Injury Illness Prevention Plan - Flipbook - Page 256
Health and Safety Program Manual
Teamwrkx
Construction, Inc.
Issue Date: 10/16/23
Revision Date: 10/16/23
Arsenic Exposure
Reference: B-5
The company will assure that all medical examinations and procedures are performed by or under the
supervision of a licensed physician, and shall be provided without cost to the worker, without loss of pay and at
a reasonable time and place.
Initial examinations. By December 1, 1978, for workers initially covered by the medical provisions of this section,
or thereafter at the time of initial assignment to an area where the worker is likely to be exposed over the action
level at least 30 days per year, the company will provide each affected worker an opportunity for a medical
examination, including at least the following elements:
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•
A work history and a medical history which shall include a smoking history and the presence and
degree of respiratory symptoms such as breathlessness, cough, sputum production and
wheezing.
A medical examination which shall include at least, A standard posterior-anterior chest x-ray, A
nasal and skin examination, and other examinations which the physician believes appropriate
because of the workers exposure to inorganic arsenic or because of required respirator use.
Periodic examinations
Examinations must be provided in accordance with this program at least annually. Whenever a covered worker
has not taken the examinations specified in this section within six (6) months preceding the termination of
employment, the company will provide such examinations to the worker upon termination of employment. If
the worker for any reason develops signs or symptoms commonly associated with exposure to inorganic arsenic
the company will provide an appropriate examination and emergency medical treatment.
The company will provide the following information to the examining physician:
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A copy of this standard and its appendices ( A B C)
A description of the affected worker's duties as they relate to the worker's exposure
The worker's representative exposure level or anticipated exposure level
A description of any personal protective equipment used or to be used
Information from previous medical examinations of the affected worker which is not readily
available to the examining physician
The company will obtain a written opinion from the examining physician which shall include:
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The results of the medical examination and tests performed.
The physician's opinion as to whether the worker has any detected medical conditions which
would place the worker at increased risk of material impairment of the worker's health from
exposure to inorganic arsenic.
Any recommended limitations upon the worker's exposure to inorganic arsenic or upon the use
of protective clothing or equipment such as respirators.
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