Document pBxr65expO2ZGKONeBe4xRjGX

January 3, 1974 Dr. H. D. Hines 2317 Fannin Screet Houston, Texas Dear Dr. Hines: In accordance with Federal OSHA regulations which require specific medical examinations for personnel regularly exposed to airborne concentrations of asbestos fibers, we plan to send once again five of our employees to you for examination. I am attaching for your information our latest directive from the Corporate Medical Director, Dr. R. E. Joyner, M.D., and the necessary forms for your use and distribution. You may wish to contact him on technical questions. Mr. D. 6. Hood in our Employee Relations Department, Deer Park Plant, will make the necessary scheduling arrangements with you. FCR/s Attach. ec: Dr. R. E. Joyner be (w/o attach): DHM-DGH File Chron Very truly yours. Original Signed by F. G. Reitz F. G. Reitz, Manager Safety & Training DPMC-00362 lam 006850 SM 17 (Co. 7 .571 ShELL OIL COMPANY PEFfPfNCF TO ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS date DECEMBER 3, 1973 from MEDICAL DIRECTOR subject OS HA ASBESTOS STANDARD MEDICAL EXAMINATIONS I am enclosing copies of a new medical examination form which should be utilized for all OSHA asbestos examina tions performed in the future. The results of the first round of examinations, and current changes in the form, suggest the following comments: I. MEDICAL HISTORY: No significant changes in this section. H. SPIROMETRY: The fact that different predicted normals were used in the pulmonary function tests in dif ferent locations has resulted in difficulties in evaluation of these tests. In the future, please use the predicted normals of Kory et al, which are shown in a table on the reverse of the physical examination form. This table of predicted normal values should be provided to the pulmonary function testing laboratory utilized by your individual location, and calculations of percent of predicted values should be based on this table. I would also like to request that your pulmonary function laboratory furnish to my office the type of spirometer used in the examination. III. CHEST X-RAY: It is not necessary to send the x-ray to my office, but please specify where film is to be permanently filed. If any abnormal findings are noted on chest x-ray, please forward a copy of the radiologist's reading to my office, along with the other examination forms as specified below. DPMC-00363 lam 006851 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 2. IV. PHYSICIAN'S EVALUATION: No significant changes in this section. V. CLINICAL EXAMINATION; All employee participants in this program should be given a clinical examination by a physician. A copy of the report of that examination should be attached to the enclosed form when it is returned to my office. VI. ADDITIONAL PROCEDURES, REMARKS, SUMMARY: No significant changes in this section. To date, I am unaware of any employees who have refused to submit to asbestos examinations. In the event this occurs, it has been suggested by OSHA that we obtain a signed statement from the employee documenting his refusal to participate. Examinations continue to be required on an annual basis for those employees currently included in the examina tion program. In addition to those employees, examined annually under this program, the following examinations are also required: 1. PRE-PLACEMENT A pre-employment or a pre-transfer examination must be given to those employees transferred into "exposed" job assignments within 30 calendar days following such employment or transfer. The content of such examinations should be identical to the regular annual examination. DPMC-00364 lam 006852 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 3. 