OSHA 3162 - Screening and Surveillance

Screening and Surveillance: A Guide to OSHA Standards
OSHA 3162-12R 2009
Occupational Safety and Health Act of 1970

To assure safe and healthful working conditions for working men and women; by authorizing enforcement of the standards developed under the Act; by assisting and encouraging the States in their efforts to assure safe and healthful working conditions; by providing for research, information, education, and training in the field of occupational safety and health. This publication provides a general overview of a particular standards-related topic. This publication does not alter or determine compliance responsibilities which are set forth in OSHA standards and the Occupational Safety and Health Act. Moreover, because interpretations and enforcement policy may change over time, for additional guidance on OSHA compliance requirements the reader should consult current administrative interpretations and decisions by the Occupational Safety and Health Review Commission and the courts. Material contained in this publication is in the public domain and may be reproduced, fully or partially, without permission. Source credit is requested but not required. This information will be made available to sensory impaired individuals upon request. Voice phone: (202) 693-1999; teletypewriter (TTY) number: 1-877-889-5627.
Screening and Surveillance: A Guide to OSHA Standards

U.S. Department of Labor Occupational Safety and Health Administration OSHA 3162-12R 2009
The Occupational Safety and Health Act requires that employers comply with safety and health standards promulgated by OSHA or by a state with an OSHA-approved state plan. This guide is a quick reference to help you locate and implement the screening and surveillance requirements of the Federal OSHA standards published in Title 29 of the Code of Federal Regulations (29 CFR). This guide provides a general overview of OSHA requirements. It is not a standard or regulation, and it creates no new legal obligations. For full details of specific compliance requirements, please consult the appropriate OSHA standard in the CFR. You can access the medical surveillance provisions of the OSHA standards on the Internet at www.osha.gov. Additional assistance is available by telephone at 1-800-321OSHA (6742).
Content
Glossary . . . 4 Acrylonitrile . . . 5 Arsenic (Inorganic) . . . 6 Asbestos (General Industry) . . . 7 Asbestos (Construction and Shipyards) . . . 8 Benzene . . . 9 Bloodborne Pathogens . . . 10 1,3-Butadiene . . . 11 Cadmium . . . 12 Carcinogens (Suspect) . . . 13 Chromium(VI), Hexavalent Chromium . . . 14 Coke Oven Emissions . . . 15 Compressed Air Environments . . . 16 Cotton Dust . . . 17 1,2-dibromo-3-chloropropane . . . 18 Ethylene Oxide . . . 19 Formaldehyde . . . 20 HAZWOPER . . . 21 Hazardous Chemicals in Laboratories . . . 22 Lead . . . 23 Methylene Chloride . . . 25 Methylenedianiline . . . 26 Noise . . . 27 Respiratory Protection . . . 28 Vinyl Chloride . . . 29 Footnotes . . . 30 OSHA Assistance . . . 31 OSHA Regional Offices . . . 35
Glossary
BP BUN CBC FEF FEV1 blood pressure blood urea nitrogen complete blood count forced expiratory flow forced expiratory volume one second follicle stimulating hormone forced vital capacity Hazardous Waste Operations and Emergency Response hepatitis B virus luteinizing hormone methylenedianiline pulmonary function test United States Public Health Service physician or other licensed healthcare professional personal protective equipment serum glutamic oxalacetic transaminase serum glutamic pyruvic transaminase zinc protoporphyrin
FSH FVC HAZWOPER
HBV LH MDA PFT PHS or USPHS
PLHCP
PPE SGOT
SGPT
ZPP
Acrylonitrile
1915.1045*
1910.1045(n); 1926.1145;
Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Yes1 Yes annual1 Yes Yes if no exam within 6 months of termination Respiratory, gastrointestinal1, thyroid, skin, neurological (peripheral and central) Required for all exams2 Yes No Fecal occult blood1 Yes Yes Yes physician to employer; employer to employee Yes by physician
Employee counseling re: exam results, conditions of increased risk Medical removal plan
No
Arsenic (Inorganic)
1926.1118; 1915.1018*
1910.1018(n);
Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Yes1 Yes1 Yes Yes if no exam within 6 months of termination Skin, nasal
Required for all exams2 with focus on respiratory symptoms; includes smoking history Yes No No Yes Yes Yes physician to employer; employer to employee Yes by physician
Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion
No
Asbestos (General Industry)

