Medical Surveillance Requirements
All personnel who perform field activities must participate in a medical
surveillance program required by 29 CFR 1910.120.
Personnel performing work must have received a medical baseline or follow-up
examination within the past 12 months.
A physician's statement declaring that each field team member is medically
qualified to perform hazardous waste-related activities must be kept
by the Incident Safety Officer. At a minimum, The Incident Safety
Officer will have a Form 5-R, Self-Certification Medical Statement (See
Appendix 6 A) for each employee/contractor performing work at a deployment.
Subcontractor employees must participate in their employer's medical
monitoring program. If the employer does not normally perform medical
monitoring, the Medical Surveillance portion of this HASP will be provided
to them so they can develop a medical program equivalent to those provided
to APHIS personnel.
The Operation Section Chief, with the Incident Safety Officer’s
assistance will require that all relevant contractors show proof of participation
in a medical monitoring program and provide appropriate documentation.
Documentation shall include a physician's statement declaring all contract
employees are medically qualified to perform hazardous waste work.
Verification of medical qualification will be provided to the Incident
The Incident Safety Officer will keep a log of personnel meeting appropriate
medical qualifications for fieldwork.
- Initial Exam. All responders have received
an initial examination through FOH.
- Periodic Exam. All
responders have received an annual examination through FOH.
- Termination Examination. All responders will have
a termination examination through FOH.
- Respirator Examination. No responder will wear a
respirator unless he/she has been trained, been fit-tested, and certified
as medically fit to wear a respirator
Also, medical surveillance for specific hazards may be called for depending
upon the situation. The Incident Safety Officer will need to determine
what compounds APHIS personnel may encounter and notify the Medical Officer.
Together, the Incident Safety Officer and Medical Officer will determine
what Medical Surveillance is needed. Examples of these specific hazards
Hazardous Dusts - Employees exposed to dust such as
cotton dust, asbestos, etc., should obtain professional guidance to determine
the necessity for chest x-rays and pulmonary function tests.
Organophosphate or Carbamate Exposure - Routine blood
cholinesterase determinations will be performed.
See appendix 6-A for the cholinesterase testing program
Occupational Bacterial and Viral Diseases - Periodic
serological tests should be performed to determine blood titers.
Psittacosis and Brucellosis are good examples of this type of monitoring.
Chemical Exposures - The presence of certain chemicals
can be specifically detected in the blood stream. However, for those
that cannot be detected, it is essential that the employee receive a
battery of blood tests to evaluate kidney, liver, and endocrine metabolic
Chemical Weapon (Nerve Agent) Exposure- Routine blood
cholinesterase determinations will also be used for these agents.
The latest edition of the American Congress of Governmental Industrial
Hygienist’s TLV’s and BEI’s (Biological Exposure Indices)
guide would be consulted for recommendation on exposure indices for specific
Medical Recordkeeping. FOH will retain all records of examinations and
other medical related documentation.
Monitoring. Any personnel monitoring results, laboratory reports, calculations,
and air sampling data sheets are part of the exposure record.
will be kept (by FOH) in accordance with 29 CFR 1910.120.