2. TERMINATION Examinations should be provided for those employees terminating exposure through transfer, retirement, resignation or other means within 30 calendar days before or after such termination. The content of such examina tions should be identical to the regular annual examination. Exception: The standard states that "no medical examination is required of any employee if adequate records show that the employee has been examined in accordance with this paragraph within the past one-year period". Results of all examinations described above should be expeditiously reviewed by the Company-appointed examining physician. The examining physician should report to the employee all abnormal findings in exactly the same manner as he would in a private doctor-patient relationship, without conjecture as to etiology. In those instances in which the abnormalities do not appear to be related to asbestos exposure, the examining physician should make appropriate recommendations and referral to employee's family physician as he deems necessary at the employee's expense. Findings which could possibly be related to asbestos exposure should be discussed with the Corporate Medical Director and location /management prior to advising the employee of a definitive diagnosis and before referral for consultation or otheradditional testing. Results of all examinations described above shall be made available to the employee's designated personal physician upon request of the individual employee. Copies of all examinations described above shall be forwarded to the Corporate Medical Director for review an? filing in the Central Corporate Medical Files. All medical records generated by the procedures described above should be retained at the individual location for the duration of employment, and in the Central Corporate Medical Files indefinitely. t/ DPMC-00365 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 4. I am enclosing a sufficient number of forms to allow one copy to be returned to the employee's location, one copy forwarded to me, and a third copy retained in the examining physician's files if ho-co doc ires . -Cov It is suggested that the enclosed copy of this memorandum be furnished to the examining physician for his guidance in this program. If I may be of any assistance regarding this examination program, please call on me at any time. Y 'f'*r&** Enclosures Sent to: Anacortes Refinery Houston Refinery Martinez Refinery Norco Refinery Wilmington Refinery Wood River Refinery Houston Chemical Plant Martinez Chemical Plant Norco Chemical Plant cc: Messrs. J. W. Sheehan H. E. Walker G. Holzman A. J. Martin R. F. Nelson B. W. Dunbar R. E. Nord s trom H. L. Kusnetz be Messrs. E. S. Martin - Houston Plant F. L. Lewis - Houston Plant ^ THIS COPY FOR E. C. Borgeson - Martinez Plant J. G. Bridgeman - Norco Plant DPMC-00366 LAM 006854 PREDICTED NORMAL VALUES* - NORMAL MALES DPMC-00367 HEIGHT (in.) MEASURE 60 FVC FEVn 61 FVC FEVi 62 FVC FEV] 63 FVC FEVl 64 FVC FEVl 65 | FVC FEVl 66 ; FVC : FEVl 67 FVC : FEVl 68 FVC , FEVl 69 FVC FEVl 70 FVC FEVl 71 FVC FEVl 72 FVC FEVl 73 FVC FEVl AGE (year) 20 3.94 3.49 4.07 3.58 4.21 3.68 4.34 3.77 4.47 3.87 4.60 3.96 4.74 4.05 4.87 4.15 5.00 4.24 5.14 4.34 5.27 4.43 5.40 4.52 5.54 4.62 5.67 | 4.71 25 3.83 3.35 3.96 3.44 4.10 3.54 4.23 3.63 4.36 . 