1910.1001(l) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Yes1, 3 Yes annual1 No Yes within 30 days of termination Respiratory, cardiovascular, gastrointestinal Required for all exams2 standardized form required; see standard, Appendix D Yes1 B reader, board eligible/certified radiologist or physician with expertise in pneumoconioses required; see standard, Appendix E for x-ray interpretation and classification requirements FVC, FEV1 No Yes Yes Yes physician to employer; employer to employee Yes by physician; includes informing employee of increased risk of lung cancer from combined effects of smoking and asbestos exposure No 7
Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion
Employee counseling re: exam results, conditions of increased risk
Medical removal plan
Asbestos (Construction and Shipyards)

1926.1101(m); 1915.1001 Standard Requirements Pre-placement exam Periodic exam Yes1, 3 Yes annual1 or more frequently if determined by physician No No Pulmonary and gastrointestinal Required for all exams2; special emphasis on pulmonary, cardiovascular, gastrointestinal; standardized form required; see standard, Appendix D Yes1 B reader, board eligible/certified radiologist or physician with expertise in pneumoconioses required; see standard, Appendix E for x-ray interpretation and classification requirements FVC, FEV1 No Yes Yes Yes physician to employer; employer to employee Yes by physician; includes informing employee of increased risk of lung cancer from combined effects of smoking and asbestos exposure No 8
Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history
Chest x-ray
Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion
Benzene
1910.1028(i); 1926.1128; 1915.1028* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Yes1, 3, 4 Yes annual1, 4 Yes1, 4 includes urinary phenol test No Hemopoietic; add cardiopulmonary if respiratory protection used at least 30 days/ year, (initially, then every 3 years) Required for initial and periodic exams (pre-placement exam requires special history)2 No Initially and every 3 years if respiratory protection used 30 days/year; specific tester requirements CBC, differential, other specific blood tests; repeated as required; see standard Yes if respirators are used Yes Yes physician to employer; employer to employee Yes by physician
Work and medical history
Chest x-ray Pulmonary function test (PFT)
Other required tests
Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion
Yes
Bloodborne Pathogens
1910.1030(f) Standard Requirements Pre-placement exam No must offer Hepatitis B (HBV) vaccine unless already immune or vaccine contraindicated No Specific post-exposure monitoring for employee and source; HBV vaccine; see standard No No
Periodic exam Emergency/exposure examination and tests
Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests
No No No Yes post-exposure incident; follow U.S. Public Health Service (USPHS) post-exposure protocols No Yes for post-exposure incident; follow USPHS post-exposure protocols Yes licensed healthcare professional to employer; employer to employee Yes by licensed healthcare professional; counseling re: HBV vaccine and postexposure follow-up; see standard No
10
1,3-Butadiene
1910.1051(k); 1926.1151* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Yes1, 3, 4 Yes1, 4 Yes1, 4 within 48 hours of exposure Yes4 if 12 months have elapsed since last exam Liver, spleen, lymph nodes, and skin Required annually and for all examinations2; standardized form or equivalent; includes comprehensive occupational and health history; see standard, Appendices F and C No No Annually, CBC with differential and platelet count; also within 48 hrs. after exposure in an emergency situation and repeated monthly for 3 more months Yes if respirators are used Yes Yes physician or other licensed healthcare professional to employer and employee Yes by physician or other licensed healthcare professional No 11
Chest x-ray Pulmonary function test (PFT) Other required tests
Cadmium
1910.1027(l); 1926.1127; 1915.1027; 1928.1027* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Yes1, 3, 4 Yes1, 4 Yes1, 4 Yes3 see standard for time frame and other specifics Respiratory, cardiovascular (BP), urinary, and for males over 40 prostate palpation1 Required for preplacement and periodic exams2; standardized form required Yes FVC, FEV1 Annually1, cadmium in urine, beta-2 microglobulin in urine, cadmium in blood, CBC, BUN, serum creatinine, urinalysis; see standard Yes Yes Yes physician to employer; employer to employee Yes by physician; includes explanation of results, treatment, and diet, and discussion of decisions re: medical removal; see standard for details Yes
12
Carcinogens (Suspect)
1910.1003-1016(g); 1926.1103; 1915.1003-1016* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Yes Yes annual Yes1 special medical surveillance begins within 24 hours No Exam includes determination for increased risk (e.g., treatment with steroids or cytotoxic agents, reduced immunological competence, pregnancy or cigarette smoking) Required for all examinations; includes family and occupational history, genetic and environmental factors No No No Yes as specified in the Respiratory Protection standard, 1910.134(e), if respirators are used Yes Yes physician to employer No
Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator
Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan
No
13
Chromium(VI), Hexavalent
1910.1026(k); 1926.1126(i); 1915.1026(i) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Yes1 Yes1 Yes1 Yes3 unless last exam was less than 6 months prior to date of termination Skin and respiratory tract
Examination includes special emphasis on these body systems Work and medical history
Required for all exams2; includes past, present and anticipated future exposure; any history of respiratory system dysfunction, asthma, dermatitis, skin ulceration or nasal septum perforation; smoking status and history No No No Yes Yes Yes physician or other licensed healthcare professional (PLHCP) to employer; employer to employee Yes by PLHCP
No
14
Coke Oven Emissions

