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alDII *-- MOBIL OIL CORPORATION: E CORPORATE ACTIVITIES B mets E NORTH AMERICAN DIVISION E INTERNATIONAL DIVISION 0 MOBIL CHEMICAL managerTM it guide bulleti number NORAM INTA DATE ISSUED 73-42* 73-13 FEB 9, 1973 NEW YORK DEPARTMENTS a a a a a FIELO UNITS a a a a SUBSIDIARr a a a a a & THIS BULLETIN COVERS ISSUANCE OF THE FOLLOWING GUIDE NUMBER PAGES EFFECTIVE SCHEDULE EXHIBIT FORM 03-1303 1-6F July 7, 1972 Appendix 1 (PP 1-5 F) Exhibit A (p 1 F) Exhibit B (p 1 F) CO-993 CO-1091* SUBJECT Medical Supervision of Asbestos Workers This Guide recommends procedures for establishing a medical and industrial hygiene control program in order to protect the health of employees exposed to asbestos and asbestos-containing products, in compliance with Federal regulations. o0 o The number of the last bulletin transmitting an Employee Relations Guide was NORAM 73-8, INTA 73-5- % 014377 ATTACHMENT # 4 M<g> dii management guide ;"w 1-mr .1 .. : -.1. EMPLOYEE RELATIONS MEDICAL . .j,.- IUBJKCT -SfctiS"- -'wiilTt It-.T'J Medich- Supervision of Asbestos Workers : ~r*T. - . . 03-1208 '4 - , Mobil. Oil Corporation . . vw:r, aaniM ^0--M' 'x*' ^ tCorporate Activities 'A1JL New York.jiepartments, field units and subsidiaries .ujs-fx? Xi-.iihsil >ajt >if ' METS1- . .Troi.:--All;-NevrYorfc departments, field units and subsidiaries y. North-American, :Division - . All New,- York .departments, field units and subsidiaries International Division v. All New York departments and subsidiaries Mobil Chemical^-..All New York departments, field units and subsidiaries illw ^r .. t.-. .-.c.-.-. PURPOSE , - < . To recommend responsibilities and procedures for a ....... .. . . .. medical and industrial hygiene control program, to protect the health of employees exposed to asbestos "* " ' and asbestos-containing products in compliance with . ,, ...Federal regulations. * v - \. REFERENCE ~ - Appendix 1 "Occupational Safety and Health Standards. Standard for Exposures to Asbestos Dust." (29CFR1910) iutiupM 0S1-^'.'RESPONSIBILITIES- sri-r .'hoIpT "V-K-:'lv -OlomIS' Employer-Corporation '' ' Regional Industrial p-1-.' - The employer-corporation Regional Industrial Hygienist -'- 'Hygienist'--iditT|w;ri.:i_-should: ' ' . '*c<i C2-&\r.a2iusU\' ;` Conduct industrial hygiene surveys of all operations id!-attc o.-- .-idirm,ans. i'vcc a-:where asbestos is used, and at a minimum of six njiaw.3'it-coJi.TbJ5;.i/icnojrc_months intervals determine employees' exposures to dif'b .ic-c-jurc. n.- 0.7x0 a r\r asbestos dust. cunscT..-' . xcor:r.-;c >qrf> -\rjutirs..-Repprt findings, with recommendations, to the ;.udt-r_-,,n ,, - . Plant Manager. Regional Medical Director .1'JV. X: The employer-corporation Regional Medical Director should: ; oj --.... .....Provide for preplacement, periodic and termination L~g ___pllysical examinations for all employees subject to significant exposure to asbestos dust. ISJUIO Feb 9, 1973 KrrCCTIV C July 7, 1972 New mviiion I |COMPLETE f I pahtuu latuio v Medical Mobil Oil Corporation 014376 ca-17c 03-1308 Page 2 RESPONSIBILITIES Regional Medical Director (Cont'd) . Determine who qualifies for periodic examinations at employer-corporation expense. ' . Retain medical records for twenty years. Local Plant ^ Management *i i i i The employer-corporation Local Plant Management should: ............................ ....... .. ' . Provide that only Bureau of Mines approved respir~: * . ?.;o;:.r^.,?'atory-protection devices be used for asbestos dust, _ . 'as recommended by the Medical Director's Office of r;'~ f M^^^Mobii Oil. Corporation. 3-' . 2^'Arrange for the proper inspection, cleaning, re . . . pair and storage of respirators as set up in ANSI " Standard Z88.2-I969. -- ' Notify asbestos workers to report for preplace ment, periodic and termination physical exami nations. _ . Provide and require use of washing facilities and two separate lockers for clothing. ' Provide and require use of special protective I clothing and change rooms for personnel whose exposure to asbestos is in excess of the ceiling values. . . Inform the employer-corporation Regional Medical ' Director of any contemplated change in the handling I and use of asbestos. ^.Maintain for a.`period of three years records of III v .personal and environmental monitoring from data V. developed during industrial hygiene surveys. I :C o.*- . r \ Zb* i'*-Allow employee to have reasonable access to per sonal or environmental monitoring records which 'indicate employee's exposure to asbestos dust. .'1-Establish a training and promotional program on .`"the use of personal protective equipment. " --' **- -^c' " *v.; DEFINITIONS - ' . ' : . Asbestos ^ v "* " ^ "' ' ' " ;"* r"Asbestos includes chrysotile, amosite, crocidolite, \ ' ...... tremolite, anthophyllite, and actinolite. 014379 IVKDDII manar 3ment guide SECTION NUMKM MEDICAL 03-1308 EMPLOYEE RELATIONS ' ` 1' SUIJCCT . Medical Supervision of Asbestos Workers ' ' . '/.* : . . DEFINITIONS (Cont'd) .......................... >*--- - .. J c J. fi. j .! : J^ Asbestos Fibers .Asbestos fibers are fibers longer than 5 micrometers. *,30^ ^r.nis *> . . . ,. , ...^C'. . ^ *|W v (f V "y >1 * *t' " ;* ' - T -'-*' > ' ' . r "1 Asbestos 'Worker 1.''Cll-tJ.V*'. ^`^Any "employee subject to significant exposure to - V`~;; .us-.u.-,.. * . . . asbestos fibers. '"r-ir Permissible Exposure ^ In accordance with Federal Occupational Safety and ^Health standards, as presented in Appendix 1: . "..-`7 ~j\\~ ~.....................TEffective July 7, 1972, the eight-hour time ..................... . ' ' weighted average airborne concentrations of asbestos fibers to which any employee may be . .- exposed shall not exceed five fibers, longer than ~ ................ five micrometers, per cubic centimeter of air. .."Effective July 1, 1976, the eight-hour time "... weighted average airborne concentrations of " asbestos fibers to which any employee may be exposed shall not exceed two fibers, longer than five micrometers, per cubic centimeter of air. u, 33'av o.: FORMS ic-'?" aUi-ife-Wb. ~ . * ` `C' his . - i' ' Originating Office . . -- i.lu-oxiSJraoqi- No'employee shall be exposed at any time to airborne concentrations of`asbestos fibers in excess of ten fibers, longer than five micrometers> per cubic . , ^er,0La^:i - 'f~* ' i' ' CO-993 Health Examination History CO-ilO^ Medical Evaluation Bnployer-Corporation Employee Relations Advisors '.--A . . ..i..; . rJ . ... Number and Distribution . ^of'Copies j"/ Original - for employer-corporation medical file Duplicate - for designated physician's file ' "* " --r-' v- triplicate- pertinent physical and laboratory findings musfbe on file at the place of employment. ~o rcrhoo-ryjjaSegaev olj . ; ,, y OJ.JC- ISSUED Feb 9, 1973 EFFECTIVE July 7, 1972 New AtVISION 1 1 COMPUTE [ \ partial issueo a v Medical Mobil Oil Corporation 01438-j PACE NO. 3 CO-1 7 C ( 03-1308 Page 4 r- PROCEDURE Eteployer-Corporation Designated Physician Preplacement Physical Examination .3; V4'i Verification of Candidate's Fitness :s . .![. . . ( Employer-Corporation ' . Local Plant Management \ . To insure effective medical control of asbestos workers, the designated physician should require that the candidate for such work -- ( be in good health, have no pre-existing pulmonary disabilities, ~ have a pulmonary function test to include ' ' ,r .forced vital capacity (FVC) and forced expira- " "tory volume at one second (FEVj_ q), ^ undergo, at employer-corporation expense, a comprehensive physical examination including review of candidate's past pulmonary disorders . with emphasis on previous exposure to asbestos ' and other dusts known to cause pulmonary fibrosis and disability, . obtain chest x-ray (posterio-anterior 14x17"). . be excluded from employment as an asbestos worker if any chest x-ray findings indicate pulmonary ` fibrosis or disease. Prior * ~ asbestos exposure, the employer-corporation desig. i physician should verify that the candidate is meaucally fit to work in a position where the can^ didate will handle or be exposed to asbestos. { Subsequent to placement, employer-corporation local plant management should provide for -- annual physical examination, pulmonary function test including FVU and FEV^ q -rs- u ^ r --. r ".." 'annual chest x-ray (posterio-anterior 14x17"), r. . . . r . .... . ; 'and.report any changes in x-ray findings or pulmonary .'function immediately to the employer-corporation ' ..Regional Medical Director. . Note: The cost of the annual physical examination should be borne by the employer-corporation. ?