3.73 4.49 3.82 1 4.63 3.91 4.76 4.01 4.89 4.10 5.03 4.20 5.16 4.29 5.29 4.38 5.43 4.48 5.56 4.57 30 35 3.72 3.21 3.85 3.30 3.61 3.07 3.74 3.16 3.99 3.40 4.12 3.49 3.88 3.26 4.01 3.35 4.25 4.14 i 3.59 3.45 ; 4.38 3.68 4.52 ' ; 3.77 4.27 3.54 4.41 3.63 '4.65 4.54 1 3.87 3.73 4.78 3.96 ; 4.92 '4.06 4.67 3.82 4.81 3.92 5.05 j 4.94 4.05 4.01 5.18 ! 5.07 4.24 i 4.10 5.32 i 5.21 4.34 i 4.20 5.45 1 5.34 4.43 i 4.29 40 3.50 2.93 3.63 3.02 3.77 3.12 3.90 3.21 4.03 '3.31 4.16 3.40 4.30 3.49 4.43 3.59 ,4.56 ` 3.68 4.70 .3.78 4.83 3.87 4.96 3.96 5.10 4.06 1 5.23 4.16 45 50 55 ________ |______ 3.39 2.79 3.52 2.88 3.28 2.65 3.41 2.74 3.17 2.51 3.30 2.60 3.66 3.55 3.44 2.98 2.84 2.70 3.79 3.68 3.57 3.07 2.93 2.79 3.92 3.81 3.70 3.17 3.03 2.89 4.05 3.26 4.19 3.35 3.94 3.12 4.08 3.21 3.83 2.98 3.97 3.07 4.32 4.21 4.10 3.45 3.31 3.17 4.45 4.34 4.23 3.54 3.40 3.26 4.59 4.48 4.37 3.64 3.50 3.36 4.72 4.61 4.50 3.73 3.59 3.45 4.85 4.74 4.63 3.82 3.68 3.54 4.99 3.92 5.12 4.01 4.88 3.78 5.01 3.87 4.77 3.64 4.90 3.73 60 65 3.06 2.95 2.37 1-2a23.-4., 3.19 3.08 i 2.46 2.32 ; 3.33 3.22 2.56 2.4 2 ; 3.46 2.65 3.59 2.75 3.35 2.51 3.48 2.61 I ! ; 3.72 3.61 ; 2.84 2.70 j 3.86 2.93 3.99 3.03 3.76 2.79 3.88 2.89 | i I j 4.12 4.01 3.12 2.98 : 4.26 4.15 3.22 3.08 4.39 3.31 4.52 3.40 4.66 3.50 4.79 3.59 4.28 3.17 !4.4i 3.26 4.55 3.36 4.68 3.45 , : ; j ! LAM 006855 SPECIAL MEDICAL EXAMINATION (Asbestos) 'MEDICAL DEPARTMENT - SHELL SHELL OIL COMPANY SHELL CHEMICAL COMPANY SHELL DEVELOPMENT COMPANY Preplacement D Annual PI Termination n Other Employee Nar. jj____________________ NoDate Location ___________________________________________ _ Age Ht. Wt.Sex Pursuant to OSHA Regulations published in the Federal Register (37 F. R. 11318), the following procedures were performed on the above-named employee: I. MEDICAL HISTORY (Please check Yes or No) 1. Have you hod shortness of breath in the post few months? 2. Does your shortness of breath make you stop for breath after climbing one flight of stairs? 3. Does shortness of breath interfere with your work? 4. Does shortness of breath ever awaken you from sleep? 5. Does shortness of breath ever occur at rest? 6. Do you have to sleep on several pillows at night in order to breathe easily? 7. Do you hove a bothersome cough nearly every day? 8. Is your cough mainly on lying down? YES Remarks: NO 9. Is your cough mainly on arising in the morning? 10. Is your cough about the same all through the day.? 11. Do you cough up yellowish or greenish sputum? 12. Have you coughed up blood within the post six months? 13. Do you think the blood come from your nose, throat, or chest? (circle one) 14. Are you frequently aware of whistling or wheezing when you breathe? 15. Has a Doctor ever said you have emphysema? 16. Do you get frequent chest colds? YES NO n n II. SPIROMETRY: Predicted (Kory) Measured % Of Predicted R#yWi#) RATIO TM]= Vital Capacity (Liters) FEV, (Liters) Employee's Signature III. CHEST X-RAY: Where is film filed? Date Token _ Reading: O Normal chest f~l Abnormal findings (if abnormal, attach copy of reading) Remarks: IV. PHYSICIAN'S EVALUATION: (~) History and test results above do not show evidence of chronic respiratory disease. Marginal findings. Recommend follow-up os noted below. CD Recommend immediate further study as noted below. D Employee may wear respirator. O Employee should not wear respirator. REMARKS: Physician's name (print) V. CLINICAL EXAMINATION: (Attach report of examination) Physici on's signature Date VI. ADDITIONAL PROCEDURES, REMARKS, SUMMARY: DPMC-00368 LAM 006856 M. I PREDICTED NORMAL VALUES* - NORMAL MALES HEIGHT (in.) 