1910.1029(j) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Yes1 Yes1 No Yes if no exam within 6 months of termination Skin
Required for all exams2; includes smoking history and presence and degree of respiratory symptoms Yes FVC, FEV1 Weight, urine cytology, urinalysis for sugar, albumin, hematuria Yes Yes see standard, Appendix B Yes physician to employer; employer to employee Yes by physician; also, employer must inform employee of possible health consequences if employee refuses any required medical exam No
15
Compressed Air Environments

1926.803(b) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan Yes Yes1 No No Not specified
No No No No No No No No
No
16
Cotton Dust
1910.1043(h) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Physical exam not specified; other tests required Physical exam not specified; other tests required1, 4 No No Not specified
Medical history; standardized questionnaire required; see standard, Appendix B-11, 2, 4 No FVC, FEV1, FEV1/FVC Employees with specific abnormalities are referred to specialists1, 4, 5 No Yes No Yes physician to employer; employer to employee Yes by physician re: results of exam and any medical conditions requiring further examination or treatment Yes for inability to wear a respirator (6 months)
Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan
17
1,2-dibromo-3-chloropropane
1910.1044(m); 1926.1144; 1915.1044* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Yes Yes1 Yes male reproductive; repeat in 3 months No Reproductive, genitourinary; see standard for details Required for all exams2; includes reproductive history; see standard, Appendix C No No Sperm count, FSH, LH, Total estrogen (females); see standard, Appendix C for guidelines Yes Yes Yes physician to employer; employer to employee Yes by physician
No
18
Ethylene Oxide
1910.1047(i); 1926.1147* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Yes1 Yes annual1 Yes1 Yes1 Pulmonary, skin, neurologic, hematologic, reproductive, eyes Required for all exams; includes reproductive history and special emphasis on some body systems; see standard No No CBC, white cell count with differential, hematocrit, hemoglobin, red cell count; if requested by employee, pregnancy testing and fertility testing (female/male) will be added to the exam as deemed appropriate by physician Yes Yes Yes physician to employer; employer to employee Yes by physician
No 19
Formaldehyde
1910.1048(l); 1926.1148; 1915.1048* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Yes1, 4 Yes1, 4 Yes4 No Evidence of irritation or sensitization of skin, respiratory system, eyes; shortness of breath Required for all exams2; questionnaire required; see standard, Appendix D No FVC, FEV1, FEF should be evaluated if respiratory protection is used No Yes Yes Yes physician to employer; employer to employee Yes by physician; includes information on whether medical conditions were caused by past exposures or emergency exposures Yes
Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion
20
HAZWOPER
1910.120(f); 1926.65* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Yes1 Yes annually or at physicians discretion1 Yes1 Yes if no exam within 6 months of termination/ reassignment Determined by physician; see standard, Appendix D, reference 10 for guidelines Yes with emphasis on symptoms related to handling hazardous substances and health hazards, fitness for duty and ability to wear PPE2 No unless determined by physician No unless determined by physician No unless determined by physician Yes Yes Yes physician to employer; employer to employee Yes by physician
Examination includes special emphasis on these body systems Work and medical history
No
21
Hazardous Chemicals in Laboratories