-' % - , 0143Si ' '4 myigju EMPLOYEE RELATIONS - - mana^emenr guiac SBC T ION MEDICAL 03-1308 SUBJECT Medical Supervision of Asbestos Workers PROCEDURE (Cont'd) .r; i-............. ....... i. .. : Li5>:.-v ivi ,ii `to ;*};};.. qziv . . - I-.:-.. ~ . ~ .. ', ' Baployer-Corporation''" -7V -^'According to Federal regulations, as presented in Local Plant Management . Appendix 1, it is mandatory for employer-corporation ". <' local plant managements in the United States to: . - ' ` ;V. p ;' ' <-- ' ' . arrange that a respirator program is set up in " ......... accordance with American National Standards . ..... Institute - Respiratory Protection, Z88.2-1969. ' . assure that respirators are cleaned in a waterdetergent solution, rinsed, sanitized, dried and stored in plastic bags. . provide that all hand and power operated tools which produce asbestos dust have local exhaust ventilation and dust collectors in accordance with American National Standards Institute Fundamentals Governing Design and Operation of Local Exhaust Systems, Z9-2-1971, . ', . display warning signs in areas where asbestos concentrations may exceed the exposure limits, as shown in Exhibit A, . ... . .. ' . Affix caution labels to all raw materials, mix tures, scrap, waste debris containing asbestos fibers, as shown in Exhibit B, ' . . assign no employee to tasks requiring the use of '' respirators if, based upon employee's most recent . examination, an examining physician determines that the employee will be unable to function" , normally wearing a respirator, or that the safety ' or health of the employee or other employees will ' be impaired by the employees use of a respirator, % ISSUED Feb 9, 1973 C^FCCTIVE July 7, 1972 New ftKVIBION f-1 coM^ueTt f"~| PARTIAL (... risk) ISSUEO BY > Medical Mobil Oil Corporation 014382 Face no. 5 C0.17MC (- 03-1308 rage o Final PROCEDURE Snployer-Corporation Local Plant Management (Cont'd) arrange that asbestos cement, mortar, coating, plaster or similar material containing asbestos be mixed in closed bags or other containers. . ( . /-..nor: U~' . arrange that asbestos waste, scrap and clothing be collected and disposed of in sealed impermeable L IT j -x: -bags or other closed impermeable containers. :*j. rr'icr.i. zl f; r.. iznc.-\ J:*t , . trri**a54flrvsr , /lascl ` ' o0o V hr" % ni? 'f-cs-'ir' *p.r - ` 1.''"<3' ' 0 -> rrl A - X <> i:-. C ij * ' 1 * < J- ' o .> :> .< i; C- 014383 < P.`".5S AND REGULAfi-JNS \ w. ' an .<-*** - 1 - -> \-1`.y;L j : - i* v .''V >.** x ' -'A >*>"* {k* 11 ^\'C. ' ' . a* --i-f o:. -Va/.-vj-7- : ..-LCyr-itr- ar-.-r .-.^t ' r$%?,*"/ .. jV^cr.! " '*1' . ' *': ..JW- .'VT* ' ' ' v` ' ''. v .r-.t. . -.j * j n Title 29--LABOR Chapter XVII--Occupational Safety and Health Administration, Depart* ment of Labor . PART 1910--OCCUPATIONAL SAFETY AND HEALTH STANDARDS 4 Standard for Exposure to Asbestos .. . Dust On December 7, 1971, an emergency temporary standard concerning exposure to asbestos fibers was published In the Federal Register (36 F.Rj 23207). In ac cordance with section 6(c) (3) of the Wllliams-Stetger Occuptaional Safety and Health Act of 1970, a notice of proposed rulemaking regarding a permanent standard for exposure to asbestos fibers was published In the Federal Register on January 12, 1972 (37 FJR. 466). The no tice invited Interested persons to submit both orally and In writing, data, views, and arguments concerning the proposal. - On or about January 24, 1972, the Ad visory Committee on Asbestos Dust was established and requested to make writ ten recommendations with regard to the proposed standard on asbestos. On or about February 1. 1972, the Department of Health. Education, and Welfare trans mitted to the Secretary of Labor a cri teria document containing Recommenda tions for an Occupational Exposure Standard for Asbestos by the National Institute for Occupational Safety and Health (NIOSH). Public nonce was given of the receipt of the recommendations and their availability for inspection and copying. On or about February 25, 1972, the Advisory Committee on Asbestos Dust submitted Its ---Itten recommendations to the Asslsta*-. Secretary of Labor for Occupational Safety and Health. Pursuant to the notice of rule making, a hearing was held on March 14 through 17, 1972, for the purpose of receiving oral data, views, and arguments concerning the proposed standard. On or about March 31. 1972. the presiding hearing ex aminer certified to the Assistant Secre tary of Labor for Occupational Safety and Health the record of the proceeding. The record includes prehearing written comments, a transcript of the oral pres entations made at the hearing, and nu merous exhibits received during the course of the hearing or within the pe riod allowed after the -close of the hearing. The proposed standard dealt with (1) permissible concentrations of asbestos fibers; (2) methods of compliance; (3) warning signs; (4) monitoring: (5) med ical examinations: and (6) recordkeep ing. Each of these major proposals elic ited comments, arguments, objections, and counterproposals. They all have been examined and considered. 1. Acceptable concentrations of asbes tos dust. The proposed standard would limit occupational exposure to 8-hour time-weighted average (TWA) airborne concentrations of asbestos dust not ex ceeding five fibers longer than five micrometers per milliliter. Concentra tions above five fibers but not to exceed 10 fibers (ceiling concentration) would be permitted up to 15 minutes in an hour, but for not more than 5 hours in any one 8-hour day. .. . NIOSH in effect has recommended that the five-fiber TWA and 10-flber peak concentrations be permitted only for 2 years; thereafter, TWA concentra tions should be not more than 2 fibers per cubic centimeter (cm.1) of air, and peak concentrations should not exceed 10 flbers/cm.*, with no time restriction. Numerous objections and counterpro posals have been made, with regard to both the limits of asbestos fiber concen trations and the time periods to comply with them. Some, for example, have rec ommended return to a 12-fiber standard of an earlier day; i.e.. a level adopted under the WaJsh-Healey Public Con tracts Act in 1969. Others have recom mended a two-fiber standard to become effective In 6 months, then a one-flbcr standard for 2 years, and finally a zero- fiber standard after 3 years. These rec ommendations give a fair indication of the wide spread of the counterproposals. No one has disputed that exposure to asbestos of high enough intensity and long enougfe duration Is causally related to asbestosls and cancers. The dispute is as to the determination of a specific level below which exposure is .safe. Various studies attempting to establish quantita tive relations between specific levels of exposure to asbestos fibers and the ap pearance of adverse biological manifes tations, such as asbestosis. lung cancers, and mesothelioma, have given rise to controversy as to the validity of the measuring techniques used and the relia bility of the relations attempted to be established. Because of the long lapse of time between onset of exposure and biological manifestations, we have now evidence of the consequences of exposure, but we do not have. In general, accurate measures of the levels of exposure oc curring 20 or 30 years ago, which have given rise to these consequences. There are also controversies concerning the relative toxicity of the various kinds of asbestos, and varying hazards in dif ferent workplaces. , It is fair to say that the controversy has centered in the area between a two- fiber TWA concentration and five-fiber TWA concentration, with variations on the time needed for compliance. Many employers support a five-fiber TWA. Most medical opinion is divided between a two-fiber standard and a five-fiber standard. In. view of the undisputed grave con sequences from exposure to asbestos fibers, it is essential that the exposure be regulated now, on the basis of the best evidence available now. even though It may not be as good as scientifically de sirable. An asbestos standard can be re evaluated in the light of the results of ongoing studies, and future studies, but cannot wait for them. Lives of employees are at stake. It Is concluded that there should be one minimum standard of exposure to asbestos applicable to all workplaces ex posed to any kind, or mixture of kinds, of asbestos. Reasons of practical ad ministration preclude a variety of stand ards