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 MEASURE FVC FEVi FVC FEV] FVC FEVi FVC FEVi FVC FEVi FVC FEVI FVC FEVI FVC FEVi FVC FEV] FVC FEVi FVC FEVi FVC FEVi FVC FEVi FVC FEVi FVC FEVi FVC FEVi FVC FEVI FVC FEVi FVC FEVI 20 25 30 35 3,94 3.49 4.07 3.58 4.21 3.68 4.34 3,77 4.47 3.87 4.60 3.96 4.74 4.05 4.87 4.15 . 5.00 4.24 5.14 4.34 5.27 4.43 5.40 4.52 5.54 4.62 5.67 4.71 5.80 4.81 5.93 4.90 6.07 4.99 6.20 5.09 6.33 5.18 3.83 j 3.72 3.35 3.21 3,96. j 3.85 3.44 3.30 4.10 3.99 3.54 3.40 4.23 ' 4.12 3.63 3.49 4.36 4.25 3.73 3.59 4.49 3.82 4.63 3.91 4.38 3.68 4.52 3.77 4.76 4.65 4.01 3.87 4.89 4.10 5.03 4.20 4.78 3.96 4.92 4.06 5.16 5.05 4.29 4.05 5.29 5.18 4.38 4.24 5.43 5.32 4.48 4,34 5.56 5.45 4.57 4.43 5.69 4.67 5.82 4.76 5.96 4.85 5.58 i4.53 - *5.71 4.62 ;5.85 [4.71 6,09 5.98 4.95 4,81 6.22 6.11 5.04 4.90 3.61 3.07 3.74 3.16 3.88 3.26 4.01 3.35 4.14 3.45 4.27 3.54 4,41 3.63 4.54 3.73 4.67 3.82 4.81 3.92 4.94 4.01 5.07 4.10 5.21 4.20 5.34 4.29 5.47 4.39 5.60 4.48 5.74 4,57 5.87 4.67 6.00 4.76 AGE (year) 40 45 3.50 2.93 3.63 3.02 3.77 3.12 3.90 3.21 4.03 3.31 4.16 3.40 4,30 3.49 4.43 3.59 4.56 3.68 4.70 3.78 4.83 3,87 4.96 3.96 5.10 4.06 5.23 4 .16 5.36 4.26 5.49 4.34 5.63 4.43 5.76 4.53 5.89 4.62 3.39 2.79 3.52 2.88 3.66 2.98 3.79 3.07 3.92 3.17 4.05 3.26 4.19 3.35 4.32 3.45 4.45 3,54 4.59 3.64 4.72 3.73 4.85 3.82 4.99 3.92 5.12 4.01 5.25 4.11 5.38 4.20 5.52 4.29 5.65 4.39 5.78 4.48 50 3.28 2.65 3.41 2.74 3.55 2.84 3.68 2.93 3.81 3.03 3.94 3.12 4.08 3.21 4.21 3.31 4.34 3.40 4.48 3.50 4.61 3.59 4.74 3.68 4,88 3.78 5.01 3.87 5.14 3.97 5.27 4.06 5.41 4.15 5.54 4.25 5.67 4.34 55 3.17 2.51 3.30 2.60 3.44 2.70 3.57 2.79 3.70 2.89 3.83 2.98 3.97 3.07 4.10 3.17 4.23 3.26 4.37 3.36 4,50 3.45 4.63 3.54 4.77 3.64 4.90 3.73 5.03 3.83 5,16 3.92 5.30 4.01 5.43 4.11 5.56 4.20 60 3.06 2.37 3.19 2.46 3.33 2.56 3.46 2.65 3.59 2.75 3.72 2.84 3.86 2.93 3.99 3.03 4.12 3.12 4.26 3.22 4,39 3.31 4.52 3.40 4.66 3.50 4.79 3.59 4.92 3.69 5.05 3.78 5.19 3.87 5.32 3.97 5.45 4.06 65 2.95 2.23 3.08 2.32 3.22 2.42 3.35 2.51 3.48 2,61 3.61 2.70 3.76 2.79 3.88 2.89 4.01 2.98 4.15 3.08 4.28 3.17 4.41 3.26 4.55 3.36 4.68 3.45 4.81 3.55 4.94 3.64 5.08 3.73 5.21 3.83 5.34 3.92 * Source - Kory, Callahan, Boren and Syner, American Journal of Medicine, 30:243-58, 1961 DPMC-00369 LAM 006857 SPECIAL MEDICAL EXAMINATION MEDICAL DEPARTMENT - SHELL SHELL OIL COMPANY SHELL CHEMICAL COMPANY SHELL DEVELOPMENT. COMPANY ibestos) O Preplacement H Annual n Termination CD Other Ei. ,vee Nome: No. Location Age _ ht. ' * I 1 f T--; Wt. Sex Pursuant to OSHA Regulations published in the Federal Register (37 F. R. 11318), the following procedures were performed on the above-named employee: I. MEDICAL HISTORY (Please check Yes or No) 1. Have you had shortness of breath in the past few months? 2. Does your shortness of breath make you stop for breath after climbing one flight of stairs? 3. Does shortness of breath interfere with your work? 4. Does shortness of breath ever awaken you from sleep? 5. Does shortness of breath ever occur at rest? 6. Do you have to sleep on several pillows at night in order to breathe easily? 7. Do you have a bothersome cough nearly every day? ' 8. Is your cough mainly on lying down? YES Remarks: NO 9. Is your cough mainly on arising In the morning? 10. Is your cough about the same all through the day? 11. Do you cough up yellowish or greenish sputum? 