Medical Surveillance: Difference between revisions

Campus Safety has adopted these criteria based on OSHA requirements. The criteria are subject to modification upon periodic review. [http://info.unmc.edu/media/safety/Table1RequiredMedicalExaminationbyJob.pdf Table 1] lists examples of jobs which required a medical examination. It is not all inclusive. [http://info.unmc.edu/media/safety/Table2MedicalExaminations.pdf Table 2] lists the medical examination parameters.

#Medical surveillance will be required for employees who: <br />

##Have exposure to noise levels exceeding 85 dBA in an 8 hour time weighted average exposure.  

##Wear a respirator.  

##Have exposure to asbestos above the permissible limit or excursion limit for 30 days/year; perform Class 1, 2, or 3 asbestos work for 30 days/year.  

##Use any of the following 13 OSHA regulated human carcinogens:

:##4-Nitrobiphenyl

:##Alpha-Naphthylamine

:##Methyl Chloromethyl Ether

:##3,3' Dichlorobenzine (and its salt)

:##Bis-Chloromethyl Ether

:##Beta-Naphthylamine

:##Benzidine

:##4-Aminodiphenyl

:##Ethyleneamine

:##Beta-Propiolactone

:##2-Acetylamino Fluorine

:##4- Dimethylaminoazobenzine

:##N-Nitrosodimethylamine

##Use Vinyl Chloride and are exposed above the action level.  

##Use Inorganic arsenic and are exposed above the action level for at least 30 days/year and based on previous exposure.  

##Use Metallic Lead, Inorganic Lead, or Organic Lead Soaps and are exposed above the action level for greater than 30 days/year.  

##Use Benzene and are exposed above the action level for greater than 30 days/year and based on additional requirements.  

##Are exposed to or use biohazardous agents as a part of their job activities (to include "occupational exposure" to Bloodborne Pathogens [see [http://www.unmc.edu/media/infectionk/pdf/unmc_bbp_revised_final_11_2009.pdf UNMC Bloodborne Pathogen Exposure Control Plan]].<br />

#:NOTE: The Institutional Biosafety Committee "Protocol for Research Involving Biohazardous Materials" must be completed and approved by the campus IBC prior to conducting research on campus with biohazardous agents or in any situation where select agents are used in research or diagnostic procedures. This protocol includes completion of a section entitled, "Risk for Occupational Exposure" which requires the primary investigator to describe precautions necessary to prevent occupational exposure to the biohazardous agent and to list the specific trainings and vaccination(s) required, if necessary, to handle the biohazardous agents. In additions, the PI or laboratory supervisor is required to obtain a copy of the Post Exposure Agent Specific Protocol for the biohazardous agent being used in the laboratory.  

##Use 1,2 - Dibromo-3-Chloropropane, working in a regulated area or may be exposed in an emergency situation.  

##Are exposed to Acrylonitrile above the action level.  

##Are exposed to Ethylene Oxide at or above the action for at least 30 days/year.  

##Are exposed to Formaldehyde greater than the action level or greater than the short term exposure limit.  

##Are exposed to Methylenedianiline greater than or equal to the action level for 30 days/year.  

##Are exposed to Cadmium greater than or equal to the action level for 30days/year.   

##Are members of a hazardous waste and emergency response (HAZMAT) team.