for different kinds of asbestos and of workplaces. Also, while the evidence tends to show that crocidolite, for in stance, is more harmful than chrysotile, the evidence is not sufficient to establish separate standards for varieties of asbestos. '` Because there must be one standard governing exposure to all varieties of asbestos, and in workplaces apparently more hazardous than others; because some present employees with regular ex posure to asbestos have probably al ready accumulated great doses of asbes tos fibers, due to higher levels of ex posure In the past; because It appears that levels of exposure which may be safe with regard to asbestosis are not safe with regard to mesothelioma; be cause the statute requires the protection of every employee, even of one who may have regular exposure to asbestos during a working life which may reach, or even exceed, 40 years; and because of several other considerations which have been urged and are reflected in the record of the proceeding, the conflict in the medi cal evidence is resolved In favor of the health of employees. As of July 1, 1976, TWA concentrations of asbestos fibers longer than 5 micrometers will not be allowed to exceed two flbers/cc., with a ceiling value of 10 fibers/cc. The current TWA concentrations of five fibers, and FEDERLl ROSIER. VC .V. ;iO. Issued: Feb 9> 1973 New 0143*4 Page HULLS A!\l. REGULATIONS 11319 celling concentration* of 10 fibers/cc. fibers, so that these would not be released 8. Records. The standard, as proposed -will be permitted until July 1. 1976, dur in the normal use of the products, should and as adopted, requires maintenance of ing what will be & transitional period not be required to be labeled: and (2) records of monitoring and of medical deemed necessary to allow employers to words such as "danger" and "cancer" are examinations. Most of the controversy in make the needed changes for coming unwarranted^ alarming. this area has revolved around the' ques Into compliance with the more stringent Both contentions have merit, and the tion whether an employer should be al standard. standard has been changed accordingly. lowed to have access to the results of The record shows that the many work 4. Monitoring. The proposed standard the required medical examinations. The operations subject to the single asbestos would have required personal monitor apprehension of those who have argued standard (textile, manufacturing. Indus ing and environmental monitoring. against employer access is based on the trial. and marine Installation, etc.) will Many Issues have been raised concerning expectation that some employers will use meet varying degrees of difficulty in the availability and reliability of meas the medical examinations as a means of ; complying with the standard. In some uring Instruments, frequency of moni screening employment applicants, and ' plants, extensive redesign and reloca- toring. and conditions In which monitor worse, as grounds for discharging current tlon of equipment may be needed. It ap ing should be required. The adopted employees, who show signs of being af pears. however, the delay in the effective standard takes the objections Into con fected by exposure to asbestos. Since the date of the two-flber standard will pro sideration. It requires periodic monitor purpose of the medical examinations Ls > vide all employers a reasonable time to ing at Intervals no longer than 8 months, to monitor the health of employees ex . comply. At the same time, so long as the thus allowing considerable time and dis posed to the hazards of abestos. em jj- celling limit Is compiled with, no harm cretion, and prescribes the use of the ployees cannot In reason be granted the j, is reasonably expected to result from ex membrane filter method, which is an ac privilege of refusing to disclose to their . posures during the transitional period. ceptable method for determination of employers results of occupational expo 2. Methods of compliance. It has been asbestos fibers. sure. It does not make sense to require pointed out by many persons, that pro It has also been recommended that employers to provide medical examina tection against asbestos fibers Is best employees or their representatives should tions if they cannot know and use the obtained by controlling the generation of have an opportunity to observe the results of the examinations. For these fibers first, and secondly, by controlling monitoring. The recommendation has reasons the standard provides that em the dispersion of released fibers Into ihe been accepted. ployers may have a restricted access to ambient air of the workplaces. Therefore, 5. Medical examinations. The pro some medical information. the standard requires feasible techno posed standard would only require an On the other hand,, there is no Inten logical controls and appropriate work appropriate medical examination on a tion to allow employers to abuse medical practices as the primary means of com periodic basis. The generality of the pro Information obtained pursuant to the pliance. Rotation of employees as a way posal has attracted many objections and Act, to the detriment of employees. of meeting the TWA concentration re also many helpful comments. The recom Therefore, the administration of the quirement Is allowed only In stated ex mendations of NIOSH and of the Advi medical records requirement will be ceptional circumstances, because, as a general rule. It would be difficult to Im plement. Personal protective equipment, such as respirators, cannot be relied upon because, among other reasons, they may be so uncomfortable as to be bur densome. except for short periods of time. Therefore, It is expected that res pirators and shift rotation will be used during the period necessary to Install en gineering controls and to train employ ees In sound work practices, but, after technological compliance has . been achieved, their use must be limited to special work situations and emergencies. Where both are practicable, shift rota . tlon Is required. . - 3. Labeling. The proposed standard stopped short of requiring labeling as bestos and asbestos-containing products. The proposed standard would have re sory Committee on Asbestos Dust were much more specific with respect to both frequency and type of medical examina tions to be required. The comments vary as to the class of employees to be ex amined and as to the frequency of the examinations. The adopted standard requires medical examinations both at the beginning and the termination of employments exposed to concentrations of asbestos fibers, and also requires annual medical examina tions of every employee exposed to air borne concentrations of asbestos. It has been pointed out that in certain Indus tries, such as construction, an employee may work for several employers during the same year. Accordingly, the standard does not require either preemployment, or termination, or periodic examinaton of any employee who has been examined closely watched, and. In cases of abuse, appropriate action will be considered. The issues discussed above are believed to be the major ones. Numerous other Is sues have been raised in the rulemaking proceedings. Some have been referred to Incidentally. Many recommendations, for instance, about work practices, are so obviously meritorious that their adop tion needs no exposition here. Other recommendations and many objections have not been adopted for a variety of reasons which should be manifest. Sev eral, for instance, have recommended the use of respirators only pursuant to a variance, or in cases of emergency and occasional short-term exposures.' The recommendation with respect to vari ances undoubtedly has many merits, but is considered administratively Im quired only warning signs at locations in accordance with the standard within practical. where asbestos hazards are present. the past year. : Accordingly, after consideration of the Kowt ver. labeling, rather than warning signs, has proved to be a point of con troversy. Both NIOSH and the Advisory Committee on Asbestos Dust recom mended labels for asbestos products and One question which has been raised goes to whether the employer or the em ployee should be allowed to choose the examining physician. The standard gives the option to the employer. Since whole record of the proceeding, and pursuant to sections 6 (b) and (c) and 8(c) of the Willlams-Stelger Occupa tional Safety and Health Act of 1970 (84 containers, and these recommendations some employers