12. Have you coughed up blood within the past six months? 13. Do you think the blood came from your nose, throat, or chest? (circle one) 14. Are you frequently aware of whistling or wheezing when you breathe? IS. Has a Doctor Over said you have emphysema? 16. Do you get frequent chest colds? YES NO Employee's Signature II. SPIROMETRY: Predicted (Kory) ^ Measured % Of Predicted r ifeviRATIO | ------ - X 100 1 = L VC J Vital Capacity (Liters) FEV, (Liters) % III. CHEST X-RAY: Where is film filed? o... Token Reading: Q Normal chest (~1 Abnormal findings (If abnormal, attach copy of reading) Remarks: IY. PHYSICIAN'S EVALUATION: l~l History and test results above do not show evidence of chronic respiratory disease. O Marg inal findings. Recommend follow-up as noted below. CD Recommend immediate further study as noted below. Employee may wear respirator. Employee should not wear respirator. REMARKS: Physician's name (print) V. CLINICAL EXAMINATION: (Attach report of examination) Physician's signature Date VI. ADDITIONAL PROCEDURES, REMARKS, SUMMARY: DPMC-00370 Si gnature LAM 006858 SM.J?(Rv. 9-WI SHELL OIL COMPANY REFERENCE ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS OATE DECEMBER 3, 1973 FROM MEDICAL DIRECTOR SUBJECT OSHA ASBESTOS STANDARD MEDICAL EXAMINATIONS I am enclosing copies of a new medical examination form which should be utilized for all OSHA asbestos examina tions performed in the future. The results of the first round of examinations, and current changes in the form, suggest the following comments: I. MEDICAL HISTORY: No significant changes in this section. II. SPIROMETRY: The fact that different predicted normals were used in the pulmonary function tests in dif ferent locations has resulted in difficulties in evaluation of these tests. In the future, please use the predicted normals of Kory et al, which are shown in a table on the reverse of the physical examination form. This table of predicted normal values should be provided to the pulmonary function testing laboratory utilized by your individual location, and calculations of percent of predicted values should be based on this table. I would also like to request that your pulmonary function laboratory furnish to my office the type of spirometer used in the examination. III. CHEST X-RAY: It is not necessary to send the x-ray to my office, but please specify where film is to be permanently filed. If any abnormal findings are noted on chest x-ray, please forward a copy of the radiologist's reading to my office, along with the other examination forms as specified below. DPMC-00371 LAM 006859 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 2. IV. PHYSICIAN'S EVALUATION: No significant changes in this section. V. CLINICAL EXAMINATION: All employee participants in this program should be given a clinical examination by a physician. A copy of the report of that examination should be attached to the enclosed form.when it is returned to my office. VI. ADDITIONAL PROCEDURES, REMARKS, SUMMARY: No significant changes in this section. To date, I am unaware of any employees who have refused to submit to asbestos examinations. In the event this occurs, it has been suggested by OSHA that we obtain a signed statement from the employee documenting his refusal to participate. Examinations continue to be required on an annual basis for those employees, currently included in the examina tion program. In addition to those employees examined annually under this program, the following examinations are also required: 1. PRE-PLACEMENT A pre-employment or a pre-transfer examination must be given to those employees transferred into "exposed" job assignments within 30 calendar days following such employment or transfer. The content of such examinations should be identical to the regular annual examination. DPMC-00372 LAM 006860 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 3. 