1910.1450(g) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan When required by other standards When required by other standards Yes1 No Not specified
When required by other standards When required by other standards When required by other standards When required by other standards Yes when required by other standards When required by other standards Yes physician to employer Yes by physician
No
22
Lead
1910.1025(j); 1926.62* Standard Requirements Pre-placement exam Yes1, 4 except in construction industries; construction requires initial blood tests only Yes1, 4 Yes1, 4 No Teeth, gums, hematologic, gastrointestinal, renal, cardiovascular (BP), neurological; pulmonary status if respiratory protection used Required for all exams2; includes reproductive history, past lead exposure, both work/non-work, and history of specific body systems; see standard No No unless deemed necessary by physician Hemoglobin, hematocrit, ZPP, BUN, serum creatinine, urinalysis with micro, bloodlead levels, peripheral smear morphology, red cell indices1, 5; if requested by employee, pregnancy testing and fertility testing (female/male) Yes Yes Yes physician to employer; employer to employee
Continued on page 24
Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems
23
Continued from page 23
Yes by physician; includes advising the employee of any medical condition, occupational or non-occupational, requiring further medical examination or treatment Yes
24
Methylene Chloride
1910.1052(j); 1926.1152* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Yes1, 4 Yes1, 4 Yes4 see standard for specifics Yes if no exam within 6 months of termination Lungs, cardiovascular (including BP and pulse), liver, nervous, skin; extent of exam determined by examiner based on employees health status, work, and medical history Required for all exams; example of work and medical history form provided in standard, Appendix B No No unless deemed necessary by physician or other licensed healthcare professional Laboratory surveillance may include tests as determined by examiner including before and after shift tests; see standard, Appendix B Yes as specified under the Respiratory Protection standard 1910.134(e) Yes Yes by physician or other licensed healthcare professional to employer and employee Yes by physician or other licensed healthcare professional Yes 25
Chest x-ray Pulmonary function test (PFT)
Other required tests
Methylenedianiline
1910.1050(m) Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Yes1, 3, 4 Yes annual1, 4 Yes1, 4 No Skin, hepatic
Required for all examinations2; includes past work with MDA and other specific items; see standard No No Liver function tests, urinalysis Yes Yes Yes physician to employer; employer to employee Yes by physician
Yes
26
Noise
1910.95(g); 1926.52 Standard Requirements Pre-placement exam Baseline audiograms are required within 6 months of exposure at or above 85dB. Mobile test van exception, within one year of exposure at or above 85dB Annual audiometric testing required No No requirements No
Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray Pulmonary function test (PFT) Other required tests
No No No Initial and annual audiometric testing1, 4, 5; see standard re: specific qualifications for the test administrator No Yes No Yes if standard threshold shift or suspected ear pathology No
Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan
27
Respiratory Protection
1910.134(e); 1926.103* Standard Requirements Pre-placement exam Evaluation questionnaire or exam; follow-up exam when required5 Yes in specific situations5 No No Yes5 see standard, Appendix C Yes2 see standard, Appendix C As determined by physician or other licensed healthcare professional As determined by physician or other licensed healthcare professional As determined by physician or other licensed healthcare professional Yes Yes Yes physician or other licensed healthcare professional to employer and employee Yes by physician or other licensed healthcare professional No
Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Work and medical history Chest x-ray
Pulmonary function test (PFT) Other required tests
28
Vinyl Chloride
1910.1017(k); 1926.1117* Standard Requirements Pre-placement exam Periodic exam Emergency/exposure examination and tests Termination exam Examination includes special emphasis on these body systems Yes1 Yes1 Yes No Special attention to detecting enlargement of the liver, spleen or kidneys, or dysfunction of these organs and abnormalities in skin, connective tissue and pulmonary system; see standard, Appendix A Required for initial and periodic exams2; includes alcohol intake, history of hepatitis, exposure to hepatotoxic agents, blood transfusions, hospitalizations, and work history No No Blood test for total bilirubin, alkaline phosphatase, SGOT, SGPT and gamma glutamyl transpeptidase Yes Yes Yes physician to employer; employer to employee No
Evaluation of ability to wear a respirator Additional tests if deemed necessary Written medical opinion Employee counseling re: exam results, conditions of increased risk Medical removal plan
Yes 29
Footnotes
1 Pre-placement and periodic examinations are dependent upon specific factors cited in the standard such as airborne concentrations of the substance and/or years of exposure, biological indices, age of employee, amount of time exposed per year. In addition, some standards require periodic exams to be conducted at varying time intervals. Refer to standard for complete details.
Standard requires medical and work history focused on special body systems, symptoms, personal habits, and/or specific family, environmental or occupational history. Refer to standard for complete details.
2 3 No examination required if previous examination done within specified time frame (e.g., 6 months or 12 months) and provisions of standard met. Refer to standard for details. 4 Additional physician review: Some standards have provisions for referring employees with abnormalities to a specialist as deemed necessary by examiner. Other standards have provisions for multiple physician review. See specific standard for details.
Standard requires specific protocol. See standard for details.