already have a medical Stat. 1593, 1596, 1599; 29 US.C. 835, became very controversial In the course examination program In operation, and. 657), 29 CFR 1910.4, and to Secretary of of the proceeding. Many counterpro also, have medical departments with Labor's Order No. 12-71 (36 F-R. 8754), proposals have been made as to the laa- some expertise In the diagnosis of abes,'guage of the warning as well as to the tos-related diseases, it seems more .products to be subject to the labeling reasonable to permit them to utilize the 'requirements. Employers, ' In . general, . present programs and expertise, than to strongly contend that (1) finished prod permit an employee to choose a private Part 1910 of Title 29 of the Code of Fed eral Regulations is amended as set forth below. - ' \- . (1) Section 1910.93 ls amended by re ucts which effectively entrap asbestos general practitioner. .. vising Table G-3 to read as follows: Page 2 '.iv.v fCLiXA'. K r-isria, vol jr, no. :ic --\r,1 01435 Issued: Feb 9> 1973 New l-'.JO HU* 15 AMO nZZ-J'^ r.Of rt *- ^ c: * u 1910.93 Air conUminanU* to which any employee may be exposed shall not exceed two fibers, longer than Tobli Q-X-MiHMLtx. Dtm 5 micrometers, per cubic centimeter of air. as determined by the method pre Substance Mppcf Mc/M* scribed In paragraph (e) of this section. (3) Ceiling concentration. No em fitllco: Crystalline Quarts (respirable)..................... . ployee shall be exposed at any time to airborne concentrations of asbestos 240' lOmt/M* fibers in excess of 10 fibers, lorn than Quart! (total dust)..................... %3IOrt-l 5 micrometers, per cubic centimeter of SOmc/M* air, as determined by the method pre CrtstoballUe Um K the slue calculated from ibe - count ar mam (arsalae (or quarto. Trldyinlte: TJio KUieralae calmU tort from tin (or- _ tsuloe for quarto. Amorpboua, Including natural %3IOrt-J - * . ' ' . - P. - V - T ' . .. . scribed In paragraph (e) of this section. (c) Methods of compliance--(1) En gineering methods. (1) Engineering con trols. Engineering controls, such as, but not limited to. Isolation, enclosure, ex haust ventilation, and dust collection, shall be used to meet the exposure limits . . 1-. prescribed in paragraph. (b) of thL. *310, section.- . BUfcatm fleas than \% err* -* `:1a"i'J talllnasilica): Mica.......................................................... .. Soapstoo*................. ........................... . * '* Talc................................................ ............ Portland oaxsent............................ -- Oraphlte (natural)............:............ Coat dust (respirable (ractloa : . la than 4% SlOO........................ For more than 4% SlOi................. .............. Inert or Nuisance Dust: Rrsptrable (roctloa.............. Total dust............................................ `J -u r* - 20 . 30 30 60 14 !* r * 2.4rag/M* or lOmg/M* %3IOrt-2 14 5mg/M* 40 14ns c/M1 - (11) Local exhaust ventilation, (a) ' Local exhaust ventilation and dust col lection systems shall be designed, con structed, Installed, and maintained in accordance with the American National Standard Fundamentals Governing the Design and Operation of Local Exhaust Systems, ANSI Z9.2-1971, which is in corporated by reference herein. (b) See 5 1910.6 concerning the avail ability of ANSI Z9.2-1971, and the maintenance of a historic file in connec Not*: Conversion factors-- mppdXU-3--million particles per cubic meter . . - pertldo per c-c Millions of particles per cubic foot of eir. based on lmplrvter samples counted by lljjht-fleld technics. 1 The percentece of crystalline silica la the formula b the amount determined from sir-borne samples, icept in those instances In which other methods have been shown to be applicable. As determined by the membrane Altar method at 43U X phase contrast ma^mhcation. Both concentration and perceot quartz for the application of this limit are to be determined from the fraction passing a size-selector with the following characteristics: Aerodynamic diameter (unit density sphere) Percent passing selector tion therewith. The address of the Amer ican National Standards Institute is given in 1910.100. (ill) Particular tools. All hand-op erated and power-operated tools which may produce or release asbestos fibers in excess of the exposure limits pre scribed in paragraph (b) of this section, such as, but not limited to. saws, scorers, abrasive wheels, and drills, shall be pro vided with local exhaust ventilation sys tems in accordance with subdivision (ii) of this subparagraph. . <2) Work practices--(i) Wet methods. . Insofar as practicable, asbestos shall be v. .. a 2 2.5 X5 10 10 v -t: ' ' ? ' 90 . . 75 - SO ^ 25 . handled, mixed, applied, removed, cut. score.: or otherwise worked in a wet state .uPficient to prevent the emission .of airborne fibers in excess of the ex 'The measurements under this note refer to the use of an ASC instrument. If the respirable fraction of cool dust Is determined with % MRS the figure corresponding . to that of 2.4 Mg/M* in the table for coal dust is 4.5 Mg/M1. posure limits prescribed in paragraph (b) of this section, unless the usefulness of the product would be diminished thereby. . . ' 2. A new | 1910.93a la added to Part " (11) Particular products and opera 1910. reading aa follows: -- j ' tions. No asbestos cement, mortar, coat ing. grout, plaster, or similar material 1910.93a AibaliM. , containing asbestos shall be removed (a) Definition*. For the purpose at from bags, cartons, or other containers this section. (1) "Asbestos" Includes in which they are shipped, without being chrysotlle. amosite. crocldolite, tremo- either wetted, or enclosed, or ventilated . lite, anthophyllite, and actinollte. so as to prevent effectively the release of (2) "Asbestos fibers" means asbestos . airborne asbestos fibers In excess of the fibers longer than S micrometers. limits prescribed in paragraph (b) of (b> Permissible exposure to airborne this section. . concentrations of asbestos fibers--(1) - (ill) Spraying, demolition, or removal. Standard effective July 7. 1972. The Employees engaged in the spraying of 8-hour time-weighted average airborne asbestos, the removal, or demolition of . concentrations of asbestos fibers to pipes, structures, or equipment covered which any employee may be exposed or insulated with asbestos, and in the shall not exceed five fibers, longer than 5 micrometers, per cubic centimeter of air. as determined by the method pre scribed In paragraph (e) of this section. (2)Standard effective July 1, 1976. The 8-hour time-weighted average air borne concentrations of asbestos fibers removal or demolition of asbestos in sulation of coverings shall be provided with respiratory equipment In accord ance with paragraph (d)(2) Oil) of this section and with special clothing in ac cordance with paragraph (d) (3) of this section. . . . (d) Personal protective equipment-- (I) Compliance with the exposure limits prescribed by paragraph (b) of this sec tion may not be achieved by the use of respirators or shift rotation of em ployees, except: (1) During the time period necessary to install the engineering controls and to institute the work practices required by paragraph (c) of this section; (11) In work situations in which the methods prescribed in paragraph (c) of this section are either technically not feasible or feasible to an extent insuffi cient to reduce the airborne concentra tions of asbestos fibers below the limits prescribed by paragraph (b) of this section: or ' (lii) In emergencies. \' (lv) Where both respirators and per sonnel rotation are allowed by subdivi sions (i), (11). or (ill) of this subpara graph. and both are practicable, person nel rotation shall be preferred and used. (2) Where a respirator 1s permitted by subparagraph (1) of this paragraph, it shall be selected from among those ap proved by the Bureau of Mines, Depart ment of the Interior, or the National In stitute for Occupational Safety and Health, Department of Health, Educa tion. and Welfare, under the provisions of 30 CFR Part 11 (37 F.R. 6244, Mar. 25, 1972). and shall be used in accordance with subdivisions (i), (ii), (lii), and (lv) of this subparagraph. (1) Air purifying respirators. A reusa ble or single use air purifying respirator, or a respirator described in subdivision (II) or (iii) of this subparagraph, shall be used to reduce the concentrations of airborne asbestos fibers in the respirator below the exposure limits prescribed in paragraph (b) of this