2. TERMINATION Examinations should be provided for those employees terminating exposure through transfer, retirement, resignation or other means within 30 calendar days before or after such termination. The content of such examina tions should be identical to the regular annual examination. Exception: The standard states that "no medical examination is required of any employee if adequate records show that the employee has been examined in accordance with this paragraph within the past one-year period". Results of all examinations described above should be expeditiously reviewed by the Company-appointed examining physician. The examining physician should report to the employee all abnormal findings in exactly the same manner as he would in a private doctor-patient relationship, without conjecture as to etiology. In those instances in which the abnormalities do not appear to be related to asbestos exposure, the examining physician should make appropriate recommendations and referral to employee's family physician as he deems necessary at the employee's expense. Findings which could possibly be related to asbestos exposure should be discussed with the Corporate Medical Director and location management prior to advising the employee of a definitive diagnosis and before referral for consultation or other additional testing. Results of all examinations described above shall be made available to the employee's designated personal physician upon request of the individual employee. Copies of all examinations described above shall be forwarded to the Corporate Medical Director for review and filing in the Central Corporate Medical Files. All medical records generated by the procedures described above should be retained at the individual location for the duration of employment, and in the Central Corporate Medical Files indefinitely. DPMC-00373 LAM 006861 ALL LOCATIONS PERFORMING ASBESTOS EXAMINATIONS 4. I am enclosing a sufficient number of forms to allow one copy to be returned to the employee's location, one copy forwarded to me, and a third copy retained in the examining physician's files if he so desires. It is suggested that the enclosed copy of this memorandum be furnished to the examining physician for his guidance in this program. If I may be of any assistance regarding this examination program, please call on me at any time. Enclosures Sent to: Anacortes Refinery _ Houston Refinery^ THIS COPY FOR Martinez Refinery Norco Refinery Wilmington Refinery Wood River Refinery Houston Chemical Plant Martinez Chemical Plant Norco Chemical Plant cc: Messrs. J. W. Sheehan H. E. Walker G. Holzman A. J. Martin R. F. Nelson B. W. Dunbar R. E. Nordstrom H. L. Kusnetz DPMC-00374 LAM 006862 PREDICTED NORMAL VALUES* - NORMAL MALES HEIGHT (in.) 