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Asbestos
Medical Exams/Records
Employees exposed at or above the action level or the excursion limit for more than 30 days a year must be in a medical surveillance program as defined by 29 CFR 1926.58 m). Employees using negative pressure respirators must have pre-placement medical surveillance as required by 29 CFR 1910.134. Alcoa employees' medical surveillance is conducted according to Alcoa Medical Protocol B7, Occupational Medical Evaluation, Asbestos and B-25, Occupational Medical Evaluation: Respirator Users. Medical records made in accordance with the OSHA standard are subject to recordkeeping requirements in 29 CFR 1910.20. Medical records are required to be maintained by the employer for the duration of employment plus 30 years.
Joe Damiano's current write-up in 9-D discusses a pre-placement medical exam. Under the OSHA regulations this is only required for respirator wearers. Dr Belk and Emma King have been consulted concerning the benefits of pre-employment medical surveillance for asbestos. We currently recommend contractor pre-employment blood lead monitoring for employees who will be doing jobs involving potential lead exposure. I don't think pre-employment medical monitoring for asbestos will offer us the same conclusive information about past exposures.
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409480 0053