section, when the ceiling or the 8-hour time-weighted aver age airborne concentrations of asbestos fibers are reasonably expected to exceed no more than 10 times those limits. (ii) Powered air purifying respirators. A full facepiece powered air purifying respirator, or a powered air purifying respirator, or a respirator described in subdivision (iii) of this subparagraph, shall be used to reduce the concentra tions of airborne asbestos fibers in the respirator below the exposure limits pre scribed in paragraph (b) of this section, when the ceiling or the 8-hour time- weighted average concentrations of asbestos fibers are reasonably expected to exceed 10 times, but not 100 times, those limits. - (ill) Type "C" supplied-air respirators, continuous flow or pressure-demand class. A type "C" continuous flow or pres sure-demand, supplied-air respirator shall be used to reduce the concentra tions of airborne asbestos fibers in the respirator below the exposure limits pre scribed In paragraph (b) of this section, when the ceiling or the 8-hour timeweighted average airborne concentra tions of asbestos fibers are reasonably expected to exceed 100 times those limits. (iv) Establishment of a respirator pro gram. la) The employer shall establish a respirator program in accordance with Issued: yeb 9, 1973 New 'xO.SA'- i ....- vi'1 -r r. ; 0143Ro Page 3 Appendix 1 R'.'i.cS A. .u ''.GUtAIlCNS 11321 the requirements of the American Na where asbestos fibers are released to be subparagraph shall conform to the re tional Standards Practices for Respira monitored In such a way as to determine quirements of 20" x 14" vertical format tory Protection, ANSI ZS8 2-1969, which whether every employee's exposure to signs specified In 5 1910.145(d)(4), and Is incorporated by reference herein. asbestos fibers Is below the limits pre to this subdivision. The signs shall dis b. See f 1910.8 concerning the avail scribed In paragraph (b) of this sec play the following legend In the lower ability of ANSI Z88A-1969 and the main tion. If the limits axe exceeded, the em panel, with letter sues and styles of a tenance c an historic flle In connection ployer shall Immediately undertake a visibility at least equal to that specified therewith. The address of the American compliance program In accordance with In this subdivision. National Standards Institute Is given in 5 1910.100. , (c) No employee shall be assigned to < ytasks requiring the use of respirators If. paragraph (c) of this section. (2) Personal monitoring--(I) Sam ples shall be collected from within the breathing zone of the employees, on Legend Asbestos________________ Notation 1" Sana Sard. O o t h l c or Block. > based upon his most reqent examination. membrane filters of 0.8 micrometer po- Dust Hazard. Sans SarlT, . an examining physician determines that rossity mounted In an open-face filter Qotblo. or ., the employee will be unable to function holder. Samples shall be taken for the Block. normally wearing a respirator, or that determination of the 8-hour time- 4. the safety or health of the employee or weighted average airborne concentra other employees will be Impaired by his- tions and of the ceiling conoentrations of. use of a respirator. Such employee shall - asbestos fibers. - . be rotated to another job or given the (11) Sampling frequency and patterns. Avoid Breathing Dust... Wear Assigned Protective Equipment. Do Hot Remain In Area Unless Tour Work Re quires It. (4"Oothic. V4" Ooenic. yt" Gothic. ': ' opportunity to transfer to a different po After the Initial determinations required Breathing Asbestos Dust 14 point Oothlc. sition whose duties he Is able to perform by subparagraph (1) of this paragraph, May Be Hazardous To with the same employer, in the same geo samples shall be of such frequency and Tour Health. graphical area and with the same senior . pattern as to represent with reasonable ity, status, and rate of pay he had Just accuracy the levels of exposure of em prior to such transfer. If such a different ployees. In no case shall the sampling be position is available. - done at intervals greater than 8 months (3) Special clothing: The employer for employees whose exposure to asbestos shall provide, and require the use of. spe may reasonably be foreseen to exceed cial clothing, such as coveralls or similar the limits prescribed by paragraph (b) whole body clothing, head coverings, . of this section. gloves, and foot coverings for any em (3) Environmental monitoring--(1) ployee exposed to airborne concentra samples shall be collected from areas of tions of asbestos fibers, which exceed the a work environment which are represent ceiling level prescribed In paragraph (b) ative of the airborne concentrations of of this section. asbestos fibers which may reach the (4) Change rooms: (1) At any fixed breathing zone of employees. Samples place of employment exposed to airborne shall be collected on a membrane filter concentrations of asbestos fibers in ex of 0.8 micrometer porosity mounted In cess of the exposure limits prescribed in an open-face filter holder. Samples shall paragraph lb) of this section, the em be taken for the determination of the 8- ployer shall provide change rooms for hour time-weighted average airborne employees working regularly at the place. concentrations and of the ceiling con (II) Clothes lockers: The employer centrations of asbestos fibers. shall provide two separate lockers or con- (U) Sampling frequency and patterns. tamers for each employee, so separated After the initial determinations required ..or Isolated as to prevent contamination by subparagraph (1) of this paragraph, of the employee's street clothes from his samples shall be of such frequency and work clothes. pattern as to represent with reasonable Spacing between lines shall be at least equal to the height of the upper of any two lines. (2) Caution labels--<1) Labeling. Cau tion labels shall be affixed to all raw materials, mixtures, scrap, waste, debris, and other products containing asbestos fibers, or to their containers, except that no label Is required where asbestos fibers have been modified by a bonding agent, coating, binder, or other material so that during any reasonably foreseeable use. handling, storage, disposal, processing, or transportation, no airborne concentra tions of asbestos fibers In excess of the exposure limits prescribed in paragraph (b) of this section will be released. (li> Label specifications. The caution labels required by subdivision (1) of this subparagraph shall be printed in letters of sufficient size and contrast as to be readily visible and legible. The label shall state: .... _ . Caution . _ Contains Asbestos Fibers (III) Laundering: (a) Laundering of accuracy the levels of exposure of the Avoid Cresting Dust asbestos contaminated clothing shall be r employees. In no case shall sampling be Breathing Asbestos Dust May Cause done so as to prevent the release of air- ' at.Intervals greater than 8 months for Serious Bodily Harm borne asbestos fibers In excess of the ex- - employees whose exposures to asbestos (h) Housekeeping--(1) Cleaning. All posure limits prescribed In paragraph (b) may reasonably be foreseen to exceed external surfaces in any place of employ of this section. . , . - : the exposure limits prescribed In para ment shall be maintained free of accu (b) Any employer who gives asbestos- graph (b) of this section. ... contaminated clothing to another person - (4) Employee observation of monitor- for laundering shall inform such person ing. Affected employees, or their rep of the requirement In (a) of this subdi resentatives, shall be given a reasonable vision to effectively prevent the release opportunity to observe any monitoring of airborne asbestos fibers In excess of required by this paragraph and shall have the exposure limits prescribed In para access to the records thereof. ' graph (b> of this section. ... ' (g) Caution signs and labels. (1) Cau (c> Contaminated clothing shall be tion signs. (1) Posting. Caution signs transported In sealed Impermeable bags, shall be provided and displayed at each or other closed. Impermeable containers, location where airborne concentrations and labeled In accordance. with para of asbestos fibers may be In excess of the graph (g) of this section. . " exposure limits prescribed in paragraph mulations of asbestos fibers If. with their dispersion, there would be an excessive concentration. (2) Waste disposal. Asbestos waste, scrap, debris, bags, containers, equip ment, and asbestos-contaminated cloth ing. consigned for disposal, which may produce In any reasonably foreseeable use. handling, storage, processing, dis posal. or transportation airborne concen trations of asbestos fibers In excess of the exposure limits prescribed In paragraph (bh of this section shall be collected and (e> Method 0/ measurement. All de- ' .