5
* These Maritime and Construction standards are identical to 29 CFR 1910, General Industry standards.
1926.52 requires an effective and continued hearing conservation program. OSHA has interpreted this to include audiograms when feasible. See Letter of Interpretation dated August 4, 1992.
30
OSHA Assistance
OSHA can provide extensive help through a variety of programs, including technical assistance about effective safety and health programs, state plans, workplace consultations, and training and education. Safety and Health Management System Guidelines Effective management of worker safety and health protection is a decisive factor in reducing the extent and severity of work-related injuries and illnesses and their related costs. In fact, an effective safety and health management system forms the basis of good worker protection, can save time and money, increase productivity and reduce employee injuries, illnesses and related workers compensation costs. To assist employers and workers in developing effective safety and health management systems, OSHA published recommended Safety and Health Program Management Guidelines (54 Federal Register (16): 3904-3916, January 26, 1989). These voluntary guidelines can be applied to all places of employment covered by OSHA. The guidelines identify four general elements critical to the development of a successful safety and health management system: I Management leadership and worker involvement,
I I I
Worksite analysis, Hazard prevention and control, and
Safety and health training. The guidelines recommend specific actions, under each of these general elements, to achieve an effective safety and health management system. The Federal Register notice is available online at www.osha.gov. State Programs The Occupational Safety and Health Act of 1970 (OSH Act) encourages states to develop and operate their own job safety and health plans. OSHA approves and monitors these plans. Twenty-five states, Puerto Rico and the Virgin Islands currently operate approved state plans: 22 cover both private and public (state and local government) em31
ployment; Connecticut, Illinois, New Jersey, New York and the Virgin Islands cover the public sector only. States and territories with their own OSHAapproved occupational safety and health plans must adopt standards identical to, or at least as effective as, the Federal OSHA standards. Consultation Services Consultation assistance is available on request to employers who want help in establishing and maintaining a safe and healthful workplace. Largely funded by OSHA, the service is provided at no cost to the employer. Primarily developed for smaller employers with more hazardous operations, the consultation service is delivered by state governments employing professional safety and health consultants. Comprehensive assistance includes an appraisal of all mechanical systems, work practices and occupational safety and health hazards of the workplace and all aspects of the employers present job safety and health program. In addition, the service offers assistance to employers in developing and implementing an effective safety and health program. No penalties are proposed or citations issued for hazards identified by the consultant. OSHA provides consultation assistance to the employer with the assurance that his or her name and firm and any information about the workplace will not be routinely reported to OSHA enforcement staff. For more information concerning consultation assistance, see OSHAs website at www.osha.gov. Strategic Partnership Program OSHAs Strategic Partnership Program helps encourage, assist and recognize the efforts of partners to eliminate serious workplace hazards and achieve a high level of worker safety and health. Most strategic partnerships seek to have a broad impact by building cooperative relationships with groups of employers and workers. These partnerships are voluntary relationships between OSHA, employers, worker representatives, and others (e.g., trade unions, trade and professional associations, universities, and other government agencies). For more information on this and other agency programs, contact your nearest OSHA office, or visit OSHAs website at www.osha.gov.
32
OSHATraining and Education OSHA area offices offer a variety of information services, such as technical advice, publications, audiovisual aids and speakers for special engagements. OSHAs Training Institute in Arlington Heights, IL, provides basic and advanced courses in safety and health for Federal and state compliance officers, state consultants, Federal agency personnel, and private sector employers, workers and their representatives. The OSHA Training Institute also has established OSHA Training Institute Education Centers to address the increased demand for its courses from the private sector and from other federal agencies. These centers are colleges, universities and nonprofit organizations that have been selected after a competition for participation in the program. OSHA also provides funds to nonprofit organizations, through grants, to conduct workplace training and education in subjects where OSHA believes there is a lack of workplace training. Grants are awarded annually. For more information on grants, training and education, contact the OSHA Training Institute, Directorate of Training and Education, 2020 South Arlington Heights Road, Arlington Heights, IL 60005, (847) 297-4810, or see Training on OSHAs website at www.osha.gov. For further information on any OSHA program, contact your nearest OSHA regional office listed at the end of this publication. Information Available Electronically OSHA has a variety of materials and tools available on its website at www.osha.gov. These include electronic tools, such as Safety and Health Topics, eTools, Expert Advisors; regulations, directives and publications; videos and other information for employers and workers. OSHAs software programs and eTools walk you through challenging safety and health issues and common problems to find the best solutions for your workplace. OSHA Publications OSHA has an extensive publications program. For a listing of free items, visit OSHAs website at www.osha.gov or contact the OSHA Publications Office, U.S. Department of Labor, 200 Constitution Avenue, NW, N-3101, Washington, DC 20210; telephone (202) 693-1888 or fax to (202) 693-2498.
33
Contacting OSHA To report an emergency, file a complaint, or seek OSHA advice, assistance, or products, call (800) 321-OSHA or contact your nearest OSHA Regional or Area office listed at the end of this publication. The teletypewriter (TTY) number is (877) 889-5627. Written correspondence can be mailed to the nearest OSHA Regional or Area Office listed at the end of this publication or to OSHAs national office at: U.S. Department of Labor, Occupational Safety and Health Administration, 200 Constitution Avenue, N.W., Washington, DC 20210. By visiting OSHAs website at www.osha.gov, you can also: I File a complaint online,
I
Submit general inquiries about workplace safety and health electronically, and Find more information about OSHA and occupational safety and health.
34
OSHA Regional Offices