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 MEASURE FVC FEVt FVC FEV1 FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVl FVC FEVi FVC FEVl 20 3.94 3.49 4.07 3.58 4.21 3.68 4.34 3.77 4.47 3.87 4.60 3.96 4.74 4.05 4.87 4.15 5.00 4.24 5.14 4.34 5.27 4.43 5.40 4.52 5.54 4.62 5.67 4.71 5.80 4.81 5.93 4.90 6.07 4.99 6.20 5.09 6.33 5.18 25 30 3.83 3.35 3.96 3.44 4.10 3.54 4.23 3.63 4.36 3.73 4.49 3.82 4.63 3.91 4.76 4.01 4.89 4.10 5.03 4.20 5.16 4.29 5.29 4.38 5.43 4.48 5.56 4.57 5.69 4.67 5.82 4.76 5.96 4.85 6.09 4.95 6.22 5.04 3.72 3.21 3.85 3.30 3.99 3.40 4.12 3.49 4.25 3.59 4.38 3.68 4.52 3.77 4.65 3.87 4.78 3.96 4.92 4.06 5.05 4.05 5.18 4.24 5.32 4.34 5.45 4.43 5.58 j 4.5 3 5.71 4.62 ';5.85 |4.71 5.98 4.81 6.11 4.90 AGE (year) 35 40 45 3.61 3.07 3.74 3.16 3.88 3.26 4.01 3.35 4.14 3.45 4.27 3.54 4.41' 3.63 4.54 3.73 4.67 3.82 4 .81 3.92 4.94 4.01 5.07 4.10 5.21 4.20 5.34 4.29 5.47 4.39 5.60 4.48 5.74 4.57 5.87 4.67 6.00 4.76 3.50 2.93 3.63 3.02 3.77 3.12 3.90 3.21 4.03 3.31 4,16 3.40 4.30 3.49 4.43 3.59 4.56 3.68 4.70 3.78 4.83 3.87 4.96 3.96 5.10 4.06 5.23 4.16 5.36 4.26 5.49 4.34 5.63 4.43 5.76 4.53 5.8 9 4.62 3.39 2.79 3.52 2.88 3.66 2.98 3.79 3.07 3.92 3.17 4.05 3.26 4.19 3.35 4.32 3.45 4.45 3.54 4.59 3.64 4.72 3.73 4.85 3.82 4.99 3.92 5.12 4.01 5.25 4.11 5.38 4.20 5.52 4.29 5.65 4,39 5.78 4.48 50 3.28 2.65 3.41 2.74 3.55 2.84 3.68 2.93 3,81 3.03 3.94 3.12 4.08 3.21 4.21 3.31 4.34 3.40 4.48 3.50 4.61 3.59 4.74 3.68 4.88 3.78 5.01 3.87 5.14 3.97 5.27 4.06 5.41 4.15 5.54 4.25 5.67 4.34 55 3.17 2.51 3.30 2.60 3.44 2.70 3.57 2.79 3.70 2.89 3,83 2.98 3.97 3.07 4.10 3.17 4.23 3.26 4.37 3.36 4.50 3.45 4.63 3.54 4.77 3.64 4.90 3.73 5.03 3.83 5.16 3.92 5.30 4.01 5.43 4,11 5.56 4.20 60 3.06 2.37 3.19 2.46 3.33 2.56 3.46 2.65 3.59 2.75 3.72 2.84 3.86 2,93 3.99 3.03 4.12 3.12 4.26 3.22 4.39 3.31 4.52 3.40 4.66 3.50 4.79 3.59 4.92 3.69 5.05 3.78 5.19 3.87 5.32 3.97 5.45 4.06 65 j 2.95 2.23 3.08 2.32 3.22 2.42 3.35 2.51 3.48 2.61 3.61 2.70 3.76 2.79 3.88 2.89 4.01 2.98 4.15 3.08 4.28 3.17 4.41 3.26 4.55 3.36 4.68 3.45 4.81 3.55 4.94 3.64 5.08 3.73 5.21 3.83 5.34 3.92 * Source Kory, Callahan, Boren and Syner, American Journal of Medicine, 30:243-58, 1961 DPMC-00375 LAM 006863 SPECIAL MEDICAL EXAMINATION (Asbestos) MEDICAL DEPARTMENT - SHELL SHELL OIL COMPANY SHELL CHEMICAL COMPANY SHELL DEVELOPMENT COMPANY O Preplocement Annual T ermination n Other Employee Nome: No. Dote Location____________________________ h_______________________ Age Ht, Wt. ______________________________________ Sex Pursuant to OSHA Regulations published in the Federal Register (37 F. R. 1131188)), the following procedures were performed on the above-named employee: I. MEDICAL HISTORY (Please check Yes or No) 1. Have you had shortness of breath in the past few months? 2. Does your shortness of breath moke you stop for breath after climbing one flight of stairs? 3. Does shortness of breath interfere with your work? 4. Does shortness of breath ever awaken you from sleep? 5. Does shortness of breath ever occur at rest? 6. Do you have to sleep on several pillows at night in order to breathe easily? 7. Do you have a bothersome cough nearly every day? 8. Is your cough mainly on lying down? YES CD NO . CD '--' arks: 9. 10. 11. 12. 13. chest? (ci rcle one) 14. you breathe? 15. 16. YES NO Employee's Signature II. SPIROMETRY: Predicted (Kory) /c _ . (See Reverse) Measured % Of Predicted RATIO r fevi | --------- ! L VC i X 100 1 = J Vital Capacity (Liters) % FEV, (Liters) III. CHEST X-RAY: Where is film fifed? d,,.,, t,,i,,,,, Reading: CD Normal chest n Abnormal findings (If abnormal, attach copy of reading) Remarks: IV. PHYSICIAN'S EVALUATION: O History and test results above do not show evidence of chronic respiratory disease. Marg inal findings. Recommend follow-up as noted below. O Recommend immediate further study as noted below. CD Employee may wear