(b) of this section. Signs shall be-posted disposed of In sealed Impermeable bags, terminations of airborne concentrations at such a distance from such a location or other closed. Impermeable containers. of asbestos fibers shall be made by the so that an employee may read the signs (1) Recordkeeping--(1) Exposure rec . membrane filter method at 400-450 X and take necessary protective steps be ords. Every employer shall maintain rec (magnification) (4 millimeter objective) with phase contrast Illumination. (f)Monitoring--(1) Initial determi nations. Within 8 months of the publi fore entering the area marked by the signs. Signs shall be posted at all ap proaches to areas containing excessive concentrations of airborne asbestos fibers. ords of any personal or environmental monitoring required by this section. Rec ords shall be maintained for a period of at least 3 years and shall be made avail able upon request to the Assistant Secre cation of this section, every employer (11) Sign specifications. The warning tary of Labor for Occupational Safety shall cause every place of employment signs required by subdivision (1) of this and Health, the Director of the National ru.SAi nccis::-, vet. 37, no. ho--wtON;so~r j(.n= 014387 Pa^e 4 Issued: Feb 9> 1973 New / no a-o . r:.crj Institute tor Occupational Safety and Health. and to authorized representa tives of either. (2) employee access. Every employee and former employee shall have reasonaole access to any record required to be maintained by subparagraph (1) of this paragraph, which indicates the em ployee's own ex,, .sure to asbestos fibers. (3) Employee notification. Any em ployee found to have been exposed at any time to airborne concentrations of asbes\ tos fibers in excess of the limits pre scribed In paragraph (b) of this section shall be notified In writing of the expo sure as soon as practicable but not later than 5 days of the finding. The employee shall also be timely notified of the cor rective action being taken. ()> Medical examinations--(1) Gen eral. The employer shall provide or make available at his cost, medical examina tions relative to exposure to asbestos re quired by this paragraph. (2) Preplacement. The employer shall provide or make available to each of his employees, within 30 calendar days fol lowing his first employment in an occupation exposed to rJrbome con centrations of asbestos fibers, a compre hensive medical examination, which shall Include, as a minimum, a chest roent genogram (posterior-anterior 14 x 17 Inches), a instory to elicit symptom atology of respiratory disease, and pulmonary function tests to include forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV,.). (3) Annual examinations. On or be fore January 31. 1973, and at least an nually thereafter, every employer shall provide, or make available, comprehen sive medical examinations to each of his employees engaged in occupations ex posed to airborne concentrations of as bestos fibers. Such annual examination shall Include, as a minimum, a chest roentgenogram (posterior-anterior 14 x 17 Inches), a history to elicit symptom atology of respiratory disease, and pulmonary function tests to Include forced vital capacity (FVC) and forced expiratory volume at 1 second (FEVi .). (4) Termination of employment. The employer shall provide, or make avail able. within 30 calendar days before or after the termination of employment of any employee engaged In an occupation exposed to airborne concentrations of asbestos fibers, a comprehensive medical examination which shall include, as a minimum, a chest roentgenogram (pos terior-anterior 14 x 17 inches), a history to elicit symptomatology of respiratory disease, and pulmonary function tests to include forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV,.). <5> Recent examinations. No medical examination Ls required of any em ployee. If adequate records show that the employee has been examined In ac cordance with this paragraph within the past 1-year period. (6) Medical records--(1) Afainfe- nance. Employers of employees examined pursuant to this paragraph shall cause to be maintained complete and accurate records of ail such medical examina tions. Records shall be retained by employers for at least 20 years. (U) Access. The contents of the rec ords of the medical examinations required by this paragraph shall be made available, for Inspection and copying, to the Assistant Secretary of Labor for Occupational Safety and Health, the Director of NIOSH. to authorized physi cians and medical consultants of either of them. and. upon the request of an em ployee or former employee, to his physi cian. Any physician who conducts a medical examination required by this paragraph shall furnish to the employer of the examined employee all the infor mation specifically required by this paragraph, and any other medical in formation related to occupational ex posure to asbestos fibers. 3. A new 9 1910.19 ls added to Subpart B of Part 1910, reading as follows: 1910.19 Asbestos dust. Section 1910.93a shall apply to the ex posure of every employee to asbestos dust In every employment and place of employment covered by 9 1910.12. 3 1910.13. 3 1910.14, 5 1910.15. or 9 1910.16. in lieu of any different standard on ex posure to asbestos dust which would otherwise be applicable by virtue of any of those sections. Effective date. Paragraph (b) (2) of 3 1910.93a shall become effective July 1, 1976. All other provisions of 93 1919.93a. 1910.93, and 1910.19 shall become effec tive July 7, 1972. The current emergency temporary standard remains In effect until July 7. 1972. (Secs. 8. 8. 84 Stat. 1693. 1598; 29 T7.S.C 655. 657; 29 CFR 1910.4; Secretary of Labor's Order No. 12-71. 38 F.R. 8754) Signed at Washington, D.C., this 2d day of June 1972. O. C. Gctinther, Assistant Secretary of Labor. [FR Doc.72-8574 Filed 8-6-72;8:48 am) r. -i-.m .ic-- L'r .jue r i?;'-. Issued: Feb 9> 1973 New Appendix 1 014388 Page 5 Final 03-1308 Exhibit A ASBESTOS Dust Hazard _ Avoid breathing dust Wear assigned protective equipment Do not remain in area unless your work requires it Breathing asbestos dust may be hazardous to your health Issued : Feb 9 1973 New Page 1 Final 0143*9 c 03-1308 Exhibit B CAUTION Contains Asbestos Fibers Avoid Creating Dust Breathing Asbestos Dust May Cause Serious Bodily Harm c c Issued; Jeb 9, 1973 New 014390 Page 1 Final r L CULL N A ME MEDICAL department HEALTH EXAMINATION HISTORY A OORCSS o*ie IOCIAU lECUHlfY HO. 1 OR QUI V .> OATS OF HKTH PC ACC OF HR TH . AO SKA MAMITAL 1TATUS PROSPECTIVE POSITION AnO NATURE OF WORK ^OTQR VEmCUC ORlYCR 1 1 NEW CERTiffiCATJ RKCEPTiFlCATlON - EMPLOYER CORPORATION, DEPARTMENT ANO UNIT - >. PRCVlOUILY (MPLOYCO BY 9ATT * Prti T ION REASON FOP leaving 03-1308 -' , 3 " "....................... ..... ' SPECIMEN CC PT 'ACTUAL SIZE OF k- PAGE FORM 8" x 11" PRHITE3) ON. WHITE PAPER V ' ., ., _ - -- .. . ; .. t:- 4' NAVS rou rn*vELLEO OUMlOC U.l.A. i \ 1 . NHCN* _ ' |'` --........................... \-------- -- _ . ^ AILLjTHIS POSITION ENTAIL OUTY OUTSIDE U.S.A.f a . : FAMILY HISTORY- | ' NO [ YES - WHERE - aO or pa thkr IFOEAO- AGE ATOEATH CAUSCOP OEATH . ._ . '' .. CSeek \f any nir rmlotiws had: AGE OF MOTHER IF OEAO. AGE ATOEATH C AUSE OF OEATH TUBERCULOSIS ______ _ .. HIGH blood pressure HEART (DISEASE . STROKES OIABETES ......... CANCER MIGRAINE KIDNEY DISEASE nervous troubles brothers ANOSISTERS NO. LIVING C AU3E OF OEA TH ACES . AGE OF HUS 0ANO ) F DEAD- AGE AT OEATh CAUSE OF OEATh O MlF NO. LIVING ACES CHILDREN CAUSE OF OEATM NO. OEAO ACES AT OEATh NO. OEAO ACES AT OEATH PAST HISTORY - HAVE YOU EVER HAD- FREQUENTHEADACHES INFLUENZA .............