Region I (CT*, ME, MA, NH, RI, VT*) JFK Federal Building, Room E340 Boston, MA 02203 (617) 565-9860 Region II (NJ*, NY*, PR*, VI*) 201 Varick Street, Room 670 New York, NY 10014 (212) 337-2378 Region III (DE, DC, MD*, PA, VA*, WV) The Curtis Center 170 S. Independence Mall West Suite 740 West Philadelphia, PA 19106-3309 (215) 861-4900 Region IV (AL, FL, GA, KY*, MS, NC*, SC*, TN*) 61 Forsyth Street, SW, Room 6T50 Atlanta, GA 30303 (404) 562-2300 Region V (IL*, IN*, MI*, MN*, OH, WI) 230 South Dearborn Street Room 3244 Chicago, IL 60604 (312) 353-2220 Region VI (AR, LA, NM*, OK, TX) 525 Griffin Street, Room 602 Dallas, TX 75202 (972) 850-4145 Region VII (IA*, KS, MO, NE) Two Pershing Square 2300 Main Street, Suite 1010 Kansas City, MO 64108-2416 (816) 283-8745
35
Region VIII (CO, MT, ND, SD, UT*, WY*) 1999 Broadway, Suite 1690 PO Box 46550 Denver, CO 80202-5716 (720) 264-6550 Region IX (AZ*, CA*, HI*, NV*, and American Samoa, Guam and the Northern Mariana Islands) 90 7th Street, Suite 18-100 San Francisco, CA 94103 (415) 625-2547 Region X (AK*, ID, OR*, WA*) 1111 Third Avenue, Suite 715 Seattle, WA 98101-3212 (206) 553-5930
* These states and territories operate their own OSHAapproved job safety and health programs and cover state and local government employees as well as private sector employees. The Connecticut, Illinois, New Jersey, New York and Virgin Islands plans cover public employees only. States with approved programs must have standards that are identical to, or at least as effective as, the Federal OSHA standards. Note: To get contact information for OSHA Area Offices, OSHA-approved State Plans and OSHA Consultation Projects, please visit us online at www.osha.gov or call us at 1-800-321-OSHA.
36