respirator. Employee should not wear respirator. REMARKS: Physician's name (print) V. CLINICAL EXAMINATION: (Attach report of examination) Physician's signature Date VI. ADDITIONAL PROCEDURES, REMARKS, SUMMARY: DPMC-00376 LAM 006864 --------- was ----STRICTLY PERSONAL _ BSB r-^ " HOUSTON REFINERY PERSONNEL.MANAGER .. ''"'V OIL COMPANY 1 REFERENCE 5T3 y> ,, - . (LohoSlCbc date from OCTOBER 1, 1973 MEDICAL DIRECTOR is. Hartdle,, subject REVIEW OF ASBESTOS EXAMINATIONS - HOUSTON REFINERY Attached is a summary of the asbestos examinations performed on Houston Refinery employees, along with recommenda tions regarding specific employees. It appears that of the 15 employees examined, only one can be classified as having possible pulmonary asbestosis. Several others, however, warrant close attention and follow-up. Invoices received from Kelsey-Seybold covering these examinations are also attached. If you have any questions following review of this material, I would be happy to: discuss them by telephone at your convenience. Attachments cc (w/o attachments) Messrs. R. F. Nelson G. Holzman H. L. Kusnetz/ J. G. Pratt/ DPMC-00377 LAM 006865 n,August 1973 C. ^ llwt> tot totoiwt loaplo* at >U4i OtoywiX Am totalto of air aaapia* obtained at tto Primary toUto Disposal Am do aot tow ngr tAntifltoU ttowtw fiber* (m atutoto) Saapl* bo. 1 raa totolato ca. SO (wt Awwito of tto araa toto| witod by tba tolltowr. SwapI* bo. t - Bw MMpilng pjMMtw wt totatoto to tot build**** Mir tb* operator. An MttHto for faellitiaa to oolloot apoat fil AUvhnp aaearlai la being proposed. Attotowto C - LSI app fg& DGM/JDtf CAAtslb Original Signed By C. A. BLAND 'py X DPMC-00378 LAM 006866 SHELL DEVELOPMENT COMPANY REFERENCE C. A.BLAND SHELL CHEMICAL COMPANY HOUSTON PLANT date AUGUST 24, 1973 from R. M. CURTIS SHELL DEVELOPMENT COMPANY BRC subject ASBESTOS FIBER COUNTS: REFERENCE BRC 4248 Asbestos fiber counts on two millipore filter samples are as follows: Designation No. 1 (138 V) No. 2 (248 l) Total on Filter 1060 9700 Fibers/ccAir 0.008 0.039 The counts are of all fibers greater than 5p.m length. No. 1 is quite clean and the few fibers present do not resemble asbestos. No. 2 is rather heavily loaded with particulate matter in the 2-10 pm range but again the fibers present do not resemble asbestos. RMC:pcr cc: D. Atwood, Industrial Hygiene, One Shell Plaza, Houston DPMC-00379 LAJW 006867 to ALL MANAGERS DATE MAY 25, 1973 from MANAGER SAFETY HOUSTON REFINERY subject SAFETY REMINDERS The following are safety reminders for June, 197 3. 1. A.ll defective ladders must be tagged and removed fro::, service. 2. Review the attached safety requirements for compressed gas cylinders. 3. Approved dust respirators, available at the Main Shop tool room, must be worn when exposure to insulation dust exists. 4. Defective automotive equipment should be taken to the automotive garage for repairs. 5. - Guardrails and toeboards must be installed on all open sides and ends of platforms more than ten feet above the ground or floor. 6. All plant telephones should have the refinery ambulance and fire alarm telephone numbers affixed thereon. 7. Plant air used for cleaning purposes must not exceed 30 psig pressure. 8. Hearing protection requirements for high noise levels must be specified on departmental work permits. 9. Good housekeeping at all times will reduce accidents 10. Job tickets should be made out for the removal of scaffolding which has been left in place. Attachment C E BEECHER JR LUBE B DPMC-00380 LAM 006868