- HEPATITIS ..... FREQUENT SORE THROATS - HIGH BLOOD PRESSUE Q DIZZINESS PNEUMONIA TYPHOID FEVER SCARLET FEVER DIABETES fainting -- - TU8ERCULOSIS - MALARIA GROWING PAINS,MUSCLE DISEASE STOMACH ULCERS FITS (Epilp*y) PLEURISY SYPHILIS ANEMIA HERNIA (Ruptur) CONVULSIONS - - Q BRONCHITIS GpNORRHEA- Q RHEUMATIC FEVER -- - ARTHRITIS - SINUSITIS Q ASTHMA HEAD OR SPINAL INJURIES------- HAY FEVER SKIN TROUBLE - KIONEY DISEASE cVr - BACKACHE :; ' ' HIVES OR ECZEMA Q RHEUMATISM - VARICOSE VEINS PSYCHIATRIC DISORDERS EAR INFECTION BLOOD TROUBLE HEART TROUBLE ANY OTHER DISEASE HAVE YOU EXPERIENCED what YOU CONSIOER UNUSUAL OR EXCESSIVE SYMPTOMS, SUCH AS: when HOW long when HOW long POOR HEARING COUGH - - . -------- -- -- - - . VOMITING PAIN OR CRAMPS ....................... .. COUCHING UP BLOOD LUNG TROU8LE ` CHEST PAIN SHORTNESS IN BREATH Palpitation ' ------- - - - - CHANGE IN BOWEL ACTION TROUBLE WITH URINATING SWELLING PERSISTENT LUMPS PERSISTENT SORES LOSS OR CAIN IN WEIGHT INDIGESTION -.................... ---------------- -- - . BACKACHE _ --------- . ------------- -- " insomnia______________ nausea nervous breakdown LIST all ACCIDENTS. INJURIES. SURCICAL OPERATIONS, DATES OP EACH, ANY RESULTING OEFECTS OR DISA8ILI1 IESanDEXTENSIve CONFINE MENT FOR ILLNESS OR INJURY: 014391 p.ac i op a ( rou MAO ANY II.I.NUI ON CONSULT SO A PHYSICIAN IN TNI PAST YEAN OU R A T l OP* NAME OF PHYSICIAN MILITARY SERVICE OATA ^ TIME IN SERVICE FROM TO BW AN CM OP SCPVICE HAVE YOU EVER ISSN REJECTED SV AN ARMY . HAVE YOU EVER SEEN REJECTEO ON A LIFE navy physical, examination* insurance Examination** yes Ono TE5 Hno INJURIES IN SERVICE o MEDICAL DISCHARGE QOTHER OO TOU US* AN Y OMUSI. SEDATIVES. OM LAKATIVCS? - ' n^s nN TO WHAT EXTENT OO YOU USE* alcohol TOBACCO OO you CONSIOCR YOURSELF IN sooo HEAUTHf YE3 Q NO HAVE you EVER been VACCINATED FOR THE FOLLOWING? (GmcA Y. or No) yes NO YES NO ( YES small pox tetanus OIPHTHERIA | typhoid INFLUENZA POLIO |i FOR WOMEN ONLY I YOU ITILL UCNSTAUATEi MEN- penoo EVERT ST RU AL j YES___________ NO ' CYCLE 1 DURA T ON OATS OAYS CAST MENSTRUAL. RERIOO NAS painful rerioo yes Q no IF YOU BELIEVE THAT ANY CONDITIONS OF YOUR WORK MAY HAVE ANY EFFECT ON YOUR HEALTH. EXPLAIN TO EXAMINING PHYSICIAN. NO WHAT compensation, SETTLEMENT OR AWARDS HAVE YOU RECEIVED FROM ANY SOURCE FOR PERSONAL INJURIES OR ILLNESS? I from whiim- ONS: OATES:_____________________________________ SUMMARY OF HISTORY BY PHYSICIAN: AMOUNTS PAID: I 03-1308 SPECIMEN COPT 2*3 2 of form CO-993 I certify rhof tha obova information is corract. 11ICNATUNC OF AVruCANTI .^ . %* ' ISlCNATURE OF EXAMINING PHYSVdrANV 014392 ( PHYSICAL EXAMINATION C c 'K**ON POR EXAMINATION OESlRCO WEIGHT NAIR COLOR BLOOO PRESSURE TEMPERATURE PULSE RATE-BEFORE EXERCISE PULSE RATE.APTER EXERCISE VISION HEAR (JAEGER) RL COLOR VISION Py PILSIINCL.MPUCXCII LIDS RL R NOSE VISION PAR (JAEGER) CORRCC TED - NEAR CORRECTED PAR R/20 DEPTH L/20 RL HEARING RIGHT EAR R/20 L/20 HEARING - LfiPT EAR QNORMAL O ABNORMAL Q normal 2 abnormal MOUTH HORIZONTAL PICLO RL PUNOUICOPlC RL TEETH EYES OTHER PlNOlNGS H(AO / _ PHARYNX A TONSILS EARS ' CHST: LUNGS: BREASTS: _, ANT OEFOWMITIE5 OP THE C><EST WALL. - NOTE: RALES. WHEEZES, OULLNESS. RESONANCE, EMPHYSEMA, tuberculosis, any abnormality. HEART: NOTE: MURMURS, ARRHYTHMIAS, EN LARGEMENTS, IP ORGANIC OISEASE PRESENT, EVIDENCE OP FAILURE. IS IT FULLY COMPENSATED? NECK -................................. - . .. . .. c0?, THYROIO -- ;- - -- - ABDOMEN: SCARS. MASSES, P ALP ABL E VISCERA, LIVER. Kl ON E Y S, SPLEEN hernia NU TRl TION INGUINAL R afi. -> . OTHER (DESCRIBE) L ... POSTURE TRU.3S WORN n yes ns general appearance ano development SPINE PI GOOO SKIN Q FAIR POOR GASTROINTESTINAL ULCER A TION OR OTHER OISCASE. EXPLAIN: av** PERIPHERAL VESSELS (PAOIAL. OOPS A LI SP EOIS POST. TIBI AL . PULSATION ANO SCLEROSIS) n L Y M P H NOOC1 HANOI ANO ARMS EDEMA VARICOSITIES FEET ANO LEGS JOINTS atNlTO - URINARY . SCAR % ANUS ' -.. URETHRAL DISCHARGE RECTUM . - PROSTATE PELVIC I EPLEXCS - hhomi eo { 1 POSl TI V c I 1 NEGATIVE normal j | RIGHT Ul.T HYPERACTIVE | ] RIGHT l-C.T A BSCNT | j RIGHT a '-e|rT 00 YOU FINO ANY EVIDENCE OF OPERATIONS, INJURIES OR ILLNESSES NOT LISTED BY APPLICANT, AND "OTHERS*' SUCH AS EMOTIONAL REAC TIONS' LIST ANO GIVE OATES. N NORMAL - OTHERWISE LINE TO BE COMPLETEO, 014393 URINALYSIS OATE APP. RE AC. TION SPEC. I CLU- 1 AL- UROBIL-I ACEGRAY. 1 COSE 1 BUMIN INOGEN1 TONE 1 CENTRIFUGED sediment PACK 4 O 4 8LOOO EXAMINATION OATE HEMO GLOBIN REDS WHITES POLYS. BANOS EOS. BASO. LYM. MONO. DESCRIPTION CORR. SED. RATE SEROLOCT DATE - WASSERMAN V.D.R.L. STOOL EXAM. RH FACTOR BLOOD TYPE ------ -- - - - . .- .- PHYSICIAN'S COMMENTS, summary, recommendations AND DIAGNOSIS. ATTACH EKG ANO CHEST X-RAY REPORT, SENO FILM. - -- ............................... - 03-1308 3PECUfl-*f COPT .. Page 4 of Form CO-993 rating ""! | -A -j- g ~l~ c_ nbmC Or M.o. IPKINTI ' * (31GN A T U RC ANO AODWESS OF EXAMINING PHYSICIAN) ... IA T1 . . ., . OATE ' TO EXAMINING PHYSICIAN: - THIS AUTHORIZATION MUST BE SIGNED _ -'0 OATED BY THE PERSON EXAMINED. -1''' ,*. : : * k: - TO ANY PHYSICIAN, HOSPITAL OR CLINIC: I HEREBY REQUEST AND AUTHORIZE YOU TO GIVE MOBIL OIL CORPORATION MEDICAL DEPARTMENT ANY INFORMATION THEY REOUEST WITH REFERENCE TO MY PAST MEDICAL HISTORY OR ATTENDANCE OR ADVICE OR HOSPIT ALI Z AZION.. A PHOTOGRAPHIC COPY .OF.THIS AUTHORIZATION SHALL BE VALIO AS THE ORIGINAL. . (SIGNATURE! 014394 ( fcMHLOlMNG L 0 Q* UNI T c X AMIN A TlON REOUcSTEO ar MUcJIL Me JH.AL Jtr'AKlMcN; MEDICAL EVALUATION TITLE OATE * EX AM RATING (See Rating Key 3e<o Aac NAME OF EXAMINEE 1 G aol :ss E N E REASON FOR EXAMINATION R A 1 i PRE-PLACEMENT L JOB T1 TLE Q PRE-TRAVEL * TELEPHONE AGE SEX OH POST-ILLNESS TRANSFER 1 1 OTHER .. PROPOSEO EMPLOYMENT LOCATION OF MPLOYMNT(C-fy <5 State or Country | I REGULAR 03 TEMP. MOBIL OIL CORP. (N.A.J u MOBIL OIL CORP. IINTL.J QD MOSII. OIL CORP. Q] 0 1r--], ' *' EXPLORATION E P ,_____ T. | 1 PRODUCING i>\i:--| ;J ` MANUFACTURING . j \ MARKETING ( |--, transportationPlPFLlNP ,____ _ transportation- . | j MARINE FLEET Q^ _____ Qj. MARINE TRANS. [ .. ) MOBIL CHEMICAL T PLACEMENT (Examining Physicians' Rcommn^o>ion$ on Pfocement of Examinee with Physica/ LimitationsJ Chock Appropriate Sox. EXAMINEE SHOULD NOT Q ASSlONEQ TO JOB REQUIRING; i 1 I. ANYTHING OTHER THAN OESK OR BENCH WORK | | 13. WORK AROUNO MOVING MACHINERY 2. r h EAVY LIFTING (specify weight lifting limitation in pounds undf remarks) j i 3. LIFTING (over 25 fbs.) 1j 4. REPEATED BENDING OF LUMBO-SACRAL OR CERVICAL SPINE (specify under remarks) | j 3. CONTINUOUS WALKING OR STANDING ' f ' | I*. LXP05URE TO DAMPNESS OR CHILLING | | IS. IRREGULAR WORKING HOURS ANO REGULAR OVERTIME WORK HOURS . ( | IS. HOIST OPERATION I I fl. WORK ON HIGH LAOOERS, OVERHEAO, OR IN DERRICK ( | 17. TRUCK OR TRACTOR OPERATION I 1 7. EXPOSURE TO OUSTS ANO IRRITANT FUMES, GASES, V APORS OR MI5TS j 1 9. EXPOSURE TO SKIN IRRITANTS (chemicals, solvents, greases and actinic <ays) I | I a. PUSHING AND PULLING HEAVY OBJECTS ["""] 15. CRAWLING ANO WORK ON KNEES a *ceU. TE FAR VISION (20/40 In one eye -- 20/700 in the other with or rifhovf correction -- specif/) . 1 1 10. ACCURATE NEAR VISION (J7 or J2 at J3 inches) | | 20. EXPOSURE TO EYE HAZARDS (flying particle s ond chemicals I f~~| 21. COLOR ViSIONfabiiity to distinguish colors: rod, green and yellow | | II. STABILITY (emotional) [ j 22. EXPOSURE TO EXTREMES OF TEMPERATURE { i 12* GOOO HEARING (no more thon o 75 decibel loss of frequencies: 500, 1000, and 2000 C.P.S.) { ~ | 23. OTHER (explain under remarks) ~PHYSICIAN`S REMARKS: 03-1308 SPECIMEN COPY ACTUAL SIZE OF FORM 8 1/2" X 11" . PRINTED ON WHITE PAPER ON BOTH CIDES * RECOMMEND* TIONS ABE: PHYSICIAN'S SIGNATURE [^j PERMANENT (^] TEMPOSiRY UNTIL ^ RATING KEY FOR PHYSICAL EXAMINATIONS: A. Physically fit for employment. . * 9. Fit for employment with physical limitations indicated C. Employment not recommended because af pretent physicol condition. OATE (Date) 014395 (on AUTHORIZATION TO BE SIGNED BY JOB APPLICANT OR EMPLOYEE I, hereby authorize the examining physician for the Mobil Medical Department to disclose to the employing depart ment any physical limitation which may be discovered during the Company-required pre-employment physical examination or during any subsequent Company-required periodic physical examinations. Furthermore, if I am employed, any such physical limitation may be disclosed to any Federal or State board or agency concerned. Any x-rays, charts, graphs, records and other data obtained in connection with any ... .. such^ompany^sJjuired physical examination shall, on request of the Mobil Medi- >. cal Department.,' be,delivered to it. < w.'Y Signed: ^ W-Q ... - - . v tvA- * .. . ^ r. rw... 0143% Appendix 1 Ri'icS A..U ''.GULAfiCNS 11321. the requirements of the American Na- where asbestos fibers are released to be ` tional Standards Practices lor Respira monitored In such a way as to determine tory Protection. ANSI Z88.2-I989. which whether every employee's exposure to Is incorporated by reterence herein. asbestos fibers Is below the limits pre b. See i 1910.3 concerning the avail scribed in paragraph (b) of this sec ability at ANSI Z88.2-1989 and the main tion. If the limits are exceeded, the em tenance o! an historic file in connection ployer shall Immediately undertake a therewith. The address ot the American compliance program in accordance with National Standards Institute is given In paragraph (c) of this section. 