OSHA 3162 - Screening and Surveillance

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OSHA 3162 - Screening and Surveillance

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Screening and Surveillance: A Guide to OSHA Standards

OSHA 3162-12R 2009

Occupational Safety and Health Act of 1970

Screening and Surveillance: A Guide to OSHA Standards

FSH FVC HAZWOPER

HBV LH MDA PFT PHS or USPHS

Asbestos (General Industry)

Employee counseling re: exam results, conditions of increased risk

Medical removal plan

Asbestos (Construction and Shipyards)

Employee counseling re: exam results, conditions of increased risk

Medical removal plan

Work and medical history

Chest x-ray Pulmonary function test (PFT)

Other required tests

Periodic exam Emergency/exposure examination and tests

Chest x-ray Pulmonary function test (PFT) Other required tests

Employee counseling re: exam results, conditions of increased risk

Medical removal plan

Work and medical history

Coke Oven Emissions

Chest x-ray Pulmonary function test (PFT) Other required tests

Employee counseling re: exam results, conditions of increased risk

Medical removal plan

Compressed Air Environments

Chest x-ray Pulmonary function test (PFT) Other required tests

Hazardous Chemicals in Laboratories

Work and medical history

Chest x-ray Pulmonary function test (PFT) Other required tests

Continued from page 23

Employee counseling re: exam results, conditions of increased risk

Medical removal plan

Work and medical history

Chest x-ray Pulmonary function test (PFT)

Other required tests

Pulmonary function test (PFT) Other required tests

Work and medical history

Chest x-ray Pulmonary function test (PFT) Other required tests

Standard requires specific protocol. See standard for details.

Worksite analysis, Hazard prevention and control, and

OSHA Regional Offices

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