 2 < --H P* o --4 m >moX MH > o r~ -c m z m Z co r* H *H m m 33 O m MM MM > 70 > X 70 > o < a "HOD C3 o z m > cm > Z m 1-- -- I-- --1 o o 2 X zom MM m z m -o -- o o n H m 33 > 03 o03 2 30 "0--1 omrm > 33 03 33 2 m 03 -o 3c0 m cm30 > -- 30 >03 m >("3 m a o m Z MM 03 20 O z > 33 m rnz r> -HM > --i oo Z 302 1 H -- 1 03 z 30 t: CO > 2 m H O m 2 HJ -o > 03 03 O -- *o 50 -- z-o o ore HCZ 1-- O S--2*T0* 03 0Z3 3O0 -- n 03 > -H 03 m >03 o-< com =50 o z co -h O -< K>oo zz 70 O MM H H 1 m Z 3o0 03 OO 30 03 me -n O --03 "o Om co> =3c0n o -n m Jro > rntso ug 2 < Z 03 O C 03 2 *u m o J-- m m 03 > cn -- r- O) 03 Z1-mom 3cr O 03 o Z H -< H 2 > 7003 m > Z 30 03 -- x O 03 *n 03 m z o 70 aH ____O nro 2-- o z H-- oo Rz m 33 --H O HD 30 X m sk h m os mo-- zoo H 30 -- --O > oz z- 03 03 CO m> Z03 2m > 03 (--> -fc o > 70 n -- z 0 1 r co ' m> >2 om >03 MM Z o X 03 > z n DU 039325 m o o 03 GO m m 0--3 TH m m z 03 > 2m 03 z 70 -- > > MM z 03 H z n m o o-- r- c -Er 00 <-- o n -< a z > m 2X c > i- 03 > z 70 --n z r~ -c o o1 *< >50 nm nn mo cn to cn to nw CTJ <Oo 00 CoO CONFIDENTIALITY* 1 2 A. Du Pont Policy 1. Detailed medical record information, diagnoses and OTHER INFORMATION TREATED AS CONFIDENTIAL AND DISCLOSED ONLY TO EMPLOYEES OR UPON EMPLOYEE CONSENT, TO PERSONAL PHYSICIANS (SEE MEDICAL DIVISION POLICY GUIDANCE -- N-l) B. OSHA Requirements 1. Medical records required to be kept under Health OSHAand Safety standards must be submitted to whether or not employee consents 2, OSHAPending proposed rule relating to preservat-ion AND ACCESS TO VOLUNTARILY MAINTAINED MEDICAL RECORDS WOULD PERMIT ACCESS BY PRESENT AND i FORMER EMPLOYEES OR THEIR DESIGNATED REPRESEN TATIVES AND BY OSHA AND NIOSH REGARDLESS OF EMPLOYEE CONSENT C. New Jersey Requirement 1. Medical license conditioned on doctor agreeing, to PROVIDE ACCESS TO PATIENT AND PATIENT DESIGNATED SOURCES DUP 0948404 DU 039326