1 1910.100. (2) Personal monitoring--(i) Sam (c) No employee shall be assigned to ples shall be collected from within the ; ytasks requiring the use ot respirators If. breathing zone of the employees, on based upon his most recent examination. membrane filters of 0.8 micrometer po- . an examining physician determines that rossity mounted In an open-face filter . .the employee will be unable to function bolder. Samples shall be taken for the normally wearing a respirator, or that determination of the 8-hour time- j^the safety or health of the employee or weighted average airborne concentra other employees will be impaired by his- tions and of the ceiling conaentratlons of use of a respirator. Such employee shall - asbestos fibers. - ; be rotated to another job or given the (li) Sampling frequency and patterns. ' opportunity to transfer to a different po After the Initial determinations required sition whose duties he Is able to perform by subparagraph (1) of this paragraph, subparagraph shall conform to the re quirements of 20" x 14" vertical format signs specified In 5 1910.145(d)(4), and to this subdivision. The signs shall dis play the following legend in the lower panel, with letter sizes and styles of a visibility at least equal to that specified in this subdivision. Legend Notation Asbestos__________ Dust Hazard Avoid Breathing Dust___ Wear Assigned Protective Equipment. Do Not Remain In Area Unless Tour Work Re quires It. Breathing Asbestos Dust May Be Hazardous To 1" Sana Serif. Qothlc or Block. %" Sans Serif, Gothlo. or Block. Vi" Oothle. Vi" Oothle. Vi" Oothle. ' . 14 point Oothle. with the same employer. In the same geo samples shall be of such frequency and Tour Health. graphical area and with the same senior ity. status, and rate of pay he had Just prior to such transfer, if such a different position Is available. - (3) Special clothing: The employer shall provide, and require the use of. spe cial clothing, such as coveralls or similar whole body clothing, head coverings, gloves, and foot coverings for any em ployee exposed to airborne concentra tions of asbestos fibers, which exceed the ceiling level prescribed In paragraph (b) of this section. (4) Change rooms: (1) At any fixed place of employment exposed to airborne concentrations of asbestos fibers In ex cess of the exposure limits prescribed in paragraph (b) of this section, the em ployer shall provide change rooms for employees working regularly at the place. (11) Clothes lockers: The employer shall provide two separate lockers or con- tamers for each employee, so separated ..or Isolated as to prevent contamination of the employee's street clothes from his work clothes. (lii) Laundering: (a) Laundering of pattern as to represent with reasonable accuracy the levels of exposure of em ployees. In no case shall the sampling be done at Intervals greater than 6 months for employees whose exposure to asbestos may reasonably be foreseen to exceed the limits prescribed by paragraph (b) of this section. . (3) Environmental monitoring--(1) samples shall be collected from areas of a work environment which are represent ative of the airborne concentrations of asbestos fibers which may reach the breathing zone of employees. Samples shall be collected on a membrane filter of 0.8 micrometer porosity mounted In an open-face filter holder. Samples shall be taken for the determination of the 8- hour time-weighted average airborne concentrations and of the ceiling con centrations of asbestos fibers. (U) Sampling frequency and patterns. After the Initial determinations required by subparagraph (1) of this paragraph, samples shall be of such frequency and pattern as to represent with reasonable accuracy the levels of exposure of the Spacing between lines shall be at least equal to the height of the upper of any two lines. (2) Caution labels--(l) Labeling. Cau tion labels shall be affixed to all raw materials, mixtures, scrap, waste, debris, and other products containing asbestos fibers, or to their containers, except that no label Is required where asbestos fibers have been modified by a bonding agent, coating, binder, or other material so that during any reasonably foreseeable use. handling, storage, disposal, processing, or transportation, no airborne concentra tions of asbestos fibers In excess of the exposure limits prescribed in paragraph (b) of this section will be released. (ii) Label specifications. The caution labels required by subdivision (1) of this subparagraph shall be printed In letters of sufficient size and contrast as to be readily visible and legible. The label shall state: ... - . Caution . _ Contains Asbestos Fibers Avoid Cresting Duse asbestos contaminated clothing shall be ' employees. In no case shall sampling be Breathing Asbestos Dust May Cause done so as to prevent the release of air- ~ at.intervals greater than 8 months for Serious Bodily Harm borne asbestos fibers In excess of the ex- - employees whose exposures to asbestos (h) Housekeeping--(1) Cleaning. All posure limits prescribed In paragraph (b) may reasonably be foreseen to exceed of this section. . ...... . -' the exposure limits prescribed In para (b) Any employer who gives asbestos- graph (b) of this section. ... contaminated clothing to another person - (4) Employee observation of monitor- for laundering shall inform such person ing. Affected employees, or their rep of the requirement In (a) of this subdi resentatives, shall be given a reasonable vision to effectively prevent the release opportunity to observe any monitoring of airborne asbestos fibers In excess of required by this paragraph and shall have the exposure limits prescribed In para access to the records thereof. ` .: graph (b) of this section. .... ` (g) Caution signs and labels. (1) Cau (c) Contaminated clothing shall be tion signs. (1) Posting. Caution signs transported In sealed Impermeable bags, shall be provided and displayed at each or other closed, impermeable containers, location where airborne concentrations and labeled In accordance. with p&ra- of asbestos fibers may be in excess of the _ graph (g) of this section. . " t. . exposure limits prescribed In paragraph ^ (e) Method of measurement. All de ..(b) of this section. Signs shall be posted external surfaces in any place of employ ment shall be maintained free of accu mulations of asbestos fibers Lf, with their dispersion, there would be an excessive concentration. (2) Waste disposal. Asbestos waste, scrap, debris, bags, containers, equip ment, and asbestos-contaminated cloth ing, consigned for disposal, which may produce In any reasonably foreseeable use, handling, storage, processing, dis posal, or transportation airborne concen trations of asbestos fibers In excess of the exposure limits prescribed in paragraph (b7 of this section shall be collected and disposed of In sealed Impermeable bags, terminations of airborne concentrations at such a distance from such a location or other closed, impermeable containers. of asbestos fibers shall be made by the - so that an employee may read the signs (1) Recordkeeping--(1) Exposure rec . membrane filter method at 400-450 X ' and take netmssary protective steps be ords. Every employer shall maintain rec (magnification) (4 millimeter objective) with phase contrast Illumination. <f) Monitoring--(1) Initial determi nations. Within 8 months of the publi fore entering the area marked by the ords of any personal or environmental signs. Signs shall be posted at all ap monitoring required by this section. Rec proaches to areas containing excessive ords shall be maintained for a period of concentrations of airborne asbestos at least 3 years and shall be made avail fibers. . able upon request to the Assistant Secre cation of this section, every employer .: (11) Sign specifications. The warning tary of Labor for Occupational Safety shall cause every place of employment signs required by subdivision (1) of this and Health, the Director of the National 014^9? fi.*Ai s:cu;;~. vot. 37. no. no--wtONSSOAV jons 7. li/I ' Pa^e 4 4 Issued: Feb 9> 1973 New