Periodic/Annual Medical Examination The periodic examination (Appendix B) will be conducted annually following the initial/baseline examination for those workers described in Section 5(A), and will cover the following elements: A brief occupational history (including NEW exposures to hematological or marrow toxins); an updated medicinal history, and history of exposure to marrow toxins outside of the current work situation A physical examination where the development of symptoms associated with toxic exposure to benzene are reported Laboratory testing as stated in initial/baseline examination Pulmonary function testing (PFTs) conducted every three (3) years for all workers who are required to wear a respirator for at least 30 days a year, AND must accompany a cardiovascular and respiratory system examination Additional Examinations and Referrals When the results of the required laboratory tests are abnormal, then a repeated analysis shall be conducted within two (2) weeks. Such abnormalities may include reduced HGB and or HCT count(s), an abnormal PLT count, a WBC count below 4,000 per mm3 and or abnormal differential WBC If the abnormality persists, the examining OHP shall refer the worker to a hematologist or internist for further evaluation. The OHP must follow-up any significant abnormality to a physical diagnosis Occupational Health Provider Opinions Once the medical surveillance exams are completed, the OHP must furnish a written opinion within fifteen (15) days to the opinion may employee’s employer. This include occupationally pertinent results of the medical examination and laboratory testing, detected medical conditions which may increase the risk of personal injury or disease while performing regular work duties, physical limitations to work, PPE or respirator use; and a statement indicating the employee has been informed of the medical encounter findings resulting from benzene exposure Medical Removal Plan When a referral is made to a hematologist or internist the employee must be removed from his/her work environment where the exposure exceeds the AL The OHP recommending removal must furnish a written statement to the employer/supervisor and employee of the duration of removal and the requirements for future medical examinations to review the decision
Periodic/Annual Medical Examination The periodic examination (Appendix B) will be conducted annually following the initial/baseline examination for those workers described in Section 5(A), and will cover the following elements: A brief occupational history (including NEW exposures to hematological or marrow toxins); an updated medicinal history, and history of exposure to marrow toxins outside of the current work situation A physical examination where the development of symptoms associated with toxic exposure to benzene are reported Laboratory testing as stated in initial/baseline examination Pulmonary function testing (PFTs) conducted every three (3) years for all workers who are required to wear a respirator for at least 30 days a year, AND must accompany a cardiovascular and respiratory system examination Additional Examinations and Referrals When the results of the required laboratory tests are abnormal, then a repeated analysis shall be conducted within two (2) weeks. Such abnormalities may include reduced HGB and or HCT count(s), an abnormal PLT count, a WBC count below 4,000 per mm3 and or abnormal differential WBC If the abnormality persists, the examining OHP shall refer the worker to a hematologist or internist for further evaluation. The OHP must follow-up any significant abnormality to a physical diagnosis Occupational Health Provider Opinions Once the medical surveillance exams are completed, the OHP must furnish a written opinion within fifteen (15) days to the employee’s employer. This opinion may include occupationally pertinent results of the medical examination and laboratory testing, detected medical conditions which may increase the risk of personal injury or disease while performing regular work duties, physical limitations to work, PPE or respirator use; and a statement indicating the employee has been informed of the medical encounter findings resulting from benzene exposure Medical Removal Plan When a referral is made to a hematologist or internist the employee must be removed from his/her work environment where the exposure exceeds the AL The OHP recommending removal must furnish a written statement to the employer/supervisor and employee of the duration of removal and the requirements for future medical examinations to review the decision